My Medical Skills Give Me Experiences
Chapter 38: Alternative Diagnosis Ideas
Deputy Director Han stroked a few strands of gray hair on his forehead, frowning deeply.
"Judging from the current examination results and the patient's symptoms, the heart, liver, lungs and other important organs are all fine. The possibility of abnormalities and lesions can basically be ruled out for the liver blood vessels and cardiovascular system. The CT scan of the head shows that it is close to the brainstem. , there seems to be a hemangioma. In addition, the intracranial pressure monitoring was significantly higher than the normal value. So I think the cause of the patient's fainting is in the head."
After he gave the diagnosis opinion, he seemed a little unconfident, afraid of being slapped in the face.
He cast his eyes on the female attending physician with brown curly hair, "Dr. Ai, because of the special situation of this patient, she is a pregnant woman who is pregnant. You usually receive more emergency treatment for pregnant women. What's your opinion?"
The emergency department is a department with a very high workload.
The average female doctor can't resist it at all.
Not to mention anything else, the two-day night shift alone is enough for many doctors over the age of 35.
Dr. Ai has rich experience in general practice diagnosis and treatment, and is a rare female doctor. In this backward department of the emergency department, she is as precious as a treasure.
"The pregnant woman has no risk diseases such as uterine fibroids, hemorrhage, and placenta previa. I am also inclined to diagnose that the cause of the fainting is in the head. Her blood pressure is so high, it is like a dynamite bank, and it may be detonated at any time. I have to think about it." There is a way to lower it as soon as possible. Also, the fetal heart rate has dropped from 116 to 105 in just ten minutes since it was received, which is very, very dangerous."
She used two extremes to remind everyone that the current situation of fetuses is more dangerous than that of adults.
The hearts of several senior doctors sank, and their faces became more solemn.
Industry specializing in surgery.
Deputy Director Han diagnosed the approximate scope of the lesion in the pregnant woman, but Dr. Ai found that the fetus was very dangerous.
Therefore, when encountering some patients with complicated conditions, it is necessary to have a joint consultation with doctors from multiple departments. Each person is good at different fields, united, can learn from each other's strengths and avoid major omissions.
Just then, Director Lou's cell phone rang.
Being interrupted by a phone call at this time, he showed a trace of impatience, took out his phone and frowned, and then a Sichuan opera changed his face.
His expression became extremely respectful.
Quickly swipe across the screen to answer.
People also stand up straight.
Judging from his reaction, one can guess that it must be a call from a big person like the leader.
"Hi Dean, I'm Lou Jingshan from the Emergency Department, please give instructions."
"Okay, we will do our best to rescue."
"At present, the cause is not yet clear, and it is only tentatively determined that it may be caused by a problem with intracranial blood vessels. The fetal heart rate of the fetus in the pregnant woman's abdomen has dropped below 110, which is quite dangerous."
Director Lou reported his condition to Dean Zhu.
The normal value of fetal heart rate in my country is between 120-160. Fetal heart rate below 110 is quite serious.
"clear!"
After a short call, Director Lou put the phone in his pocket.
"The identity of this pregnant woman is very important. The dean Zhu ordered us to rescue it at all costs and manpower. The internal, external, obstetrics and gynecology departments will send people to support immediately. Everyone, our emergency department has always been looked down upon by other departments. Let's all work harder and try to find out the cause of the disease before other departments arrive. Otherwise, we will be ridiculed by them again."
What is the origin of the patient?
It was actually able to make Dean Zhu not hesitate to mobilize three top doctors in the department to save people at the same time.
Director Lou picked up the patient's information and checked it again.
"Go to the laboratory again, the blood test results are also a very important reference."
"OK."
Ye Tingting trotted to urge the blood test results.
Patients who can let Dean Zhu personally intervene are either rich or expensive.
This rich is not a net worth of tens of millions or over 100 million, but a super rich. Ordinary millionaires with a net worth of tens of millions or hundreds of millions come to Tuya Hospital for medical treatment, let alone alarming the level of Dean Zhu, even the level of the department director is difficult to talk to.
Usually, a person worth over 100 million will have a certain influence in both political and business circles.
It is not uncommon to know one or two powerful officials.
The background of pregnant women is much bigger than that of people worth over 100 million.
Who dares to neglect?
The superior doctors were all at full strength, eager to cure her immediately and make great contributions.
This is a good opportunity to gain both fame and fortune.
Zhou Can didn't care about credit, let alone curry favor with anyone.
All he was thinking about was to earn this point of diagnostic experience.
In the past two days, I have followed Dr. Xu in the operating room of the emergency department, and my surgical experience has been worth a lot.
Only very few opportunities to earn diagnostic experience points.
Because Dr. Xu does not attend consultations, the operating room is the emergency room.
Zhou Can's eyes fell on the pregnant woman. Her swollen belly showed that the fetus was well supplied with nutrients.
He has gone through the examination information of pregnant women many times in his mind.
The diagnostic opinions of Director Han and Dr. Ai are actually not stated.
Because the cause of the patient has not yet been found.
Zhou Can walked to the hospital bed, took off the blouse of the pregnant woman and looked at the pregnant woman's abdomen.
There are multiple stretch marks on it.
Color appears lighter.
It means that these stretch marks have not appeared for a long time.
Theoretically speaking, this elderly pregnant woman should still be pregnant for the first time.
At the age of 36, women who marry early are about to become grandmas.
She was pregnant with her first child at such an old age, and there were only two possibilities. The first type is a public figure, in order to pursue a career. For example, female celebrities, or executives of large companies, etc.
The second type is that the body has an underlying disease and does not allow pregnancy. Or have been unable to conceive.
Zhou Can felt that it was necessary to understand exactly what kind of situation it was.
The pregnant woman is now in a coma and cannot answer his questions at all.
I don't know if the old lady outside is her family member?
Zhou Can stared at the woman's face, and felt that the old lady outside looked a little like her.
"Doctor Xu, I'm going out to find the family members to find out the medical history of the pregnant woman."
"Go!"
Dr. Xu readily agreed.
"Did Xiao Zhou discover anything again?"
Director Lou remembered that Zhou Can also found out the reason for the child's multiple consecutive shocks by asking the family members~www.wuxiaspot.com~ yesterday.
At this moment, when there is no major progress in the diagnosis, he has a little more hope for Gui Peisheng, who has made great contributions.
"No, no, I just think it is necessary to supplement the patient's medical history, so as to provide more detailed diagnosis basis for the superior doctors." Zhou Can quickly denied.
So many directors and attending physicians failed to find out the cause of the disease, and he, a regular trainee, could find it out with just a few glances.
Then he is not a man, but a god.
At most, his diagnostic thinking was different from other doctors, and he found some clues that other doctors thought were insignificant.
When a pregnant woman faints, no doctor will spend precious time and energy studying the stretch marks on the belly of a pregnant woman.
Zhou Can's brain circuit has always been quite unique.
When she came outside the emergency room, the old lady was still anxiously waiting for the result.
"Excuse me, are you a family member of Ms. Cao Qin?"
Zhou Can discovered that the watch worn by the old lady was an old Shanghai mechanical female watch with a sense of age.
From this detail, it can be roughly inferred that she is a nostalgic person.
"Well, I'm her mother. How is my daughter?"
The old lady took a look at Zhou Can, her attitude was quite cold, and her aura was particularly strong.
This old lady is by no means an ordinary person.
"Still being rescued."
Zhou Can answered with this universal formula.
"I saw a group of doctors outside the door surrounding my daughter for various examinations and discussions, but there was no actual treatment. Tell me the truth, don't speak bureaucratically."
The old lady is not easy to fool.
Much smarter than the average family member.
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