If it is primary hypertension, in addition to lowering blood pressure, it is also necessary to prevent complications caused by hypertension. If it is the latter secondary hypertension, the cause of hypertension must be found first before blood pressure can be naturally lowered. Therefore, giving patients antihypertensive drugs casually cannot solve the problem.
The patient reported that he had no history of hypertension. Was it because he had not checked or was it really not there?
The patient's blood pressure is not very high, although it exceeds the normal value by a lot, but the truly terrible hypertension patients can soar to more than 200. The important indicator diastolic blood pressure is not particularly high and does not exceed the normal value.
It is necessary to rule out possible complications caused by high blood pressure first, because this is the most obvious abnormal indicator in the patient.
The electrocardiogram of the heart examination is fine for the time being, but the three items of myocardial infarction were not checked. A laboratory test order is needed to check. Judging from the patient's body shape, high blood lipids are inevitable. These need to be checked. Another terrible complication of hypertension is cerebrovascular disease.
The patient was conscious and could answer the doctor's questions.
"Can you tell me exactly where it hurts?" Xie Wanying asked on behalf of the teacher, holding the medical record and approaching the patient.
The male patient obviously heard her question very clearly and pointed to his chest, but he seemed to be in so much pain that he couldn't speak.
"Should we give him a painkiller? I think he's half dead from the pain." Seeing her brother in pain, the patient's sister was distressed.
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The patient is in so much pain today that his lips are a little pale, his face is sweating, and his breath is weak and gasping.
"Painkillers cannot be given randomly. If they are given, the specific cause of the pain will be masked by the effect of the painkillers. Pain is a signal for help sent out by the body when there is a problem. Using painkillers to cover up pain of unknown cause will affect the doctor's assessment of his condition and lead to misdiagnosis, which will have more serious consequences." The family members had this request, so Xie Wanying explained the situation to the patient's family members.
"What if he continues to feel pain like this? He will die of pain." The patient's sister only knew that her brother was asking her for help in pain, and she was extremely anxious.
"Don't be nervous." Xie Wanying comforted her, "First find out the cause of the disease. No need for painkillers. Solve the cause of his pain, and he will naturally stop feeling pain."
"Doctor, please check him out as soon as possible. We are willing to pay any price," said the patient's family.
This is not a matter of money. Some diseases are not easy to diagnose. If money can solve this problem, some rich people will not be able to find out what disease they have even if they spend a lot of money.
After listening to the patient's heart and lungs, Sun Yubo turned back to look at the student and found that she didn't even take out the stethoscope: "That's strange? Isn't this student always very active in physical examinations?"
Because at a glance, Xie Wanying didn't think the patient had any heart or lung problems. If the lungs were in trouble, there would definitely be problems with breathing. This patient didn't have any, at most he was inhaling and exhaling because of pain. If it was the heart, the pain in the heart would be like suffocation, and it wouldn't be this kind of breathing.
Knowing that this student had good eyesight, Sun Yubo put away his stethoscope. He had just listened for a long time but couldn't find any heart or lung problems, so he said to the student, "Go get a CT scan."
It's not the heart and lungs, we have to consider the digestive tract problems.
Xie Wanying had just thought about how to write this examination application form. She walked to the nurses' station, got a blank form, and quickly finished writing it. She then handed it to the teacher for review.
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