Since 1981 Health School

Zhao Yiping continued to "touch and touch" Chen Qi while demonstrating according to the content in the textbook:

"The second thing we have to do is palpation. Your hands should look like this, with your thumb and other four fingers spread out, and then place them symmetrically on the patient's chest. Remember not to pinch too tightly.

Check the patient's chest expansion, voice tremor and pleural friction, whether there is sternal tenderness, whether there is rib and spinal tenderness; cardiac palpation includes apical beat, precordial beat, tremor and pericardial friction.

The third is percussion. Put your left palm on the patient's chest. Note that your right middle finger is tapping on the left middle finger instead of directly hitting the patient's chest. Then keep tapping and then keep changing positions. Mainly check both sides. The upper bounds of the lungs, the lower bounds, and the borders of the heart.

The last step is auscultation, mainly listening for dry and wet rales in the lungs, voice resonance, pleural friction rub, and murmurs in the heart valve auscultation area. This set of physical examination is a test of basic skills.

In addition, the specialized physical examination of female breasts is mainly inspection and palpation. Visually observe whether the bilateral breasts are symmetrical in size, whether the skin color of the breasts is red, swollen, and ulcerated; whether there are local signs of orange peel and dimples;

Palpation is to use four fingers together, and use the fingertips to slide from the outer circumference of the ru towards the direction of the halo, clockwise, and finally check the halo area.

In the process of palpation, pay attention to whether there is a lump, the location, size, texture, boundary, and mobility of the lump. Finally, check the armpits and supraclavicular lymph nodes.

Hey, some female students are blushing, and some male students are snickering, what's the matter? It means that you don't have a full sense of substitution for your role as a doctor. This is wrong. People who laugh, you can't become a good doctor. "

As soon as Teacher Zhao said this, everyone dared not laugh anymore.

In fact, Zhao Yiping didn't say a word. Clinically, it is usually older women who suffer from breast diseases. If they really take it off, how can there be any sense of beauty?

This is why other painters only paint young girls.

Zhao Yiping explained while doing, and finally stood up and tapped his waist:

"It's useless. It's too much to take after only 20 minutes. A few students will come and do a complete chest physical examination on Chen Qi. Come on, who will come first?"

With a swish, everyone raised their hands. (except pan leaf)

The students at this time really want to learn skills, and they don't miss any opportunity. Unlike later generations, if the teacher asks this question, most students will probably hide behind.

Zhao Yiping looked around, and immediately thought of Chen Qi's rumored girlfriend, so he was thinking of playing a prank. Since you didn't raise your hand, you should go first:

"Then who, Pan Ye, you are the first to try."

"Ah I?"

The little girl's face turned red all of a sudden, and everyone's eyes were focused on her, which made her heart beat instantly faster.

Her best friend Wang Jiajia touched her waist and said softly, "Come on, eat tofu in a fair manner."

Pan Ye gritted her teeth, she didn't really want to eat tofu, but her rationality of learning took over. After all, most of those who can go to health school these days, except for some backdoor students, still want to really study.

Zhao Yiping secretly smiled in his heart, but his face was serious:

"Okay, classmate Pan Ye, do a chest palpation first."

"Ooh."

"Oh what? The patient's clothes are all buttoned, shouldn't you unbutton them first?"

Wow, some students have already laughed out loud.

The practical operation is to simulate the real medical environment, so after the practical operation, the models need to put on their clothes and recover.

When Pan Ye was nervous, she forgot about the situation of undressing, and wanted to palpate with her hand, but Zhao Yiping pointed it out, and the little girl's ears turned red.

While blushing, he began to undress Chen Qi, coupled with the rumored ambiguous relationship between the two, all of the students in the class looked sideways, including Lan Lijuan, who also tilted her head to watch.

What can Chen Qi do? A little beauty took off his clothes for him and forcibly refrained from "driving". If he dared to drive, the Department of Political Affairs and Education would definitely give him a punishment tomorrow.

If this was the previous life, he would at least tell some pornographic jokes to make fun of it.

The clothes were opened, revealing Mr. Chen's chest and two small spots. Pan Ye stretched out his hands, his thumbs pointed to the xiphoid process along the costal margins on both sides, and his fingertips were on the symmetrical parts on both sides of the midline. First, he made a chest Dilation check.

The touch of his hands could clearly feel Chen Qi's body temperature, which made Pan Ye feel a little overwhelmed, and a feeling of shame, shock and excitement came to his heart.

Pan Ye has lived for 19 years, and this is also the first time he has met a man. He only feels his mouth is dry and his voice trembles a bit.

"Suffering from... patient... on both sides of the thoracic cage... the respiratory movement on both sides...is symmetrical to...no obvious abnormality..."

Zhao Yiping almost rolled on the ground laughing, but still said majesticly:

"Ahem, so what should I do next for the voice tremor?"

Pan Ye stretched out his hand again, and lightly pressed the ulnar sides of his palms to the symmetrical parts on both sides of Chen Qi's chest wall, then lightly gritted his teeth, and quickly demonstrated one side from top to bottom.

But because she was too nervous, she didn't dare to look into Chen Qi's eyes the whole time, and her palms were covered with sweat.

Chen Qi saw that it was broken. During the examination, the doctor had to instruct the patient to make a yi~~~ sound at the same time, otherwise what is voice tremor?

But Pan Ye got nervous and forgot.

Chen Qi was a little anxious for her, repeatedly reminding softly: "yi~~~yi~~~"

If it was Pan Ye, she would have understood in seconds. It wasn't because the model was a special candidate. The little girl was guilty and nervous, so she ignored Chen Qi's kind reminder.

Zhao Yiping said with a dark face, "Student Pan Ye, are you done now?"

"Huh, huh? Wrong?"

Zhao Yiping glanced at her angrily,

"It seems that you didn't listen carefully to the teacher's demonstration just now. You have to read the books carefully when you go back. You will have an internship soon. You can't go to the clinic with this mentality. The school teachers can tolerate you. When you arrive at the hospital, the teaching teacher will not be too polite."

When Pan Ye heard this, tears were about to flow down.

Zhao Yiping ignored her, and called her by name: "Come on, Lan Lijuan, can you demonstrate how to perform the correct voice tremor check?"

Lan Lijuan was startled when she heard it, and just about to refuse, she thought it was in class.

She didn't hesitate too much, and came directly to Chen Qi's side, "Come on, comrade patient, please listen to my password and call yi~~~"

Pan Ye was so angry, angry at Teacher Zhao's merciless words, and angry at Chen Qi and Lan Lijuan for flirting with each other in the practical class.