I Spent Those Years In the Operating Room Fighting Monsters
Chapter 89: Interview routines in deep
Lu Cheng finally summarized his findings, and said with a relaxed face: "Tenderness in the front and anterolateral side of the right shoulder; Hakwins sign, Neer sign positive, fear sign (-), Jobe sign (-), Napoleon test is also called Napoleon’s sign (-)."
"O’Brien test (-), Sulcus sign (-). Pain arc (-)."
"So, teachers, I suspect that the medical history that this aunt just told may be false, and the physical examination does not match the main complaint. I suggest further examinations to confirm the diagnosis. At present, the preliminary diagnosis result I can give is: shoulder joint: pain investigation, But I speculate that the possibility of organic disease in the shoulder joint is not very great."
Lu Chenggang stopped talking when he said this. Awesomely, at this moment, before the patient's lower left chest, there was a big red blood bar looming.
Then Lu Cheng also discovered that the frown on the patient's brow was deeper at this moment. Although it was more subtle, Lu Cheng still noticed it.
It’s just that although Lu Cheng found out that something was wrong, he didn’t know if he should say it or not. After all, the interview he was conducting now was for orthopedics, not for cardiology and internal medicine.
Lu Cheng paused for a while, looking at the unknown red blood strip on the patient's chest. Because he was undiagnosed, he couldn't see the specific level and value.
However, the patient’s own green blood bars do not show a downward trend. It is estimated that even if the red blood bars appear, it is not an acute phase and will not be fatal in a short period of time.
Since these professors are relieved to call her to pretend to be sick, they must have something to do, forget about it, don't make any further complications.
The professors on the other side were smiling after they exchanged a sentence or two in private.
then looked at Lu Cheng again and asked: "Then if you are the patient's attending physician, what kind of examinations do you think next? Do you need treatment?"
Lu Cheng heard this, his brows frowned slightly, just now, he gave a diagnosis, the patient is making up a medical history, but why do the professors want him to answer this question?
Is there a fault in my diagnosis?
Lu Cheng carefully considered the correlation of the cause of shoulder joint pain, and found that the cause of shoulder joint pain seemed to be caused by neurological properties, so he said: "If this aunt has severe pain and the complaint is true, then. NSAIDs can be used for analgesia, and at the same time, the shoulder joint nuclear magnetic and neuroelectromyography can be used for further examination."
"The specific treatment method depends on the results of the examination."
"Of course, other than that, I strongly recommend that this patient have a heart color Doppler ultrasound and a neck vascular color Doppler ultrasound."
Lu Cheng skimmed over the reappearing neck with a thinner blood strip, and said seriously.
Originally, when Lu Cheng answered the first two sentences, Wang Shidong was in a very good mood. From the beginning, Lu Cheng bypassed the obstacle set by the patient, which was the history of rotator cuff injury, and then bypassed them again. The second obstacle set.
If you think about how to treat it, you just want to take Lu Cheng into the pit again. If you are not confident enough in your physical examination, you will easily be biased, and then answer the treatment experience of rotator cuff injury, which is not at all absurd. Thousands of miles away.
Lu Cheng's ability to be so confident made several professors quite amazed. At least this was the only one among the five interviews in the morning who escaped all obstacles.
But the last sentence directly reduced Lu Cheng's impression, which is completely nonsense. It's fine if you don't add this sentence.
Because color Doppler ultrasound and cervical vascular color Doppler ultrasound are generally pre-operative examination items, and Lu Cheng did not give patients surgical treatment recommendations, which are self-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 had another meal and said:
"Oh? Your bachelor degree is from Southeast University? You graduated four years ago? Then you are almost 27 years old this year?"
"Yes, Mr. Wang, I graduated from Southeast University Medical School four years ago. Can I start my self-introduction?" Lu Cheng still remembers that Professor Wang Shidong first called him to introduce himself instead of asking him to introduce him to Wang Shidong Talk about your age and school.
He has seen these techniques on the Internet. If you fail to grasp the key points, you will definitely die miserably.
Wang Shidong answered calmly. It can't be said that others are deliberately diverting his attention, so that he mistakenly regards this place as a place for reminiscence instead of coming for an interview.
However, according to Wang Shidong's questioning method, it proves that he has a deep impression of his school. Either he came out from here, or he has some connections with it. This is a bonus.
"Yes." Wang Shidong was a little surprised, and Lu Cheng didn't even continue to talk about this topic.
In fact, he did that before to interfere with Lu Cheng, to see whether Lu Cheng wanted to talk to him about Southeast University, or whether he would introduce himself appropriately after listening.
This reaction and concentration barely passed the test.
English self-introduction is usually prepared in advance.
There is nothing to show off. I basically introduced myself as a graduate of the Medical Department of Southeast University. After graduation, I participated in the training program at Changshi No. 1 People’s Hospital. I also worked at Changshi No. 1 People’s Hospital for a few months. middle.
realized his lack of professional skills and needed more professional knowledge to be armed, and had an absolute interest in orthopedics after three years of training in orthopedics, and found the right direction.
So I took the postgraduate exam again.
Now, he is 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 do you think of orthopedics?"
Interview ~www.wuxiaspot.com~ is a face-to-face examination. Of course, the style is random and the questions are random.
Everything comes according to the interviewer's intentions.
The question Wang Shidong gave was too broad and general, and it was not easy to answer. He did not prepare this question, but Lu Cheng is currently the only student who has not been distracted by him, so he wants to hear Lu Cheng’s views. , He is actually still prepared for the next question.
Lu Cheng thought about it for about five seconds before starting.
If you blurt out and don't say anything in a panic, you will feel that you have already finished the draft, so this pause is necessary.
"Professors, teachers, I may not be right, but it is my own opinion."
"I think that among all departments, there may only be orthopedics, which is most related to science. It talks most about physics and most mathematics."
"The force lines of mechanics, the angle of the joints, and the load-bearing vector are not available in any other department. Even the branch spine of the orthopedics department is not as extremely data-oriented as our orthopedics department."
"The classification of orthopedics is very clear."
"Trauma, tumors, joints, sports medicine. If it is further subdivided, it can be divided into microsurgery, extra hands, ankles, diabetic feet, soft tissue and bone tissue, etc."
"And it can be subdivided one by one again. Such a rigorous classification may not be involved in other disciplines."
"Of course, the most important point is that our orthopedics department is the most interesting."
Hearing the most interesting words of the last sentence, one of the sitting crowd suddenly laughed and said thoughtfully: "Then why do you think it is the most interesting?"
I was ready to post when I got up, but I felt dissatisfied. I changed it several times and asked for a recommendation!
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