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【2113】Student exchange

The patient has edema on both lower limbs and the jugular vein is slightly irritated, which is a manifestation of advanced right heart failure. These numbers and symptoms are still the result of the patient's continuous injection of some drugs. This shows that the patient's condition can be imagined to be bad, and his heart function has reached a dangerous level 4.

Such critically ill patients are not very good at staying in the ward with a TV and refrigerator, and they cannot afford it.

Du Yeqing took out a stethoscope from his white coat pocket and wanted to hand it to Du Haiwei.

Du Haiwei shook his head. When it comes to heart and lungs, he is not as professional as a cardiothoracic surgeon. It is enough to listen to the description of the cardiothoracic surgery specialist hospital here.

"This morning, the respiratory sounds of both lungs were thick, there was no rales, the second heart sound in the pulmonary valve area was hyperactive, the pre-cardiac systolic murmur, and the heart boundary expanded to the left." Du Yeqing supplemented the patient's physical examination data.

A head nurse was standing at the scene, holding a famous nurse, holding a fetal heart monitor and putting it on the patient's belly to detect the baby's fetal heart.

This is a diagnosis and treatment job that obstetricians and gynecologists are good at. Du Haiwei walked up to listen to the fetal heart rate data.

The baby's fetal heart is OK and falls within the normal range. The patient's abdominal circumference and the medical record show that the fetus should now be thirty-four weeks. As a pregnant mother, the patient's age is not considered old at 26 years old. On the contrary, it is the age for pregnant women to get pregnant. If she is not an elderly mother, she still has other diseases that directly endanger the health of the mother and the child.

Du Haiwei looked up and wanted to talk to the patient about the situation. Then he saw that the concentration of oxygen in the patient was obviously hypoxia and his consciousness was not clear. In this case, he could not tell the reason.

The group came here to see the patient and evacuate the ward.

Since several young medical students had no chance to browse the patient's medical records before, they could only take a look at the patient's situation on the spot and guessed it themselves.

Dumonen Lala thanked her classmate's clothes in front of her and asked her: "What disease do you think she is?"

If you ask who you are not good enough, just ask her. The teacher's son is obviously only interested in her answers.

Someone asked her that she must have seen the patient and felt a little clear-headed, just like other doctors who were listening. Medical students communicated normally on an equal footing, and Xie Wanying calmly asked the other party first: "What about you think?"

"That's how I think." Du Mengen could not hold back his academic insights and talked freely, "The patient is in the late pregnancy, not an elderly mother. He is very likely to have a congenital disease. He is not suitable for pregnancy and has to get pregnant, causing such a situation. Judging from the symptoms and signs of this patient, I personally think that she is a primary pulmonary hypertension disease. "

After hearing what he said, the others thought: After all, they were the son of a famous teacher. They were a top student in a well-known medical school. It is rare to make such a quick judgment without looking at the medical records and only looking at the patient's condition.

Speaking of which, some of the significant clinical manifestations of this patient are not difficult for doctors to judge. Right heart failure is common in clinical practice, especially pregnant women, and is a typical manifestation of pulmonary hypertension.

What is pulmonary hypertension?

We must first talk about how normal pulmonary artery blood flow pressure can explain hypertension.
Chapter completed!
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