The teacher was willing to communicate, Xie Wanying said frankly: "I feel like she is infected."
"It must be the infection that causes the peritonitis and fever."
"Ms. Sun, I mean, maybe it came from a pelvic infection."
"Oh—" Sun Yubo suddenly said, pointing his finger at the student's head: smart!
The nurse shouted at the end of the corridor: "The emergency patients are here, Dr. Sun!"
Lululu The sound of wheels rolling came in from the door of the ward, and the people from the emergency department pushed the lathe all the way to the treatment room of the department where the temporary extra bed was located.
He is an obese patient, a middle-aged man, and he may not be able to move himself. It takes several people to lift him up.
The emergency nurse who escorted the patient to the ward handed the medical records to Xie Wanying, turned around and left, the emergency room below was busy.
After getting the emergency medical records and opening them, Xie Wanying glanced at ten lines, quickly browsed the emergency records above, and grasped the key points for thinking.
There was no ECG monitor anymore. The nurse measured the patient's blood pressure manually. After the measurement, he found that the blood pressure was high. The systolic blood pressure was almost 156, and the diastolic blood pressure was almost 80. This patient does not seem to be the same as the patient with massive bleeding admitted to surgery for gastrointestinal emergencies.
Sun Yubo hung up the stethoscope and listened to the patient's heart and lungs, then turned around and asked the student, "What did the emergency department say about him?"
"Constipation, pain in the chest. It turned out that the emergency department suspected a myocardial infarction, but the myocardial infarction was not obvious after the EKG. They may have something to do with Director Shen, so Director Shen called and asked to collect it." Xie Wanying grabbed the teacher who read the medical records and made a report.
The two work together quickly.
The patient's family members came up with the patient, and introduced themselves: "I am his sister. His wife and children are not here, but in his hometown. When he came here for some business, he suddenly fell ill and called me. I just met Director Shen. , I asked Director Shen what he should do in this situation. Director Shen said that he should be admitted to the hospital to see the situation. After all, he had been constipated for several days.”
"High blood pressure?" Sun Yubo asked, thinking of the things the leader called attention to on the phone.
"Now 156, 80." The nurse is here, reporting the blood pressure value.
There is no monitor. Sun Yubo scratched his head to remove the patient's monitor and put it on this patient. The biggest problem is that many inspections have not been done and sent up. At least it is necessary to determine what is the cause of the pain. Is it not a heart disease or a stomach disease or an esophageal disease? An emergency CT should have a clearer direction.
Maybe the emergency department is too busy to arrange for the patient to have an examination, or maybe the patient thinks that the key point of the patient is high blood pressure and there is no need to do CT right away. It is necessary to ask the patient's family members: "Has he had high blood pressure before?"
"No, I haven't heard him say that he has high blood pressure. I find it strange. The doctor said that it is 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 that I'm fat too, but I don't have high blood pressure. I've had my blood pressure measured. Director Shen said that not all fat people will get high blood pressure."
It's not that obese people must have high blood pressure, and it's the same reason that thin people must not have high blood pressure. Hypertension can be roughly divided into two types according to the cause. If there is no other disease, it is called primary hypertension, and if it is caused by other diseases, it is called secondary hypertension.
For doctors, it is very important to distinguish how the patient's high blood pressure comes from.