Shen Xifei lowered her head.
Dr. Xin's eyes towards her suddenly became very stern: What are you doing? Don’t blame Puwai Er for coming to complain. You can't do such a simple test?
Didn’t she say that? She didn't remember. Moreover, she just saw that Xie Wanying clearly did not answer her classmates' questions, which meant that she probably couldn't do it just like her. How come Xie Wanying could suddenly answer it? Shen Xifei lowered her face and bit her mouth hard.
Well, appendicitis is not a disease that their obstetrics and gynecology department treats, maybe the students have forgotten, but what about prenatal palpation? After all, the pregnant woman has a stomachache. You should at least try to feel whether it is uterine pain. Why don't you dare to report your diagnosis results after feeling it?
Doctor Xin was speechless at the student's inexplicable and completely unconfident silence, so he had to re-palpate the patient himself and confirmed that he felt more small limbs of the fetus. He said, "We need to consider multiple pregnancy. Does the pregnant woman know that she is pregnant with twins? Logically, at this week of pregnancy, she should have had the first B-ultrasound examination."
When others heard this, Sun Yubo turned to his students and said: "Student Xie, you learned this on your own?" I was able to touch the fetus's small limbs myself without going to the obstetrics and gynecology department.
"Teacher Sun, our histo-embryology teacher is the director and has taken us students to the obstetrics and gynecology clinic to study." Xie Wanying explained the reason.
It’s different because the teacher of histology class is also the director. Originally, histology and embryology did not have outpatient study courses. But because there was a director as a teacher, he took the students in their class directly to the obstetrics and gynecology clinic, which helped them understand the embryology course.
Li Qian'an remembered this. At that time, the teacher said that we could learn on the spot, and no one dared to go up and touch the pregnant woman. Only Xie Wanying dared to do so in the class. Later, the boys in the class unanimously agreed that because she was a girl, she would not be as cautious as they were in obstetrics and gynecology, and they could touch the mother if they wanted.
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Back to the patient's problem, the main reason was that the patient was thin and had a large waist circumference, which made her worried that there might be something wrong with her uterus, so she touched it during the examination.
"So you have studied in our clinic." Dr. Xin was very impressed when he heard her say this. As long as you can learn and remember, you are a good student.
Seeing her teacher praising other students, Shen Xifei regretted not reporting it earlier.
After consultation, the two doctors made a preliminary diagnosis of the patient and determined that the patient had no symptoms of miscarriage for the time being and could be sent for an ultrasound examination. After the results came out, as long as it was appendicitis without perforation, the best time to perform appendicitis surgery was now that the patient was in the second trimester, and the surgery should be performed as soon as possible to avoid further increase in risks. Once the ultrasound examination application form has been issued, the patient should be taken to the hospital for examination immediately.
The general surgery doctor talked to the patient's family.
The patient's husband is out working and not in the local area, and cannot come back for the time being.
Aunt Li said: "Her husband can only come back the day after tomorrow. Her husband and my husband went to work in another place together."
"In this case, you are the only one who can sign for the patient's surgery." Sun Yubo pushed the informed consent form to the family and explained, "She has to have this surgery, so do it quickly. Otherwise, if perforation occurs, it will be too late. Of course, there are risks in the surgery. If an emergency occurs, we cannot guarantee whether we can save the fetus, because the mother's life is the most important at this stage. As doctors, we need to do our best to preserve the mother's health first. Therefore, the doctors from the obstetrics and gynecology department will also be on standby."
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