Chapter 490 [490] Ergency patients are coming
Teacher is willing to communicate, Xie Wanying said frankly: "I feel like she is infected."
"It must be an infection that causes peritonitis and fever."
"Mr. Sun, I an, maybe it ca from a pelvic infection."
"Oh—" Sun Yubo suddenly said, and pointed at the student's head: Smart!
The nurse shouted at the end of the corridor: "The ergency patient is here, Dr. Sun!"
The sound of the wheel rolling ca in from the door of the ward, and the person who ca from the ergency departnt pushed the lathe all the way to the treatnt room of the departnt where the temporary extra bed was located.
is an obese patient, a middle-aged man, who may not be able to move himself, and needs several people to lift it together.
The ergency nurse who escorted the patient to the ward shoved the dical records to Xie Wanying, turned and left, the ergency room below was busy.
After getting the ergency dical record and opening it, Xie Wanying glanced at ten lines, quickly browsed the ergency dical record above, and focused on the key points.
There is no ECG monitor anymore. The nurse asured the patient's blood pressure with manual blood pressure. This patient does not appear to be the sa as the hemorrhagic patient admitted to the surgical gastrointestinal ergency.
Sun Yubo hung up the stethoscope and listened to the patient's heart and lungs. He turned around and asked the student, "What's the ergency said about him?"
"Constipation, the pain is in the chest. It turned out that the ergency departnt suspected myocardial infarction, but the ECG was pulled and the myocardial infarction was not obvious. They may have sothing to do with Director Shen, so Director Shen called to collect it." Xie Wanying grabbed the key teacher who read the dical records to report.
The two work together quickly.
The patient's family ca up with the patient and introduced himself: "I am his sister, his wife and children are not here, they are in my hotown. When I ca here to do so business, I suddenly fell ill and called . I happened to know 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 check the situation. After all, he has been constipated for several days."
"High blood pressure?" Sun Yubo asked, thinking of what the leader called attention to on the phone.
"Now 156, 80." The nurse is here, reporting blood pressure.
No monitor anymore. Sun Yubo scratched his head to remove which patient's monitor to put on this patient. The biggest problem is that many inspections are not done and sent. At least it is necessary to determine the approximate cause of the pain, is it not the heart or the stomach or esophagus? According to an ergency CT should have a relatively clear direction.
Maybe the ergency departnt was too busy to arrange the patient for examination, or maybe it was because the patient’s focus was on high blood pressure and there was no need to do CT right away. You need to ask the patient’s family: “Did he have high blood pressure before?”
"No, I haven't heard him say that he has high blood pressure. I feel strange. The doctor said that it is normal for him to be so fat and have high blood pressure. Maybe he doesn't check his blood pressure on weekdays, so he doesn't know." The patient's sister said, "I want to say that I'm also fat, but I don't have high blood pressure. I've had my blood pressure asured. Director Shen said that not all fat people will have high blood pressure."
It’s not that obesity will inevitably lead to high blood pressure, and it is the sa reason that thin people will definitely not develop high blood pressure. High blood pressure 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 cos from.
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