"Orthopedics rarely studies cases from urology. Isn’t this patient experiencing right-sided lower back and leg pain? Have you checked the pelvis?"
Li Jingsheng thought that starting from the pain might lead to so different discoveries.
"No, we haven’t checked! The connection to the pelvis is minimal. It’s likely the pain is caused by pressure from kidney enlargent, which I’ve encountered in several clinical cases."
Dr. Tan Shuilin had his own perspective.
Doctors request tests based on their diagnostic thought process.
Only tests that hold reference value and diagnostic significance will be requested for the patient.
Blindly and formulaically ordering a slew of tests is either the work of a novice doctor or a sign of compromised dical ethics, or perhaps due to unfulfilled task indicators imposed from above.
The two of them had already arrived at the ward during their conversation.
Since it was already past midnight, the lights in the ward were out, and the patients and their accompanying family mbers were resting.
"Room 37, Chen Guixiang!"
"Dr. Tan, are you here to do a test or give an injection?"
The patient wasn’t even forty years old, but possibly due to her ailnts, she was a light sleeper.
As soon as they entered the ward, this female patient awoke.
Her husband was resting by the side of her bed.
In fact, the accompanying bed beside hers could be drawn out simply by scanning a code and paying a fee.
The second hospital’s accompanying bed is 15 yuan per night.
The family might not know about this service, or they might be unwilling to spend the money.
Seeing the doctors approach, her husband quickly stood up to make room.
"We’re here to help you with an examination! How are you feeling now?"
"After you’ve administered the dication, I’m not vomiting anymore, but my stomach is still very bloated. My right leg and hip area are in a lot of pain, like being stabbed with needles, coming in waves."
The female patient noticeably displayed shortness of breath as she spoke.
It seems her lung infection hasn’t been controlled!
Li Jingsheng’s respiratory diagnostics skills were quite advanced; just by standing and listening, he could tell her lung condition.
"Can you lie on your side? Let check your pelvis and leg bones!"
Li Jingsheng knew he couldn’t persuade Dr. Tan Shuilin to request a pelvic test for the patient.
The Bone Touching Skill could be tried at this mont.
"Husband, help turn over."
The woman shouldn’t have much trouble turning over, but the enlargent of her kidneys would cause her pain and discomfort.
The male family mber stepped in to help her turn and lie on her side.
It was evident she was in pain while turning over.
"If it hurts too much during the exam, just let know."
Li Jingsheng wouldn’t dare to perform this Bone Touching Skill if her husband weren’t such an honest person.
The examination quickly began, with Li Jingsheng first feeling the side of the patient’s pelvis.
The hip bone is the easiest to feel.
"How long have you been experiencing pain on the right side?"
"Almost a month!"
"Did you feel any mild pain a month ago?"
Li Jingsheng imdiately noticed a problem with her pelvis upon touching it.
This feeling of withered wood was unforgettable—definitely a malignant bone tumor.
"I think so! It probably has been going on for quite a while; before, it was just occasional pain that would quickly subside. It wasn’t as severe as it is now."
The female patient reflected and said.
"Let check your leg bones as well!"
Li Jingsheng didn’t check her hip joint but directly skipped to palpating the kneecap and the head of the femur.
It was the sa withered wood bone texture.
"Alright, the examination is done. Dr. Tan will inform your husband of the results later. You should rest well!"
Li Jingsheng gestured to Dr. Tan to talk outside.
Dr. Tan Shuilin watched as he hardly perford any tests, rely feeling the patient’s hips, knees, and parts of the femur.
Was the examination completed so quickly?
This Dr. Li, who said he wanted to broaden his knowledge, seed to be looking just on the surface, like a cursory glance!
After they left the ward, Li Jingsheng had already pieced together his diagnostic approach.
"Dr. Tan, I recomnd that you imdiately request a pelvis and femur examination for this patient; it’s likely a malignant tumor."
Just as Dr. Tan was feeling that this Dr. Li was too superficial and unreliable, Li Jingsheng spoke up.
"Malignant tumor?"
Dr. Tan was stunned.
"That can’t be possible, right?"
He found it hard to believe this diagnosis.
Moreover, Li Jingsheng had been in the ward for no more than three minutes, and the examination conducted was extrely limited.
"It’s very simple, just check to find out. The patient’s pain isn’t due to kidney pressure or sciatica; it’s cancer pain. I suspect there’s a high possibility of a malignant tumor spread in her lungs. The primary lesion might even be in the lungs, slowly spreading to the kidneys, pelvis, and other areas."
Li Jingsheng wasn’t too sure of this either.
However, the withered wood bone texture he felt, combined with the unexplained severe pain in her right hip and leg, her lung infection, and kidney enlargent, made the possibility of cancer extrely high.
"Well... Dr. Li, first, thank you for coming over for a consultation at this late hour, but I’m particularly shocked by your suggestion of a malignant tumor. Tomorrow, I’ll report the situation to my superior to see if we can apply for a pelvic X-ray for the patient as you suggested. It would be helpful if you could write down your general diagnostic approach; it would make it easier for to report to the superior! Would that be convenient for you?"
Dr. Tan felt that this young orthopedic doctor was simply ssing around.
Diagnosing illnesses isn’t child’s play.
If you suspect a malignant tumor, you can’t just conclude that by feeling around a couple of tis, can you?
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