【490】The emergency patient is here
The teacher was willing to communicate, and Xie Wanying admitted frankly: "I feel like she is infected."
"It must be because of the infection that causes peritonitis and fever."
"Teacher Sun, I mean, maybe it came from the infection of the pelvic cavity."
"Oh--" Sun Yubo suddenly said, pointing at the student's head: Smart!
The nurse shouted at the end of the corridor: "The patient in the emergency room is here, Dr. Sun!"
The sound of the wheels of Lululu's car rolling came in from the door of the ward. The people coming up from the emergency department pushed the lathe and sent the patient to the treatment room of the department where the temporary extra bed was located.
He is an obese patient, a middle-aged man, who may not be able to move himself, so he needs several people to lift it together to lift it.
The emergency nurse escorted the patient to the ward and stuffed the medical record to Xie Wanying, turned around and left, the emergency room below was busy.
After getting the emergency medical record and opening it, Xie Wanying looked at it and quickly browsed the emergency records above, grasping the key points.
There is no electrocardiogram monitor anymore. The nurse uses a manual blood pressure to measure the patient's blood pressure. After the measurement, it is found that the blood pressure is high, the systolic blood pressure is 156, and the diastolic blood pressure is 80. This patient seems to be different from the patients with severe bleeding caused by gastrointestinal acute diseases in the surgical department.
Sun Yubo hung up a stethoscope to listen to the patient's heart and lungs, and turned around and asked the student: "What's the situation in the emergency department?"
"Constipation and pain in the chest. It turns out that the emergency department is suspected to be a myocardial infarction, and the ECG ECG is not obvious. They may have something to do with Director Shen, so Director Shen called to collect it." Xie Wanying grabbed the key teacher reading the medical record and gave a report.
The two work together and work happily.
The patient's family came up with the patient and introduced himself: "I am his sister, his wife and children are not here, they are in their hometown. When I came here, I started some business and suddenly fell ill, and called me. I happened to know Director Shen and asked Director Shen what to do with his situation. Director Shen said that he would go to the hospital first to see the situation. After all, he had been constipated for several days."
"High blood pressure?" Sun Yubo thought of the things the leader asked to pay attention to on the phone and asked.
"Now 156,80." The nurse was in, reporting blood pressure values.
There is no monitor anymore. Sun Yubo scratched his head and removed which patient's monitor was used to the patient. The biggest problem is that many tests were not done and sent. At least it is necessary to determine the roughly caused by the pain. Is it not a heart or a stomach disease or an esophageal disease? There should be a clearer direction for the emergency CT.
Maybe the emergency department was too busy to arrange for the patient to have a test, or maybe it was because the patient was focused on hypertension and there was no need to do CT immediately. I need to ask the patient's family: "Did he have hypertension before?"
"No, I haven't heard him say he has high blood pressure, I think it's strange. The doctor below said that it's normal for him to be so fat and have high blood pressure. Maybe he didn't check his blood pressure on weekdays, so he didn't know." The patient's sister said, "I want to say, I'm fat, but I don't have high blood pressure. I've taken my blood pressure. Director Shen said that not all fat people will get high blood pressure."
It is not that obesity must lead to hypertension, but it is the same as thin people who must not get hypertension. Hypertension can be roughly divided into two types according to the causes. If the pure hypertension does not have other diseases, it is called primary hypertension. If the hypertension caused by other diseases is called secondary hypertension.
Chapter completed!