My medical path

Chapter 134 Surprised Everyone

After Chen Bo answered Professor Ding's question, the expressions on everyone's faces were wonderful.

Regarding the anatomy of the brachial plexus, it is difficult for other doctors to describe the anatomy of the brachial plexus in such a complete manner, except for those who specialize in this area.

After listening to Chen Bo's answer, Professor Ding confirmed that Chen Bo is a pig and eats a tiger, so his question was escalated.

"Then if a patient with a brachial plexus injury develops a 'winged shoulder', which part of the injury do you consider?"

When Professor Ding asked this question, not only the other young doctors present, but also the boss Zhu Bin had to think carefully before coming up with the answer.

"It seems that if you don't show some real skills today, it won't be over..."

Chen Bo looked at Professor Ding helplessly, and replied:

"The appearance of winged shoulders indicates that the long thoracic nerve pathway is broken. The long thoracic nerve is sent from the nerve root, mainly the nerve components from C5 to C7. If the efferent path of the long thoracic nerve is excluded, especially through the oblique If the position of the horn muscle is damaged, it is considered that the brachial plexus above the root is damaged..."

This time after Chen Bo finished speaking, the scene was quiet for a longer time...

Except for Professor Ding and the boss Zhu Bin, everyone present felt a little out of their wits after hearing Chen Bo's words!

Everyone knows that the winged shoulder is a sign that occurs after the serratus anterior is injured or denervated, and it is also known to be innervated by the long thoracic nerve, which is often encountered in previous exams.

But the long thoracic nerve comes from the nerve root. No one knows this except Professor Ding and the boss Zhu Bin...

Not to mention that the components of the long thoracic nerve are C5 to C7...

Even the boss Zhu Bin, who claims to be two-thirds of the professors, only realized that the long thoracic nerve passes through the surface of the middle scalene muscle after Chen Bo's reminder, and it is easy to get injured in this position!
Professor Ding, who asked this question, was obviously taken aback when he heard Chen Bo's answer.

This is the first time he has been stupefied today.

Even though Chen Bo's answers to the first two questions were amazing, they are generally known knowledge, and as long as you put in some effort, you can still memorize them.

But the last question is different. In addition to a solid theoretical foundation, a solid anatomical foundation is also required.

Originally, Professor Ding deliberately posed a question that he thought was impossible to answer to embarrass Chen Bo. Unexpectedly, Chen Bo gave a perfect answer after thinking for a while...

As an expert in the brachial plexus, Professor Ding knows too well how much effort it takes to sort out this part of the content.He has also brought so many graduate students, so far, none of them can touch his heart like Chen Bo, and make him really feel amazing...

.....................

Maybe it's curiosity, maybe it's a pity for talents, Professor Ding has a lot of abnormal questions today.

After listening to Chen Bo's answer, Professor Ding nodded in satisfaction this time, continued to look at Chen Bo and asked:

"Then if a patient with a brachial plexus injury suffers from atrophy of the teres major muscle, what would you consider?"

As soon as Professor Ding asked a question, this time without exception, all eyes were on Chen Bo.

Even the boss Zhu Bin felt that Professor Ding was extremely abnormal today.

Because as the deputy director of the department, he has a lot of affairs, and Professor Ding still has endless tasks of throwing knives.

So usually, his ward rounds are just to ask a question once in a while, to encourage young people to work hard.

This time, I asked four questions at once, and the difficulty of the questions became more and more difficult. Even he, the boss, had to think for a while before he could figure it out.

"If it is the atrophy of the teres major muscle, because it is innervated by the subscapular nerve, then the injury of the subscapular nerve must be ruled out first. The subscapular nerve is sent out from the posterior bundle of the brachial plexus, and the main components are C5 and C6. [-]. It belongs to the upper trunk, that is to say, damage to any of the above positions may cause atrophy of the teres major muscle..."

"What if there is a latissimus dorsi injury at the same time?"

"The latissimus dorsi is innervated by the thoracic and dorsal nerve, and it is also branched from the rear bundle. The main component is the neck 7, which is the middle trunk. Then the upper trunk and the middle trunk may be damaged at the same time..."

This time, the Q&A between the two has completely excluded other people, and they are all instant answering.

The other trainee doctors, postgraduates, and regular training doctors are all confused, like listening to a bible.

Even the boss, Zhu Bin, couldn't keep up with his train of thought at this time.

After Chen Bo finished answering the last question, Professor Ding stopped asking.

"good, very good!"

Professor Ding did not expand on the explanation of the question just now, but said this sentence.

Through the question and answer of the last two questions, Professor Ding has fully confirmed that Chen Bo's understanding of the brachial plexus has reached a certain depth.

Although I don't know how good his hands-on ability is, there is no doubt that Chen Bo's knowledge of the brachial plexus is the most outstanding among this group of people.

After taking a deep look at Chen Bo, Professor Ding nodded in satisfaction, and handed over the subsequent ward rounds to the boss Zhu Bin, who was busy with other work.

After Professor Ding left, the scene was a little awkward.

The most embarrassing one was Professor Ding's graduate student Wu Yue.

Can be admitted to Professor Ding's postgraduate, and can also be selected by Professor Ding, that is impossible without two brushes.

But today he has thoroughly embarrassed Professor Ding, and he feels very ashamed.

The more outstanding Chen Bo's performance, the more mediocre he appears.

The other fellow trainee doctors who came first were also embarrassed.

Some of them are here to live with their qualifications, some really want to learn some real skills and do a good job, and some seem to be more Buddhist...

But no matter what kind of people they are, Chen Bo's performance today has touched their hearts. They just discovered today that the doctors in their primary hospitals can also be so good...

This is the power of a role model!

The latecomer Zhou Jin, the senior brother, was especially embarrassed at this time.

He almost said the words "Senior brother, I will protect you from now on"...

Now that Chen Bo came down from the mountain like a tiger, he was full of arrogance. He had the urge to hug his thighs tightly, hold a small banner and shout "beg cover"...

And Zhu Bin, the boss who claims to be two-thirds of the professor, his somewhat tangled facial features are also very vivid at the moment...

I am full of strong interest in this newly arrived doctor.

The most helpless person is actually Chen Bo himself.

I agreed to keep a low profile, keep a low profile, and quietly be a sweeping monk...

But my own strength does not allow it...

It seems impossible for me to spend these three months of study in a low-key manner.

.....................

With Chen Bo's stunning appearance, today's ward rounds were also extremely fast, because there were no more questions asked later.

After checking the house, the boss allocated four beds to Chen Bo, and re-arranged the shift.

Chen Bo's study career has also officially kicked off...

(End of this chapter)