When the Doctor Uses A Hack -
Chapter 1233 - 1236: Qin Xiaotian is so Pitiful
Qin Yue stood with hands on her hips, strutting around the room like a bossy crab.
Then proudly said, "Today, I really did a big favor for my husband!"
Chen Cang immediately asked, "What did you do?"
Qin Yue, fishing for compliments: "Honey, the meal you cooked today was truly worth it."
After saying that, with a mysterious face, she said: "For tomorrow's palpation, I've already obtained some insider information for you!"
"I tell you, they really tried hard to make it tough!"
As she said this, Qin Yue narrowed her eyes and danced with excitement: "Too bad, someone like me managed to steal their intelligence!"
"I pulled our department's case files for you!"
"Then, I also got the case files from my classmate's department!"
"Tomorrow for you, it will be absolutely smooth sailing!"
Qin Yue, pounding her chest with a righteous expression, placed her hand on Chen Cang's shoulder.
"How about it? Don't you think having a wife like me is the happiest thing in your life?"
Chen Cang, looking at Qin Yue's adorable manner, couldn't help but stuff a piece of newly perfected Mao-style braised pork into her mouth.
Qin Yue, with the meat in her mouth, fanning herself: "It's hot!"
That night, under Qin Yue's coercion and seduction, Chen Cang finished reading a few case files that Qin Yue had mysteriously acquired, and then he finally went to sleep.
…
…
The next day.
Fearing her identity as a spy being exposed, Qin Yue arrived at the department early by herself and let Chen Cang drive in.
Qin Yue felt that aside from teacher Sun Guangyu, Director Zhuang Yueming, and Senior Xu Rui, no one else knew about her hidden role!
Thinking of her special mission, Qin Yue suddenly felt extremely fulfilled inside.
After Chen Cang arrived at the hospital, he was personally greeted by Li Kai and several department heads.
The work today was the whole day long.
Several departments in the morning, more in the afternoon.
Of course, departments like ophthalmology, dentistry, otolaryngology, and urological surgery were naturally skimmed over.
Li Kai personally followed Chen Cang leading the team today.
And the students were also distributed to various departments.
The first department for Chen Cang was the General Surgery!
Upon hearing this news, Qin Yue was thrilled inside, her husband was going to have a flying start today!
However, she pretended not to be familiar with Chen Cang, and stood behind with classmates, stirring up excitement.
Sun Guangyu and Zhuang Yueming exchanged glance, seeing the cunning in each other's eyes.
Chen Cang was quite popular in General Surgery, after all, as the president of the International Society of Digestive Surgery, Professor Chen's reputation was commendable.
"Professor Chen, let's get started then!" Sun Guangyu said with a smile.
Chen Cang nodded, "Sure, no problem!"
The department had more than thirty students today, and all were somewhat expectant after this scene.
The patients had been arranged already.
Once they entered the ward, Chen Cang saw bed 11 and was momentarily stunned.
Wow, Qin Yue really guessed it?
Not bad, this little girl has some serious experience being a traitor.
Indeed!
Qin Xiaotian is getting further and further down the road of betraying her father and teacher.
For her man, Qin Xiaotian declared boldly that climbing mountains or crossing seas of flames might be tough, but stealing clothes and case files was easy!
Qin Yue, seeing Chen Cang's look, immediately glared at him.
Muttering with frustration: "No acting skills at all!"
The patient in bed 11 was a 44-year-old woman with unexplained intestinal obstruction, commonly presenting with recurrent abdominal pain, bloating, and vomiting, but it could resolve on its own.
Chen Cang placed his hand on the patient's stomach and immediately felt a painless, soft mass on the surface, with bowel sounds audible over it and increased abdominal wall tenseness.
Chen Cang was taken aback!
He turned to look at Qin Yue and then at Sun Guangyu, and couldn't help but laugh!
Qin Yue, this silly girl.
She was tricked by this group of people.
Seeing Qin Yue naively pretending that she was not familiar with him, Chen Cang couldn't help but want to laugh.
This is nowhere near a typical case of cirrhotic ascites!
The patient indeed has ascites.
But it is not due to liver cirrhosis!
Chen Cang's diagnosis of acute abdominal disease is perfect!
As the president of the World Society of Digestive Surgery, Chen Cang is not famous for no reason.
Chen Cang closed his eyes, gently felt the patient's abdomen, then extended his hand and used 3-4 fingertips, thrusting forcefully and rapidly downwards to palpate the examined area!
By this palpation, he could feel for any floating tumors or organs.
This method is used on patients who have a large amount of ascites and organ enlargement or tumors.
Because the rapid palpation may temporarily displace the ascites, making it easier to detect the organs or tumors related to the ascites.
Suddenly, Chen Cang's eyes lit up.
He felt it!
Under the sensing glove, Chen Cang clearly felt a distinctive manifestation.
Chen Cang laughed, indeed a special patient.
Chen Cang couldn't help but say, "This is a patient with segmental sclerosing encapsulating peritonitis with peritoneal adhesion-induced bowel obstruction!"
As soon as he said this, all the medical staff in the ward were stunned!
Even Sun Guangyu was staring at Chen Cang with eyes wide open, filled with disbelief.
This answer is just too amazing!
Sun Guangyu quickly turned to look at Zhuang Yueming, then looked at Qin Yue!
Seeing Qin Yue's eyes full of dumbfounded confusion, Sun Guangyu's brows tightened immediately.
And Qin Yue too was anxiously looking at Chen Cang!
This silly son.
I showed you the correct answer last night, and you still guessed it wrong.
What kind of nonsense is this guess!
Chen Cang continued: "This is a patient with abdominal cocoon condition!"
After Chen Cang finished, he continued to analyze: "Everyone can come up and feel later, although the ascites may lead us to consider liver disease."
"But using this palpative tapping, you can feel the tumors inside the patient, and this tumor is not an ordinary one!"
"Through its texture, one can entirely recover the manifestations of a small intestine entrapped by fibrous membrane!
The roughness of the fibrous membrane entrapment and ordinary abdominal masses are completely different.
Moreover, when you press deeply during palpation, you can feel the adhesions between the intestines or mechanical intestinal motility disturbances!"
"Palpation, in fact, is most crucial here!"
After finishing, Chen Cang looked at Sun Guangyu, "Director Sun, am I right?"
The surrounding students were somewhat puzzled, can all these things really be felt by touch?
At this moment, Sun Guangyu couldn't help but admit, Chen Cang is really incredible!
He couldn't help but start applauding!
And other doctors also began clapping one after another.
Everyone looked at Chen Cang with admiration!
Abdominal cocoon condition is considered a complex and difficult disorder, right?
Abdominal cocoon condition is when fibrous membranes wrap around the intestines or organs forming a mass, and it is very easy to misdiagnose.
A detailed examination is necessary to see it.
But...
With just one touch, Chen Cang not only diagnosed abdominal cocoon condition but even specified it wrapped around the small intestine.
That's really impressive!
...
ps: There's a humble request, for old-timers—wx public account: "Hand Holding Inch-Key Scale", hope everyone can follow it...
Thank you!
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