Lu Cheng was really nervous. This was the first time in his history that he stood on the podium as a 'teacher' and taught a class to a group of teachers.

In the past, when he was an undergraduate, Lu Cheng taught in a small class, but those were all classmates, and we were all noobs. I previewed, and everyone didn't preview, so I knew more than you.

But it's different now. More than 80% of the people sitting below have higher qualifications than Lu Cheng, and several of them were even his teachers when he was in the emergency department.

This status is different, so my mentality will naturally be tense.

But when things came to this point, Lu Cheng could only say: "Dear teachers, hello everyone, I am Lu Cheng, from the Department of Orthopedics."

"To be honest, I am very uneasy now because before I came to the emergency room, I had no preparation, including what to talk about and preparation for PPT. I am not even familiar with the PPT done by Dr. Dong Yihe."

"So I was called to share my experience. In fact, it was nothing more than reading this PPT. This is a bit of a waste of teachers' time. It would be better to do this. Because Dr. Dong Yihe had an accident, we prepared him together first.

Let’s read some of the things we shared together and learn from them.”

Lu Cheng was trying to gain momentum for Dong Yihe. Although Dong Yihe came here to share his experience in exchange for his quota, was it hard for Dong Yihe?

He works equally hard!

He also saw nearly sixty or seventy patients. Although the results were not very good, some patients even developed complications after being discharged from the orthopedics department. Because they were discovered in time, there were no major problems. But a few patients failed to do so.

Save your life.

But don’t forget Dong Yihe’s identity. He is an orthopedic surgeon. He only needs to understand the types of orthopedic diseases and become professional in orthopedic issues. That is enough.

The patients he had seen had no orthopedic problems, yet he was asked to see other problems, which was a harsh requirement in itself.

Not everyone is Lu Cheng...

There are many ppts, more than fifty in total, with rich pictures and texts, which proves that Dong Yihe is very well prepared, but most of the contents are commonplace.

Lu Cheng finished it in about seven or eight minutes.

Then on the final thank you page, Lu Cheng bowed to everyone again: "Thank you, teachers, for watching."

"The content prepared by Dr. Dong Yihe is quite comprehensive. Many small details may be due to Dr. Dong Yihe's daily clinical experience, which are very important details."

After Lu Cheng continued Dong Yihe's topic again, he changed the subject: "However, I personally still feel that the clinical symptoms of the emergency department may not be that important. A detailed, accurate and comprehensive physical examination is what I

Think that’s the most important thing!”

Originally, when Lu Cheng showed the PPT, everyone was drowsy. Those things that can be found in books, they are already doing emergency medicine, do they still need to take a closer look??

But out of respect and pity for Dong Yihe, everyone just pretended.

But Lu Cheng was what they were really interested in. Such a turn of events immediately drew everyone's attention to Lu Cheng.

Physical examination?

Physical examination, isn’t this the most basic thing?

Lu Cheng combined his own process of using the panel. Every time he needs to find the health bar, he must first check the body. If the problem is found, it will be digitized. Otherwise, he can only see it at a glance.

Trauma blood bar!

Lu Cheng continued: "The patient's medical history, disease, and clinical manifestations are all somewhat confusing. Even the patient's oral history often cannot be fully believed."

"Because except for a few particularly obvious clinical manifestations, they are all subjective opinions of the patients."

The definition of clinical manifestations in medicine refers to a series of abnormal changes in the body of patients after suffering from a certain disease. Most of these problems are reported by the patients themselves, such as pain here and pain there.

The patient is not a professional and may not be able to explain the key points many times.

"However, when our doctors perform physical examinations on patients, the patient's passive performance is more objective and real. Let me give you an example when Dr. Dong Yihe fell down just now."

"What we saw was that he suddenly fainted, vomited and had weakness in his limbs! This is what we saw with our own eyes. It is easy to think of cerebrovascular disease, and we should think of it, because cerebrovascular disease is more dangerous."

"It's just that if we look more comprehensively and carefully, we will find that Dong Yihe's eyes and pupils are normal. It does not seem to be an external symptom of cerebrovascular disease, and his consciousness is also good."

"Although this may be a symptom of cerebrovascular disease when it is still mild, symptoms such as transient syncope and hypoglycemia may occur."

"But through vomitus, we can at least rule out hypoglycemia. When experiencing transient syncope, we will not find muscle weakness in the patient's limbs during physical examination. Moreover, we have not found an increase in muscle tone in the patient."

"These are some of the physical findings that allow me to rule out cerebrovascular disease."

"Based on what we have seen, myocardial infarction and pulmonary infarction will not suddenly fall to the ground so quickly, and they can be basically ruled out."

"Of course, I didn't have time to do a cardiopulmonary physical examination, and when I touched my abdomen, I didn't feel the gastrointestinal type. But I am an orthopedic surgeon, so I could clearly feel Dr. Dong Yihe's muscle tremors..."

"Reunited..."

Lu Cheng spoke slowly. At first, everyone didn't pay attention, but as Lu Cheng said, everyone's expressions gradually became serious.

Yes, although the physical examination is basic, it is this basic thing that occupies a huge space in diagnostics. In fact, the diagnosis of many patients does not rely solely on imaging examinations and laboratory tests.

If imaging examinations and laboratory examinations are qualitative, then physical examination is positional.

The characterization and positioning of a disease are very important.

Lu Cheng spoke eloquently for about twenty minutes before he finally finished what Lu Cheng wanted to say. Combined with the living case of Dong Yihe, everyone listened interestingly and listened.

Of course, this time is still a little short compared to the more than 50 ppts prepared by Dong Yihe to share.

Mao Lei saw that the time was too short, and immediately after Lu Cheng finished speaking, he said, "Are you the same as me? It's interesting to listen to Lu Cheng's speech, but you're not satisfied with it?"

"However, we must also be considerate. Lu Cheng was brought in to give lectures at short notice, so what he lectured was entirely his real thoughts, not a rehearsed lecture."

"I think this is a good idea. There must be more emergency patients coming from outside today. Let's go see a few patients with Lu Cheng and learn together, okay?"

Although Mao Lei also felt that it was not good for Lu Cheng to speak so briefly, this is real experience sharing, real experience sharing. Compared with the PPT prepared by Dong Yihe, this may be what everyone is more interested in.

This is a good suggestion. To be honest, asking them to come and listen to ppt readings is not as good as just seeing a few patients.
Chapter completed!