The patient's entreaties are touching.
Xie Wanying thought about it: the doctor would be very embarrassed in such a situation.
Take a look out of the corner of your eye to see what Teacher Tan will decide.
She glanced over to the teacher, as if she accidentally caught the teacher's glance back at her from the corner of her eyelid.
The look in the teacher's eyes made her feel a little guilty all of a sudden.
"Lie on the examination bed." Tan Kelin said to the patient, covering the medical record page with his fingers.
Hearing the order, Xie Wanying opened the white curtain beside the examination bed.
The two sons supported the old lady to lie on the examination bed.
"Check it out for her first." Tan Kelin ordered the students.
After receiving the teacher's instructions, Xie Wanying turned around and came to the examination bed, took out the stethoscope in her pocket, and first put it on the patient's heart, lungs and abdomen to listen. After listening, put on gloves and do palpation.
Since the patient has undergone relevant examinations in other hospitals, the main purpose is to touch the diseased part to save time.
First, shallow palpation, with the right hands together and flattened, gently touch the affected side of the patient with the pulp of the fingers. This is the area of the left colon. Due to the narrow lumen of the left colon, acute and chronic intestinal obstruction is easily caused by tumors, which is in line with the characteristics of this elderly patient.
Elderly patients, when they were young, they had nothing to eat when they encountered famines. When they were old, their economy improved, their children became filial, and they ate much more high-fat food than before. The old man didn't keep his mouth shut, and the child didn't study medicine and didn't understand it. He just thought it was filial piety to eat a lot for the old man, but he didn't know that high fat is one of the main risk factors for left-sided colon cancer.
When I found that the old man became thinner after eating, had difficulty defecating, and even vomited, I realized that something was wrong and rushed to the hospital. Check it out, it's in the middle and late stages.
Such things are often seen clinically, and family members have done bad things with good intentions. It shows that national health education does not match the growing economic and living conditions.
Xie Wanying's fingertips were looking for a mass in the patient's abdominal cavity.
This tumor is not small despite the CT scans taken in other hospitals, but the left colon tumor itself is difficult to feel. The old lady is thin but her abdomen is not thin, and her abdomen bulges when she is flat. It is not easy to feel the deep tumor in this patient.
If superficial palpation fails, it can be changed to deep palpation. The two, three, and four fingers of the right hand are put together, and the end is pressed deep into the patient's abdomen. Finally, a mass can be felt, which is very deep. Gently slide your fingers up and down on the left and right sides of the mass to feel the surrounding condition of the mass.
The location is too deep. Xie Wanying thought: Don't blame the patient for being misdiagnosed several times in a small hospital near her home when she sought medical treatment. The doctor thought it was just a common gastroenteritis and didn't ask the patient to continue the examination. The patient even vomited, and the emergency doctor at the second-tier hospital thought it was gastritis. It wasn't until I became intestinal obstruction that I realized that something serious was going to be transferred to a tertiary hospital.
Speaking of this, the patient's two sons said helplessly: "I don't know what the previous doctor saw. If I knew it was a tumor, I would find someone to cut it immediately. The result was a delay of more than half a year."
Half a year is a big deal, and early tumors and advanced tumors cannot be generalized at all.
Because of this experience and word of mouth, the common people now like to go to the top three.
Some diseases are easily misdiagnosed clinically, such as the old lady. The doctor asked the patient to check too much, and he had to be scolded by the patient. An elderly patient like this is called for gastroenteroscopy with a little stomach pain and vomiting. The old lady would probably refuse to put the tube in her mouth and anus.
The common people don't understand it, thinking that the level of doctors is not good enough. In fact, the doctor said earlier that it is better to go for regular health checkups than to wait for the disease to be treated. Any disease will be detected early for you. Early investigation and early treatment, everyone is happy.