Chapter 89 Interview routines are deep
Lu Cheng finally summarized the conclusions of his physical examination and said with a relaxed expression: "Tenderness in front of right shoulder, anterolateral aspect; Hakwins sign, positive Neer sign, fear sign (-), Jobe sign (-), Napoleon test also called Napoleon sign
(-).”
“O’Brien’s test (-), Sulcus sign (-). Painful arc (-).”
"So, dear teachers, I suspect that the medical history this aunt just told may be false, and the physical examination is inconsistent with the main complaint. I suggest further examination to confirm the diagnosis. The preliminary diagnosis result I can give at present is: shoulder joint: pain investigation cause,
But I speculate that the possibility of organic disease in the shoulder joint is not very high."
As soon as Lu Cheng said this, he suddenly stopped talking. Astonishingly, at this moment, there was a big red blood strip looming in front of the patient's lower left chest.
Then Lu Cheng also discovered that the frown on the patient's brow was deeper at this moment. Although it was subtle, Lu Cheng still noticed it.
It's just that although Lu Cheng noticed that something was wrong, he didn't know whether to say it or not. After all, the interview he was conducting was for orthopedics, not cardiac surgery or cardiology.
Lu Cheng paused for a moment and looked at the unknown red blood bar on the patient's chest. Because he hadn't been diagnosed yet, he couldn't see the specific level and value clearly.
However, the patient's own green blood bar has no downward trend. It is estimated that even if the red blood bar appears, it is not in the acute stage and will not be fatal in a short period of time.
Since these professors can safely ask her to pretend to be sick, they must have a back-up plan. Forget it, they should stop causing trouble.
The professors opposite them all exchanged a few words in private with smiles on their faces.
Then he looked at Lu Cheng again and asked: "So if you are the patient's attending physician, what tests do you think should be done next? Do you need any treatment?"
Lu Cheng frowned slightly when he heard this. Just now, he had given a diagnosis. The patient was making up his medical history, but why did the professors still want him to answer this question?
Is there something wrong with my diagnostic thinking?
Lu Cheng carefully thought about the cause of shoulder joint pain and found that the cause of shoulder joint pain seemed to be caused by nerves, so he said: "If this aunt has severe pain and the complaint is true, then...
While taking appropriate non-steroidal drugs for analgesia, shoulder joint MRI and neuroelectromyography can be used for further examination."
"The specific treatment method will vary depending on the examination results."
"Of course, in addition to this, I strongly recommend that this patient undergo a cardiac color Doppler ultrasound and a neck vascular color Doppler ultrasound."
Lu Cheng glanced at a relatively subtle blood stripe on the neck that reappeared and said seriously.
Originally, when Lu Cheng answered the first two sentences, Wang Shidong was in an extremely good mood. Lu Cheng bypassed the obstacles set by the patient from the beginning, which was the history of rotator cuff injury, and then bypassed them again.
The second obstacle set up.
When you think about how to treat, you just want to bring Lu Cheng into the pit again. If you are not confident enough in your physical examination, you will easily be led astray, and then answer the question about the treatment experience of rotator cuff injury. This is not even close to the truth.
A thousand miles away.
Lu Cheng's ability to be so confident surprised several professors. At least he was the only one among the five people interviewed in the morning who avoided all obstacles.
But this last sentence directly loses some impression points for Lu Cheng. It is a complete nonsense. It would be fine if you don't add this sentence.
Because cardiac color ultrasound and cervical vascular color ultrasound are generally preoperative examination items, and Lu Cheng did not give the patient any suggestions for surgical treatment, which is contradictory and superfluous.
"This classmate, please briefly introduce yourself in English." Professor Wang said casually while looking at Lu Cheng's resume.
However, after reading it, he paused again and said:
"Oh? Your undergraduate degree was from Southeast University? You graduated four years ago? So you are almost 27 years old this year?"
"Yes, Teacher Wang, I graduated from Southeast University School of Medicine four years ago. Can I start introducing myself?" Lu Cheng still remembers that Professor Wang Shidong first called him to introduce himself, instead of asking him to introduce himself to Wang Shidong.
Tell me your age and school.
He has seen these techniques on the Internet. If he fails to grasp the key points, he will definitely die miserably.
Wang Shidong answered calmly. Maybe others were deliberately diverting his attention, making him mistakenly regard this place as a place to reminisce about the past, rather than for an interview.
However, judging from the way Wang Shidong is asking now, it proves that he has a deep impression on his school. Either he came from here, or he has some connection with it, which is a bonus.
"Okay." Wang Shidong was a little surprised that Lu Cheng did not continue chatting on this topic.
In fact, he did that before just to disturb Lu Cheng and see whether Lu Cheng wanted to talk to him about Southeast University or whether he would stop and introduce himself after hearing this.
This reaction and concentration are barely passable.
Self-introductions in English are usually prepared in advance.
There is nothing outstanding about it. I just introduced that I graduated from Southeast University School of Medicine. After graduation, I participated in regular training at Changshi First People's Hospital and worked at Changshi First People's Hospital for several months. During the work process
middle.
I realized that I was lacking in professional skills and needed to be armed with more professional knowledge. After three years of orthopedic training, I became absolutely interested in orthopedics and found the right direction.
So I took the postgraduate entrance examination again.
Now, he's here.
This answer is definitely different from other fresh graduates, and it is also different from some doctors who have been delayed in clinical practice for many years.
Wang Shidong found it interesting, so he asked again:
"You said you are interested in orthopedics, then tell me, what are your views on orthopedics?"
An interview is a face-to-face test. Of course, the style is casual and the questions are random.
Everything is based on the interviewer's wishes.
The question Wang Shidong asked was too broad and too broad to be answered. He didn't prepare for this question, but Lu Cheng was currently the only student whose attention was not diverted by him, so he wanted to hear Lu Cheng's opinion.
, he actually has preparations for the next question.
Lu Cheng thought for about five seconds before starting.
If you blurt it out and don't say anything in a panic, you will be thought that you have already drafted it, so this pause is necessary.
"Dear professors and teachers, I may not be right, but it is my own opinion."
"I think that among all the departments, perhaps only orthopedics is the most related to science. It is the most focused on physics and mathematics."
"The mechanical force lines, joint angles, and load-bearing vectors do not exist in any other department. Even the spine branch of orthopedics is not as data-oriented as our orthopedics department."
“The classification of orthopedics is very clear.”
"Trauma, tumors, joints, sports medicine. If further subdivided, it can be divided into microsurgery, surgery, foot and ankle, diabetic foot, soft tissue and bone tissue, etc."
"And it can be subdivided one by one again. Such a rigorous classification may not be covered by other disciplines."
"Of course, the most important thing is that our orthopedics department is the most interesting."
Hearing the most interesting words in this last sentence, one of the people sitting suddenly laughed and said thoughtfully: "Then what do you think is the most interesting?"
Chapter completed!