The teacher was willing to communicate, and Xie Wanying admitted: "I feel like she is infected."
"It must be an infection that causes peritonitis and fever."
"Teacher Sun, I mean, maybe it's from a pelvic infection."
"Oh——" Sun Yubo exclaimed and pointed at the student's head: Smart!
The nurse shouted at the end of the corridor: "An emergency patient is coming up, Doctor Sun!"
The sound of wheels rolling came from the door of the ward. The person who came in from the emergency room pushed the lathe all the way to the treatment room of the department where the temporary bed was located.
He is an obese middle-aged man. Perhaps because he cannot move well, it takes several people to lift him together.
The emergency nurse who escorted the patient to the ward handed the medical record to Xie Wanying, turned and left. The emergency room downstairs was busy.
Xie Wanying took the emergency medical record and opened it. She quickly read through the emergency records and focused on the key points.
...
...
There was no ECG monitor, so the nurse used a manual blood pressure meter to measure the patient's blood pressure. She found that his blood pressure was high, with the systolic pressure almost 156 and the diastolic pressure almost 80. This patient seems to be different from the patients with heavy bleeding admitted to the surgical gastrointestinal emergency department.
Sun Yubo put on a stethoscope to listen to the patient's heart and lungs, then turned around and asked the student, "What did the emergency department say about his condition?"
"Constipation, pain in the chest. The emergency department suspected a heart attack, but an electrocardiogram showed no obvious heart attack. They thought it might be related to Director Shen, so Director Shen called to bring it in." Xie Wanying reported to the teacher, focusing on the key points of reading the medical records.
Two people working together can work faster.
The patient's family member came up with the patient and introduced herself: "I am his sister. His wife and children are not here, but in their hometown. He came here to do some business, but suddenly he got sick and called me. I happened to know Director Shen, so I asked Director Shen what to do about his condition. Director Shen said to admit him to the hospital first to see how he is. He said that after all, he has been constipated for several days."
"High blood pressure?" Sun Yubo thought of the things his leader had asked him to pay attention to on the phone and asked.
"Now 156, 80." The nurse is here, reporting the blood pressure value.
No monitor. Sun Yubo scratched his head and wondered which patient's monitor to take out and put on this patient. The biggest problem is that many tests were not done yet. At least we need to determine the general cause of the pain. If it's not heart disease, then could it be stomach or esophageal disease? An emergency CT scan should give a clearer direction.
Maybe the emergency department is too busy to arrange for the patient to be examined, or maybe they think that the patient's main problem is high blood pressure and there is no need to do a CT scan immediately. You need to ask the patient's family: "Has he had high blood pressure before?"
"No, I haven't heard him say he has high blood pressure. I just find it strange. The doctor downstairs said it's normal for him to have high blood pressure when he's so fat. Maybe he doesn't check his blood pressure on weekdays so he doesn't know." The patient's sister said, "I want to say, I'm fat too, but I don't have high blood pressure. I've measured my blood pressure. Director Shen said that not all fat people will have high blood pressure."
It doesn't mean that obese people will definitely suffer from high blood pressure, and the same goes for thin people not necessarily suffering from high blood pressure. Hypertension can be roughly divided into two types according to its causes. If it is just hypertension without other diseases, it is called primary hypertension. If it is hypertension caused by other diseases, it is called secondary hypertension.
For doctors, it is very important to distinguish how the patient develops high blood pressure.
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