However, she had no clinical experience in other departments and could not figure out the cause of the disease.
"What kind of disease is this huge difference in blood pressure between the two sides?" Liu Li asked. She knew that for normal people, the blood pressure in the right upper limb is usually 10 to 20 times higher than that in the left upper limb. It is extremely rare for people to be born with a large difference in blood pressure between the left and right hands. If this happens, it should be discovered early through examination.
"Several of us discussed this case this afternoon. Everyone's idea is that we are either worrying too much, or at best we are worrying too much. It may not be a big problem. If the problem is the worst, my personal guess is that she had an aortic aneurysm before, but the aneurysm was small and the symptoms were not obvious, and it was mixed with her cervical spondylosis symptoms. From the electrocardiogram performed by the orthopedic doctor on the patient, we can know that the patient had some chest and back pain before, otherwise no more examinations would be done. The aortic aneurysm did not rupture to the outer layer, and recently evolved into aortic dissection, so the symptoms caused make you, Teacher Liu Li, very worried." Xie Wanying finished her words in one breath.
With such a bad discussion result, we definitely need to contact Professor Liu Li as soon as possible. I just happened to be meeting with Teacher Tan, and I'd like to ask for his opinion. I didn't expect Teacher Liu Li to come for dinner, so Teacher Tan took the initiative to talk about it.
Now she looked at Teacher Tan's expression as she spoke. In fact, the results of their classmates' discussion were written on the back of the medical record copy, and both Teacher Tan and Teacher Cui saw it. The two teachers seemed to agree with her opinion and let her speak.
Liu Li’s head was blown away: What? !
Aortic aneurysm, aortic dissection, will there be heavy bleeding? What is the acute mortality rate? Over twenty or thirty?
"Well, her electrocardiogram and cardiac ultrasound showed no abnormalities." Liu Li asked, how could she remember that these two diseases could be detected using the above methods.
"The detection rate of electrocardiogram for these two diseases is too low. The previous cardiac color Doppler ultrasound could not detect them, which means that the aortic aneurysm and dissection should have occurred in the section from the descending aorta to the abdominal aorta. If we had to do a color Doppler ultrasound at that time, we would have needed a transesophageal echocardiogram instead of a common transthoracic echocardiogram. The gold standard for diagnosing this disease is CTA. She couldn't do CT angiography during pregnancy, so she could only do MRI." Xie Wanying said, "Fortunately, you were right to lower her blood pressure first to control the rupture, Professor Liu."
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...
Liu Li didn't feel that she deserved to be praised. Her mind went blank, which meant that she was not familiar with these two diseases at all and had almost no specialized knowledge.
It's not her fault. In the northern part of the city, it's hard to tell if such a rare maternity case is encountered once a year. This type of patient is similar to what you would encounter in Guoxie and Guozhi.
Looking at his cousin like this, Tan Kelin frowned.
Cui Shaofeng stood up and called Director Liang of the obstetrics department. This kind of difficult case requires a leader to take charge, and it is not feasible to let a young doctor like Liu Li handle it.
When the phone call came, Director Liang on the other end must have been frightened and asked the young doctor to quickly notify the patient and family to come to the hospital.
Liu Li didn't eat. He hurried out of the restaurant and took a taxi back to the hospital, while calling to notify the patient's family.
"Eat." Tan Kelin picked up the chopsticks and instructed his apprentice.
Xie Wanying, who was following Teacher Liu's figure, was stared at by Teacher Tan and turned back to eat.
When it comes to clinical diagnosis and treatment order, it does not mean that everyone should rush to treat a patient. This will cause chaos, which will lead to mistakes. The attending physician will handle the situation first, and if he cannot handle it, he will call on other people to help. There is no need to worry too much.
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