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Chapter 1527: ?1527?Not Abdominal Pain
Chapter 1527: ?1527?Not Abdominal Pain
?? Chapter 1527 [1527] Not abdominal pain
?? Including possibly sick passengers ended up blaming the captain for making a fuss. No one asked to land, you want to land? Delayed my very anxious trip.
??People fly to be fast. The delay time brought by the temporary landing of the plane to passengers is much more serious than that of trains and cars.
??What the flight attendant said was equivalent to a warning to Xie Wanying that her judgment might affect the captain's decision.
??Thinking of this, Xie Wanying kept her focus, did what the doctor should do first, and carefully analyzed the patient's condition to make a diagnosis as soon as possible.
?? As mentioned above, it is difficult for doctors to 100% identify and diagnose acute abdomen without instrumentation. At this time, the doctor can palpate the abdomen, not to say that it can immediately determine which organ in the patient has the disease. In the hospital, doctors have to prescribe various examinations for step-by-step investigation. How can we determine only by palpation. The first thing that can help doctors through abdominal palpation is to initially check whether it is an acute abdomen.
??This is probably something that people inside and outside the industry have never thought of.
?? Abdominal pain is not necessarily an acute abdomen, it may be similar symptoms caused by other diseases in the body.
??Xie Wanying learned from Teacher Tan and quickly pressed several key areas of the patient's abdomen, and found that the patient's abdomen was soft as a whole. When pressed, the patient did not have any tenderness and rebound tenderness, and there was no radiating pain in the back.
??This abdominal pain is not obvious at all, and it may not be abdominal pain at all.
?? Actually came to the scene, Xie Wanying didn't feel like abdominal pain at first sight when she saw the patient. If there is abdominal pain, the patient will at least put his hand on the stomach, but this patient did not. Therefore, her first step must be to check whether it is an acute abdomen.
?? is not an acute abdomen, and experienced doctors immediately check for cardiopulmonary diseases and cerebrovascular accidents. These two types of diseases are the most common critical and fatal diseases in the clinic and must be dealt with immediately.
?? Observe the patient's breathing, feel the patient's pulse, and determine the patient's heart rate.
??Nurse Lu Xin walked back to the first-class cabin to get a blood pressure monitor, and came back to measure the patient's blood pressure, thinking that maybe she might need to bring another defibrillator to take the patient's electrocardiogram.
??The incidental symptoms of heart disease can be manifested as acute abdomen, which confuses the doctor's judgment with acute gastroenteritis.
??There is no blood glucose meter on the machine, otherwise you can measure the blood sugar level of the patient. Hypoglycemia is also a common occurrence in such a light-weight student. However, the patient's family said that the patient had eaten while waiting for the flight, and there was no vomiting or diarrhea, and it was unlikely that it was hypoglycemia.
??After taking the sphygmomanometer, the patient's blood pressure was measured. The blood pressure was 90/55mmHg, which was low, but not in a state of shock.
?? "Would you like her to lie down?" The flight attendant asked Xie Wanying for their opinions.
??According to the experience of flight attendants, the most emergency patients they see on the plane are usually called by medical staff to make the patient lie down. Lying down can undoubtedly improve these symptoms of patients with hypoglycemia and dizziness.
?? To this end, some flight attendants are ready to take a blanket and find a spot on the plane to lay the floor of the cabin to make room for the patient to lie down for treatment.
?? Xie Wanying did not say that it was necessary. She carefully observed the patient's face and posture with her eyes. She should not make mistakes in judgment, and she should not speak lightly, otherwise the impact would be too great.
?? A passenger in the back row muttered, dissatisfied with her slow response, and said, "Is she okay? Is she really a doctor?"
?? (end of this chapter)