He quickly got into his mother's arms and started crying: "Mom, Mom, I'm afraid."

However, her mother still hugged her and stood up slowly. At this moment, her face was very distressed and she said: "Doctor, what's going on with my daughter's hand? Have you seen the film and found that there is no problem?"

His eyes were full of nervousness.

"There is nothing special so far. Are you her mother? When you were playing with her, did you lift her or pull her and she cried?" Zhou Cheng asked.

The diagnosis of radial head subluxation strictly requires parents or caregivers to confirm the medical history.

The child is ignorant and incapable of acting, so it is impossible to ask her.

Pediatrics is a dumb department, that's how it comes about.

But the little girl's mother shook her head and said, "I didn't lift my Qiqi's hand. How could I lift her hand so hard?"

"She is still so young, how could I possibly pull her with all my strength?"

"She's such a doctor. Actually, I don't know what's going on with her."

"I had just sent her to kindergarten, and before I even got home, her teacher called to tell me that Qiqi was crying. She said that she suddenly started crying when she was playing with the children."

"Is this a joke among children, so you are injured? Is it serious?"

She is a mother. Her daughter is just three years old this year and goes to kindergarten.

She had just entered the workplace again. On weekdays, her grandparents would pick her up and drop her off. Today happened to be the weekend. In order to spend more time with her child, she went to see her off in person. But she made her daughter so beautiful that she even agreed to pick her up and take her home.

Be good in kindergarten.

It's just that she sent her daughter to kindergarten, and before she got home, the teacher called like this!

Fortunately, the child's grandparents don't know the situation yet, but they will definitely know. I don't know what they will say about me then.

It's usually fine, I only delivered it once, and something like this happened.

After hearing this, Zhou Cheng frowned: "You didn't pull her? Did this happen when she was playing with children?"

"Then you didn't ask the teacher about the specific situation?"

"It is difficult for children to cause subluxation of the radial head if they are fighting among themselves. They should not be so vigorous."

"Can you please call and ask her teacher, because this is very important."

"We didn't find any other special conditions on the plain radiograph, but you also saw that your daughter's hand hurts a lot."

"But based on your current description, we don't have enough evidence to give a diagnosis that we think is the most likely."

Zhou Cheng was bitten by a snake once and was afraid of well ropes for ten years.

Zhou Cheng still has lingering fears about the child who was brought here by his grandparents and the whole family.

Even though I later gave him fruits and banners, when he started scolding me, it was really unpleasant.

The diagnosis of radial head subluxation requires medical history.

The child is mute and cannot explain the situation clearly by himself.

Parents don't know the situation, so they can't guess. If it hurts for no reason, then if they try to reset it rashly, they will be in real trouble.

Moreover, clinical medicine is a rational subject. Without corresponding incentives, you cannot make a diagnosis on your own!

Otherwise, your knowledge system will not form a circle. If you cannot cause and effect each other, there will eventually be a big mess.

Subluxation of the radial head requires a history of relatively violent trauma.

Without this inducement, this diagnosis cannot be made.

"Ah? You still need to call her teacher to ask her? Is this important?" The woman was about 26 or 7 years old, the same age as Zhou Cheng. When she heard this, she obviously felt quite troubled.

In fact, she didn't want to embarrass the teacher too much. She thought she was a difficult person because she had just passed the teacher exam herself. She knew that a teacher had to deal with many students alone.

I was asking the teacher here and there.

To be honest, how can the teacher control everyone from playing with and contacting each other?

Isn't it normal for children to fight with each other?

Zhou Chengcheng said: "It is better to ask clearly, because the medical history has always been an important evidence in the diagnosis process. How was the injury sustained? Will it affect the direction of diagnosis?"

If there are incentives, it's easy to say. Anyway, the patient just needs to make a phone call.

But if there is no inducement and pain occurs for no reason, the child's current age is also the age when osteosarcoma is most common. What if there is a sudden destruction of the periosteum and severe pain?

That's not something that reset can solve...

Bone tumors will cause bone destruction, and the hardness of the damaged fractures is not high. Even a slight force can cause hidden fractures. These are completely different things...

The diagnosis of radial head subluxation is easy to diagnose, but very difficult to diagnose. However, in the process of reading the literature, Zhou Cheng discovered that similar medical disputes had existed in the past...

The woman immediately dialed the number, but during the process of asking, she turned on the loudspeaker.

But the teacher on the other side said very firmly: "Child Qiqi suddenly started crying when she was playing with other children. Which hospital did you go to?"

"I'm at Shashi No. 8 Hospital," the woman replied.

The person on the other side probably didn't know that the woman was using the loudspeaker, so she said, "Why are you going to the No. 8 Hospital? It would be better if you go to the No. 2 County Hospital or a larger hospital."

"I asked my colleague's husband, who is also a doctor, and he said that the level of orthopedics at the Eighth Hospital is not very good. Of course, as a teacher, it's not easy for me to talk about this." The teacher opposite was quite polite and cryptic.

say.

The woman turned off the loudspeaker halfway through, but Zhou Cheng and Du Yanjun both heard what was supposed to be heard.

The woman also said a little apologetically: "I'm sorry, the two doctors and the teacher may not know the specific situation, so they are worried about my daughter's condition, so their language is a little extreme."

But the woman obviously believed what the teacher said, and asked again: "I think you two are not very old. If you are not sure, can you please call your superior doctor or director to come and help?

"

The woman's cultivation was pretty good, and she relayed the meaning of her daughter's teacher in a rather subtle way.

Du Yanjun suddenly smiled bitterly!

Well, here comes another person who doesn’t believe in Zhou Cheng.

Zhou Cheng also nodded: "Okay, you may have to wait a while."

"Today is the weekend and our director didn't come to the ward, so I have to call him. Maybe one of our superiors happens to be visiting the outpatient department today. How about we go to the outpatient department to see him together? It's better than just waiting here.

Be faster."

"And there is no need for you to go back and forth. If you want to review the results of the plain film later, you can go directly to the outpatient clinic to do it."

"What do you think?" The woman was polite, and Zhou Cheng also gave a more pertinent suggestion.

Zhou Cheng was not angry, because anyone could find a reason to despise him because of his age. There were so many such things, and young doctors couldn't see it right. It was normal to want to find an experienced doctor.

It's something that everyone has, it's not specific to him.

"Thank you, doctor." The woman nodded, picked up her daughter and stood up.

Although Du Yanjun was a little unhappy at the moment when Zhou Cheng took the patient away, because she wanted to see how Zhou Cheng would deal with it later, either to learn or to be an assistant.

But the patient doesn't trust Zhou Cheng, and there's nothing he can do about it. He hasn't finished the work in the department, so he can't leave.

He turned around, sighed, and returned to the office to continue his work.

Soon, Zhou Chengcheng came to the clinic with a woman and a child.

There were many people queuing up outside the clinic. When they saw Zhou Cheng was about to lead the woman and the child in, someone immediately shouted: "Hey, doctor, what are you doing? Do you want to bring your relatives to jump in the queue?"

Zhou Cheng hurriedly took out the emergency medical record book the woman bought in the emergency department and explained: "It's not that she jumped in line. This little girl came from the emergency department."

"If you have some understanding and patience, it won't cost you a lot of time."

After hearing this and seeing the emergency medical records, the speaker pursed his lips.

The woman bowed slightly and said, "I'm sorry, everyone, my daughter suddenly had severe hand pain, so the emergency department asked us to come here to find a doctor."

When she bent down slightly, she may have accidentally touched the elbow of the little girl in her arms. The little girl immediately cried in a low voice: "Mom, it hurts!"

Her hands were still trying their best to hide.

Seeing the little girl's expression, everyone felt soft in their hearts.

An aunt in front quickly said: "You go in first, don't delay here, your baby looks pitiful, everyone needs to understand a little bit, do you think this baby is crying?"

…

When Zhou Cheng brought these two people into the consulting room, Luo Yun and Zhang Zhengquan were treating another patient.

Luo Yun raised his head, glanced at Zhou Cheng and others, and continued to see the doctor without Zhou Cheng being disturbed.

After sending the patient for examination, Luo Yun asked: "Xiao Zhou, what's the situation with you?"

The woman then explained the child's condition, and Zhou Chengcheng also explained: "Teacher Luo, this little girl's elbow pain is severe, but she has no history of violent stretching. She said the pain suddenly started when she was playing with children."

"On physical examination, there was tenderness and the posterior elbow triangle relationship was normal. No fracture was found on the X-ray. The patient said I couldn't understand it and asked the superior doctor to take another look."

"I brought them to you." Zhou Cheng explained seriously, fearing that Luo Yun would suddenly think of the subluxation of the radial head.

"Isn't this subluxation of the radial head?"

How experienced is Luo Yun?
To be continued...