His greatness is unparalleled

When Quan Jianming heard Tang Jiayi's words, he jumped up suddenly like a cat whose tail had been stepped on, and his eyes widened and exclaimed, "What are you talking about?

Tang Jiayi looked at Su Yifan, who was sitting on a chair with a glass of water and drinking water as usual, how could he be so sure that the patient was not appendicitis, but a perforated stomach

In the case of acute appendicitis, it is impossible to have diaphragmatic dissenting gas, only perforation of hollow organs, that is, stomach, transverse colon, Of course, if the appendix is perforated, there will also be diaphragm discrete gas, but if the appendix is perforated because of inflammation, the patient has already developed acute peritonitis and then led to toxic shock, but it can't wait until now, because once the appendix is inflamed, a large number of bacteria will be produced inside, and if the appendix is perforated, a large number of bacteria will enter the abdominal cavity, and in a very short period of time, the patient will have acute peritonitis, which will lead to toxic shock。

But gastric perforation is different, it is not caused by inflammation, but because of the stomach ulcer that has existed for many years, and the food in the stomach also contains bacteria, but not as much as the inflamed appendix, so it will not quickly cause the patient to develop acute peritonitis and toxic shock, but if not treated in time, these conditions can also occur.

Tang Jiayi felt very faceless, just now she ridiculed Su Yifan more than once, saying that it was appendicitis, so let him not do much, but now it turns out that she is wrong, Quan Jianming and others are also wrong, Su Yifan's diagnosis is correct.

Quan Jianming couldn't believe his ears, and seeing that Tang Jiayi didn't speak, he immediately said urgently: "Bring the film."

Tang Jiayi glared at Su Yifan, who was still sitting firmly in Diaoyutai, and then reluctantly walked over and handed the film that had just come out and still had residual warmth to Quan Jianming.

Quan Jianming raised it and looked at it, his face instantly became very ugly, that's right, there is diaphragm discrete gas, Su Yifan, a rookie who has just entered the hospital for a few days, is right, and he, the director of general surgery, an old doctor who has been working in the hospital for twenty years, is wrong, and in an instant, Quan Jianming felt a hot pain on his face, as if he had been slapped dozens of loud times over and over again.

Li Dongping didn't know how to describe his mood, all the old doctors were overturned by Su Yifan, a rookie, and fell to the ground one by one, looking as embarrassed as he looked, your sister, does this kid have clairvoyant eyes?

Hou Mingxiang sighed, looked at Su Yifan with a wry smile, and said, "Xiao Su, why can you see that it is not appendicitis but a perforated stomach?"

Quan Jianming's face is as ugly as he wants at this time, he can't stand there and walk, and he can't go, he is embarrassed to death.

Su Yifan put down the glass of water and said: "The patient has a history of gastric ulcer for many years, which is the possibility of gastric perforation, once there is gastric perforation, the gastric contents flow along the ascending paracolic gutter in the right lower auxiliary part, there will be right lower auxiliary pain, and in such a situation, the blood picture will also increase, and finally if the patient is really acute appendicitis, the blood picture is as high as more than 20,000, then the right lower auxiliary can not only have tenderness, but also rebound pain."

Speaking of this, Su Yifan looked at Quan Jianming and said, "Director Quan, am I right?" Quan Jianming's

face instantly swelled red when he heard this, he looked at Su Yifan with red eyes, clenched his fists and said, "I ......".

Speaking of this, Quan Jianming has no way to say it, today this person is thrown to his grandmother's house, and he can't use tomorrow, and soon the whole hospital will know that he Quan Jianming has a serious misdiagnosis, but this is not important, the important thing is that Quan Jianming diagnosed the wrong disease, Su Yifan was right, one is the director of general surgery with more than 20 years of work experience, and the other is a rookie who has just entered the hospital for a few days, there is such a stark contrast, in addition to the appendicitis that Quan Jianming didn't dare to do it last time, the old director said that the appendicitis that couldn't be done was done by Su Yifan, and Quan Jianming couldn't raise his head in the hospital at all in the future。

At this moment, Quan Jianming has a feeling of finding a crack to get into, he has lived to a dog in his life, and he is also the director of general surgery with 20 years of work experience, and he is not as good as a rookie who has just come to the hospital for a few days, this ......

Li Dongping clapped his hands and smiled: "Good, good, good, good, thoughtful, reasonable, Xiao Su ......" Speaking of this, Li Dongping gave Su Yifan a thumbs up.

These words immediately turned into a big hand slamming into Quan Jianming's face, making his face even more painful.

Hou Mingxiang smiled bitterly: "We have been in the hospital for nothing all these years, and we are not as good as Xiao Su, a rookie who has just come to the hospital for a few days, powerful, powerful." Hearing

Hou Mingxiang praise Su Yifan like this, Quan Jianming felt a hot pain on his face, and saw him glaring at Su Yifan viciously, and then turned around and left, today Quan Jianming was completely thrown to his grandmother's house, and he didn't want to raise his head in the hospital in the future.

In fact, today Su Yifan can be regarded as helping Quan Jianming, if according to what Quan Jianming said, when he went to the operating room for surgery, he found that it was not appendicitis, but gastric perforation, then this is not a small medical accident, at least Quan Jianming was suspended for reflection, and at worst, he could not continue to work in the county hospital, and his medical practitioner qualification certificate would be revoked at a serious point, if this is the case, Quan Jianming's life will be completely finished.

But Quan Jianming didn't think so, he thought that today Su Yifan made him lose such a big person, this matter can't be counted, he must get it back, now Quan Jianming desperately hopes that Zhao Yong will be released quickly, and then he can borrow Zhao Yong's hand to teach Su Yifan, a little bastard, at least break his two arms, break two arms, and see how he continues to be a doctor.

Su Yifan looked at Quan Jianming's back and fled, and felt so happy that he didn't want to, and at the same time, a hint of the completion of the task also appeared in his mind, and ten points were in hand.

This full-level diagnostic skill experience paper is really a good thing, but unfortunately it can only be used for three days.

At this time, Li Dongping patted Su Yifan's shoulder and said: "Xiao Su, you will be on duty from now on, I will live in the office today, if there are any patients who can't be handled, come to me in time, don't be reckless, remember that we are doctors, and the first principle is to treat diseases and save people, remember?"

Su Yifan didn't expect that he would be affirmed by the director and let him be on duty just a few days after he came to the emergency department, which made Su Yifan very happy, and hurriedly said: "Got it, director, thank you."

Tang Jiayi frowned and said very unpleasantly: "He is on duty today, so don't I have to work with him in the future?"