"Okay, I understand. How is the patient's condition now?" Lin Hui took back the hand that was about to hang up his white coat.

Lu Cheng immediately buttoned the first button he had unbuttoned.

"You don't have any history of trauma, right? OK, I'll come over and take a look first."

After Lin Hui finished speaking, he hung up the phone, and then said: "In the second obstetrics department, a pregnant woman who had just given birth to her baby complained of pain in her thighs, sudden pain, and localized pain. I don't know how to deal with it now, so come with me to have a look."

"

"Well, okay, Master." Lu Cheng obeyed obediently.

The two people went out again, then took the stairs to the third floor and went through the connecting passage to Block A of the Surgery Building. Then they took the stairs again to the first floor, and then prepared to take the single-story elevator to the ninth floor of Block A of the Surgery Building.

The ninth floor is the first and second wards of the obstetrics department, and the patients are in the second ward.

After Lin Hui and Lu Chengdu entered the elevator,

The demonic sounds and movements sounded again.

"Dee-dee-dee-dee! Dee-dee-dee-dee!"

Lin Hui touched his forehead helplessly, and then connected the phone. After about a few seconds, he immediately reached out and got out of the crowd of people who kept walking in.

Lu Cheng did not go out, but directly chose to go up to the ninth floor.

There was no signal in the elevator. After getting out of the elevator, Lu Cheng received a message from Lin Hui: "Xiao Lu, you go and have a look. I'm going to the Department of Gastroenterology. There's an old man over there who just fell and probably broke a bone. I'll go first."

Let’s see if we need to apply traction first.”

“Patients in the obstetrics and gynecology department are in bed 36!”

"Okay, Master." Lu Cheng replied.

Then he looked up and saw that the department closest to the elevator was Obstetrics Ward 1, then turned around and walked in the other direction.

Although Lu Cheng did not have a name badge, he was wearing a white coat from the Second Xiangya Hospital, which could only be obtained by graduate students or doctors in the hospital. Therefore, the guard at the door stopped a large number of family members of the patients, but still did not stop him.

Lu Cheng walked straight to the doctor's office and asked: "Did the doctor in charge of bed 36 or the doctor on duty ask for a consultation?"

To understand the specific situation, after sending the consultation order, it is best to call the doctor who requested the consultation, because he may know the whole story of the condition better than the patient himself.

"It's me, it's me!" A girl wearing a mask, but not covering the red pimple between her eyebrows, came over!

She said anxiously: "Are you a teacher of orthopedics? This patient just gave birth to a baby the day before yesterday. He originally planned to be discharged from the hospital today, but when he was preparing to be discharged today, he suddenly said that his legs were extremely painful."

"The pain is severe, and the analgesics commonly used in our obstetrics department are ineffective. We don't dare to use them casually, so please come and take a look."

Lu Cheng nodded and said: "Okay. The patient has never fallen? He has never had pain before, right?"

"No, the patients and their families said no!"

Lu Cheng nodded again, and then she took her to the end of the corridor. After walking into a room, he saw a middle-aged woman wearing light pink lying there, with her left lower limb on the bed. Her right foot was stretched out.

Then his right hand kept stroking the outer and lower sides of his thighs.

My brows were deeply furrowed, and there was a slight sweat on my forehead. Since it was the transition between spring and summer, the weather was not actually hot at this time, and there were all pregnant women here, so the air conditioner was not turned on.

The doctor on duty quickly said: "In bed 36, the orthopedic doctor is already here. If you feel uncomfortable, just tell him."

She hurriedly sat up after hearing this, and her husband immediately came over to help. Her mother and a little girl about six or seven years old who were surrounding her also got out of the way. The grandmother was holding the child and looking here from time to time.

One glance.

"Doctor, it hurts so much here." As soon as she saw Lu Cheng, she quickly pointed to the place she just touched.

"Okay, I understand. I'm going to give you a physical examination. Please help me pull down the curtains." Lu Cheng is now the general hospital resident. In order not to cause trouble to Lin Hui, he can only use such a blunt tone.

Lu Cheng was no stranger to consultations. When he was in Chang City, he even came for emergency consultations without any stage fright.

The doctor on duty in the obstetrics department quickly followed the instructions. Lu Cheng did not ask his husband to leave, but reached his right hand above the patella of the knee joint.

After this exploration, Lu Chengcheng felt great tension. When he pressed lightly, there was an obvious feeling of fluctuation inside!

Fluid?

Bleeding?

Lu Cheng asked again: "Have you not been injured recently? Have you ever had any pain before?"

"No, doctor, what's wrong with me?" the mother asked quickly.

Lu Chengdao: "It's hard to say now. I'll wait until I finish the physical examination!"

Then Lu Cheng immediately moved his hand to the heel of his right foot. After putting on his gloves, he clenched his fist along the longitudinal axis of his right lower limb and hammered it a little harder!

"Ouch!" the mother cried out immediately.

Her husband frowned slightly when he saw this, but didn't say anything.

But her daughter quickly asked: "Mom, does it hurt?"

The mother turned to look at her and smiled: "It only hurts a little bit!"

"Let's take an X-ray of the knee joint from the front and side!" Lu Cheng immediately ordered the doctor.

"Oh, okay." She agreed immediately and then left.

Now, the husband stopped: "Doctor, what's going on? Why do you still need to take photos?"

"She has local swelling and longitudinal percussion pain. I think she has a fracture. Has she really not suffered any trauma? Has she never had similar symptoms?" Lu Cheng asked again.

If the fracture is not caused by trauma, then it is very clearly written in the textbook.

Pathological fracture.

There are generally three bone bases for pathological fractures: osteoporosis, osteomyelitis, and bone tumors.

Osteoporosis during pregnancy is possible, but osteoporosis during pregnancy will cause pain in the limb joints during pregnancy. If a similar situation has not occurred before, the possibility of osteoporosis is very small.

The possibility of osteomyelitis is very small, because maternal blood tests are routinely checked before giving birth, and white blood cells will increase even with chronic osteomyelitis.

So now this is the most likely possibility.

"Definitely not. I remember it very clearly. What happened?" The husband was obviously a little irritable and his tone of voice was a little aggressive.

"I'm not sure yet, so I can't make a guess, right? It will be clear after the photos are taken." Lu Cheng took a few steps back. At this time, the family members were in a state of mood swing, and he didn't want to be beaten.

As expected, the husband began to curse: "Guess one? You are a doctor. You can't even tell what's going on. Do you think you can't see the disease without examination?"

It sounds like one set after another.

Lu Cheng frowned slightly and said, "I have to take responsibility for what I say. I won't make any unreliable guesses. Sorry, I can't give you any advice without auxiliary examinations to help confirm the diagnosis."

"Of course you can also reject my suggestion."

The diagnosis of bone tumors is not something that can be made easily.

Lu Cheng's tone was a little cold, but after hearing Lu Cheng's words, the mother of the mother hurriedly said: "Doctor, my son-in-law didn't mean that, he is just anxious. Let's go for a check-up."

At this time, the doctor on duty had already written out the examination form and handed it to the family members. He said, "The photo is on the first floor of the inpatient department. You don't have to queue up. You can do it directly. Just push the bed there."

Bar."

It was the mother's husband who was pushing the bed, but she quickly turned the head of the bed and walked out. The child was about to follow, but was stopped by her grandmother.

After this, Lu Chengcai and the doctor on duty walked out of the ward.

The doctor on duty asked: "Teacher, what are you considering about this patient?"

"There is a possibility of bone tumors, but don't tell the patient and family members directly. Wait for the consultation opinion written by me. I still have a consultation with the emergency department. I will write a consultation opinion after the consultation there is completed later.

"

"Just explain it to the patient and family members according to the consultation opinions. I hope it won't be like that," Lu Cheng said.

"Ah?" The girl was shocked when she heard this, "Is it osteosarcoma? Is it that osteosarcoma?"

"It's definitely not possible to determine directly now. If you encounter this kind of situation in the future, no matter what the patient says, you can just take a picture first. Even if there is no fracture, you must be wary of the possibility of microfracture or linear fracture." Lu Cheng said again.

, and walked out of the ward of the second obstetrics department.

Once something like bone tumors comes into play, her eldest daughter is still young, and her younger children even more so.

If radiotherapy and chemotherapy are required in the follow-up, the child will not be able to drink any milk!

well!

This kind of thing can only be said to be helpless.

When Lu Cheng rushed to the emergency department to meet Lin Hui, Lin Hui had finished handling the matter. Lu Cheng did not ask Lin Hui what happened.

But Lin Hui asked him: "What's going on over there?"

"I guess it may be a pathological fracture. The mother is thirty-two years old and multiparous! She gave birth naturally. It may be that during the natural birth process, her feet were too hard, causing the pathological bone to fracture." Lu Cheng replied,

But there is still a line left: "But the patient's current imaging examination has not yet come out, so there is no way to confirm the diagnosis."

"Let's go to the maternity ward." Lin Hui said immediately after hearing this.

"What's wrong, Master?" Lu Cheng was slightly puzzled.

Lin Hui replied: "In such a situation, we must stand beside the patient's bedside and tell him in person. It's just the doctor on duty who can't explain clearly. How could the patient and family members accept the patient's death just after giving birth so smoothly?

Is there a bone tumor happening?”
To be continued...