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Chapter 2113: ?2113?Student exchange
Chapter 2113: ?2113?Student exchange
?? Chapter 2113 [2113] Classmates Exchange
?? The patient's lower extremities were swollen, and the jugular vein was slightly distended, which was a manifestation of advanced right heart failure. These numbers and symptoms are the result of the patient's continued administration of some drugs under control. It shows that the patient's condition is conceivably bad, and the heart function has reached the fourth level of danger.
?? Such a critically ill patient, it is useless to live in a good ward with a TV and refrigerator, and they cannot enjoy it.
??Du Ye Qing took out a stethoscope from his white coat pocket and wanted to hand it to Du Haiwei.
??Du Haiwei shook his head. When it comes to listening to the heart and lungs, how can he specialize in cardiothoracic surgeons, listening to the description of the cardiothoracic surgery specialist hospital here is enough.
?? "This morning's physical examination showed thick breath sounds in both lungs, no rales, hyperactive second heart sound in the pulmonary valve area, systolic murmur in the precordial area, and leftward enlargement of the cardiac border." Du Yeqing supplemented the patient's physical examination data.
?? There was a head nurse and a nurse standing on the scene, holding a fetal heart rate monitor on the patient's belly to detect the baby's fetal heart rate.
?? This belongs to the diagnosis and treatment work that obstetricians and gynecologists are good at. Du Haiwei approached to listen to the fetal heart rate data.
?? The baby's fetal heart rate is okay and falls within the normal range. Visually measuring the patient's abdominal circumference, and what the medical records show, the fetus should now be thirty-four weeks plus. The patient's age as a pregnant mother is not too old at the age of 26, on the contrary, it is the right age to conceive and give birth to a child. Not an advanced mother, there are still other diseases that directly endanger the health of the mother and the child.
??Du Haiwei raised his head and wanted to talk to the patient himself to ask about the situation. Then, seeing that the patient was in a hypoxic state when he was inhaling medium-concentration oxygen, his mind was not very clear.
?? The group came here to see the patient and evacuated from the ward.
?? Several young medical students had no chance to browse the patient's medical records before, so they could only guess by themselves after seeing the patient's condition on the spot.
??Dumont pulled up the corner of Xie's classmate's clothes in front and asked her, "What kind of disease do you think she has?"
?? Ask who is not good, just ask her, the teacher's son is clearly only most interested in her answer.
?? People asked her if she must have seen a patient, and she felt a little bit in her mind, just like other doctors who were listening. The normal communication between medical students is on an equal footing, Xie Wanying calmly asked the other side first: "What are your thoughts?"
"That's what I think." Du Mengen really couldn't hold back the academic insights in his heart, and he talked eloquently, "The patient is in the third trimester of pregnancy, not an advanced mother, it is very likely to be a congenital disease, and it is not suitable for pregnancy. To be pregnant creates this condition. Looking at the symptoms and signs of this patient, I personally think she has a high probability of primary pulmonary hypertension."
?? After hearing what he said, others thought: he is the son of a famous teacher, and he is a scholar who studied in a famous medical school. It is rare to be able to make such a quick judgment only by looking at the patient's condition without looking at the medical record.
?? Having said that, some of the clinical manifestations of this patient are not too difficult for doctors to judge. Right heart failure is common clinically, especially in pregnant women, which is a typical manifestation of pulmonary hypertension.
??What is pulmonary hypertension.
??We must first talk about how normal pulmonary artery blood pressure is in order to explain hypertension.
??The normal pulmonary artery has low pressure, because the pulmonary circulation is not like the systemic circulation. The lungs are close to the heart, and the blood vessels without systemic circulation are far from the heart. There are more blood vessels and a good buffer. Under this premise, the pulmonary circulation can accommodate all the blood pumped by the heart at one time.
?? (end of this chapter)