Sleepless Doctor
Chapter 742: Pregnant woman with edema
Wei Dabao night shift yesterday.
After dangling to take over, Wei Dabao's mood was completely different from before.
The Bajingzi Hospital of Traditional Chinese Medicine, which used to be ignored, now seems to be a bit sad about parting, and even the peeling wall covering has a trace of sadness. Wei Dabao is a rare literary artist, and this is in a good mood, so he doesn't mind being sentimental.
"Brother Bao, I heard that you are going to Jianxie Hospital?" Doctor Dayban asked with confidence after meeting.
"Hey." Wei Dabao pretended to be mysterious, and said seriously, "It hasn't been announced yet, don't tell it."
"Awesome!" The doctor of the day class gave a thumbs up and praised half-truth, "You have to make a lot of money. Brother Bao, if you have a chance, remember to tell me."
"There is nothing wrong, where it is not to treat the disease and save people." Wei Dabao said with a smile, "Are you busy during the day? How many moments of the observation room?"
If you are in a provincial capital, the shift content will be more, even if the outpatient clinic is not allowed to drip, there will be more than a dozen or dozens of patients in the observation room every day who are not enough for hospitalization indications, but dare not let them go home at will.
But the Bajingzi Hospital of Traditional Chinese Medicine is different. When it is busy, there will be 2-3 observing patients. It is normal that there is no shift content.
"Nobody," said the day-time doctor. "It's a good class today, Brother Bao, cheer you on."
"Must!" Wei Dabao clenched his right hand to cheer himself up.
There is not a single patient, and it is the best shift for every doctor on duty in the emergency department.
It is ideal because it is difficult to appear. This is just a state that exists in the imagination, otherwise it would not be called an ideal.
"By the way, a pregnant woman went for a checkup," said the day-time doctor. "A man in the school infirmary."
"Yeah, go with me!" Wei Dabao smiled, "Is there anything wrong?"
Wei Dabao just asked casually, if something really happened, it would be impossible to come to the Bajingzi Hospital of Traditional Chinese Medicine. Although it is a little closer to colleges and universities, the level of medical care is just that.
"The blood pressure is a little high, and the legs are a little swollen." Doctor Dayban said, "Nothing else. By the way, the upper right abdomen is a little uncomfortable. I have my family accompany me for a B-scan. I just need to take a look and send it away."
"Oh!" Wei Dabao changed his clothes? Sending the day doctor away.
Is it late October? It gets darker and earlier. Wei Dabao touched the heater and complained to the nurse? "Why the heater is not hot yet."
"Do you think you are at home," said the nurse on duty? "How can it be a few more days."
The duty is on duty, don't you catch a cold? This is what Wei Dabao cares about. If you go to the Special Needs Ward of Jianxie Hospital...When he thinks of this, a wave of excitement rises in Wei Dabao's heart.
The general ward can't fit oneself anymore? The place to go turns out to be a special needs ward!
What kind of patients did Section Chief Wu see? Wei Dabao knew well.
You don’t need a salary from Jianxie Hospital to work in a special needs ward, just a big red envelope is enough.
The more Wei Dabao thinks, the happier he becomes. Chief Wu is really slow in doing things? It's been a few days now? Why hasn't there been any movement?
Looking through the "Diagnostics", the words on it are so familiar that they can hardly recite.
Wei Dabao also knows that the so-called backside-down is nonsense, there is no need at all.
"Doctor? The B-ultrasound said nothing was wrong, you watch the report." A man under 30 years old came back with a wheelchair? He held the report in his right hand and handed it to Wei Dabao.
After a glance, Wei Dabao said? "Well, considering it is neuropathic pain? The liver and gallbladder are fine. Is the pain severe? How many days has it been? Is there nausea and vomiting?"
Three questions for the soul? Wei Dabao has long been used to it.
"No nausea? Didn't vomit. I just started to feel pain today, I was worried that the more pain it got worse. After tossing around, I feel much better." The pregnant woman said.
Wei Dabao looked at the B-ultrasound report sheet, and the corner of his eye seemed to see something wrong, he turned his head in doubt.
I know what's wrong with me, Wei Dabao has long cultivated the style of "gentleman" who tries not to look at women as much as possible.
But for doctors, this is a big flaw. Wei Dabao was stunned when he glanced at the pregnant woman.
The pregnant woman was sitting in a wheelchair with both hands on the armrests of the wheelchair. The swelling was the same as a small bun.
Wei Dabao immediately thought of what the day-class doctor had confessed—high blood pressure.
Is it pregnancy-induced hypertension?
Hypertension during pregnancy is a disease unique to pregnancy, including hypertension during pregnancy, preeclampsia, eclampsia, chronic hypertension complicated by preeclampsia, and chronic hypertension. The incidence rate is 9.4% in my country, and 7%-12% have been reported abroad.
This disease seriously affects the health of mothers and babies, and is one of the main causes of morbidity and death in pregnant women and perinatal babies.
A boring text in "Diagnosis" appeared in Wei Dabao's mind.
Although it hasn't reached the level of backwards, there is no problem facing it. But now Wei Dabao has no time to be proud. He stared at the pregnant woman's "white fat" hand and asked, "What is your blood pressure?"
"Doctor, we'll go back if it's okay."
Wei Dabao and the patient's family said in unison.
The two looked at each other, and Wei Dabao asked again, "What was your blood pressure when you came?"
"forget."
"..." Wei Dabao was speechless. He didn't dare to see the pregnant women more, so he got up and called the nurse to take a blood pressure measurement.
"Doctor, I'm just afraid of getting cholecystitis and appendicitis." The patient's family said, "Be a B-ultrasound, and we will go back if there is nothing wrong."
"Look at the blood pressure first," Wei Dabao said, "What are the swollen hands?"
"That's fat." The man said with a smile, "My wife can eat especially after she is pregnant. I like both sour and spicy foods. Before the day is over, I will see if I have a baby in a few days."
Wei Dabao frowned, stretched out his hand and pressed **** the back of the pregnant woman's hand.
A small "pit" appeared on the back of the hand, and it has not recovered for a long time.
"It's edema~www.wuxiaspot.com~ not fat." Wei Dabao said, "Take off your shoes. My feet are getting bigger recently."
The pregnant woman is wearing cotton shoes, the kind of old-fashioned blue cloth. This kind of thing is rare in the provincial capital, but there are still a few old people selling handmade cotton shoes in the morning market in Bajingzi.
After a glance, Wei Dabao guessed the truth.
The lower limbs of pregnant women are edema, and the feet are the heaviest. You can’t wear shoes you wear before pregnancy, you can only wear large cotton shoes.
Hypertension, edema, and proteinuria occurred after 20 weeks of pregnancy.
Mild cases may be asymptomatic or mild dizziness, mildly elevated blood pressure, accompanied by edema or mild proteinuria; severe cases, headache, vertigo, nausea, vomiting, persistent right upper abdominal pain, etc., blood pressure increased significantly, increased proteinuria, edema Obviously, even coma and convulsions.
Related descriptions of pregnancy-induced hypertension appeared in Wei Dabao's mind.
That's how it is described in the book.
Wei Dabao has never seen similar patients before, and there is no way to talk about experience, and can only be judged based on the description in "Diagnostics".
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