Piette chuckled. The meaning was self-evident, but of course he didn't show it.

"Dr. Chen, I think my brother-in-law's condition is diagnosed as appendicitis and there is nothing wrong with it."

Chen Qi has a good impression of this serious Piet. After all, there are not many doctors these days who can do a complete physical examination of sight, touch, percussion and listening as written in the textbook, so he kindly reminded him.

"You can check the inner ring."

Piet was a little hesitant and put his hand on the inner ring mouth again, while asking: "Brother-in-law, does it hurt here?"

It may be a change in body position or psychological factors, but the patient Adem suddenly changed his mind:

"Here, it hurts, but it doesn't hurt very much. It hurts more here." The place he clicked was still Max's point.

Piet looked at Chen Qi and said seriously: "Doctor Chen, do you have B-ultrasound or X-ray equipment? I would like to do an examination to make the diagnosis more clear."

Chen Qi nodded. It was indeed difficult to make a diagnosis based on just a few pain points. Since the "foreign aid" they invited had different opinions, they should take a closer look.

"Zhang Xing, go immediately and call the doctors from the laboratory, B-ultrasound room, and X-ray room, and ask them to arrive within 10 minutes."

"Okay, Dean, I'll call you right away."

At this time, Yi Zewen had already noticed that there seemed to be some differences in diagnosis between his hospital director and this black doctor.

He turned his attention to the patient and thought about it carefully for a long time, thinking that this Dean Chen was probably going to overturn. Why should such a simple diagnosis of appendicitis be so complicated?

The doctors in the entire "China-Serbia Friendship Hospital" only serve one patient, so the examination process is very fast.

The blood test results also came out and there were no major abnormalities.

B-ultrasound showed mild enlargement of the appendix, but due to gas interference, it was not clear whether there was perforation or not. At least no gallbladder stones or kidney stones were seen.

The chest X-ray is completely normal. No free air shadow under the diaphragm is seen on the abdominal plain X-ray, which means that the abdominal pain is not caused by gastrointestinal perforation.

Piet put down the report sheet in his hand and looked at Chen Qi with a chuckle:

"Dr. Chen, it's basically clear now. It seems that only appendicitis can explain my brother-in-law's abdominal pain. What do you think?"

Chen Qi still shook his head. Facing his international friends, he could only patiently explain:

"The tenderness of the inner ring orifice is obvious. I don't think this should be taken seriously. For example, the clinical manifestations of intestinal ring orifice incarceration and appendicitis are very similar, but they can still be distinguished. For example, the patient has not had any real symptoms since the onset of the disease until now.

Metastatic right lower abdominal pain."

Piet has a different opinion:

"Metastatic abdominal pain is a typical symptom of appendicitis. If it's atypical, it doesn't mean the situation you mentioned will occur. So based on this, there is no way to convince me."

Many Chinese doctors nearby nodded slightly, obviously agreeing with the black doctor's diagnosis.

Chen Qi didn't pay attention to everyone's attitude. He thought to himself, what do you mean by double international directors? Can they have the same level as you Mongolian doctors?

"Another one is that the patient has a history of hernia. What if the intestine protrudes from the inner ring opening into the inguinal canal without protruding from the outer ring opening? In this way, we will not be able to see the convex point on the surface. Misdiagnosis is often caused by us being too dogmatic.

You must follow what is written in the book."

Chen Qi's words actually imply that Piette's thinking is too rigid. Anyone who gets sick must follow the textbook?

"Besides, the abdominal tenderness points are also different. For example, in acute appendicitis, the abdominal tenderness point is most obvious at McFarland's point. However, when the intestinal ring is impacted, the abdominal tenderness point is most obvious within the inner ring, which is lower than McFarland's point.

.This is because the intestinal tube is only 6-8cm and is folded back and compressed, so the pain is most severe at the internal anus, and is combined with discomfort in the inguinal canal."

As soon as Chen Qi finished speaking, the surgeons on the scene nodded slightly, obviously feeling that their dean's inference was reasonable.
Chapter completed!