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Chapter 2604: ?2604?Knock on the key
Chapter 2604: ?2604?Knock on the key
?? Chapter 2604 [2604] Knock on the key points
??Liu Li thought of this after calming his mind, panicked and regretted. Compared with being criticized, as an obstetrician, she is more afraid that there is a big problem in the patient and she does not see it. The nature of obstetrics is one corpse and two lives.
?? sweating profusely, she took a tissue and wiped her forehead.
??The waiter brings the dishes to the table. A few doctors didn't even bother to eat, and immersed themselves in studying the patient's medical records.
?? "This orthopaedic outpatient doctor can't say that she was unaware and added an electrocardiogram to her." Cui Shaofeng turned to the next page of the examination report and said.
?? Cervical spondylosis is not obvious, and then check whether the patient has coronary heart disease. The patient is in his fifties, and coronary heart disease is common clinically at this age. The atypical symptoms of coronary heart disease may radiate to the upper limb pain.
?? ECG examination results showed no obvious abnormality. Next, something else happened at the patient's home, and the daughter fell ill. Sickness is like this. If a person is busy with work and household chores, it will increase the tolerance of small problems in the body. In addition to the preliminary examination, the doctor said nothing, and the patient went to Beidusan for medical treatment without mentioning cervical spondylosis. Liu Li and the previous obstetrician were completely ignorant of this.
??Patients come to do IVF, and all kinds of examinations will be done again. The electrocardiogram was done again, no problem, and there was no problem with the echocardiogram.
?? There is one thing that needs the attention of the doctor.
?? "She used to have high blood pressure." Cui Shaofeng tapped again.
?? In his early fifties, his family has high assets, excess nutrition, high blood lipids and high blood pressure, which is too "normal". Patients with atherosclerosis. When seeing a doctor in the obstetrics and gynecology department, the patient tried to take lipid-lowering drugs and regulate blood pressure. After the blood pressure is stabilized, the test tube baby can be done. After pregnancy, various medicines can be stopped as soon as possible, including antihypertensive drugs. Until recently, my blood pressure couldn't go up any more, and I was prescribed antihypertensive drugs.
?? Repeated scrutiny of the patient's medical record can confirm that the test results are inconsistent with some of the patient's clinical symptoms, and the root cause cannot be explained. The next step will definitely be to further develop targeted checklists.
?? Tan Kelin saw the test that his cousin was going to prescribe for the patient, and approved it again: "What are you going to do by giving her a heart color ultrasound and electrocardiogram? What's the use of checking her blood lipids again?"
?? These examinations have been checked several times, and the patient is definitely not willing to do the repeated examinations.
?? Let’s also check blood lipids. High blood lipids are the pathological basis of various diseases. Lowering blood lipids is a combined treatment method for many diseases. It is an attempt to slow down the further development of the disease from the cause and pathology. It has a slow onset of action and has little effect on emergency care. This patient has always had high blood lipids, and you won't find many results if you check again. If you are afraid that the patient is in a critical condition, why would you prescribe this blood lipid check?
?? "This—" Liu Li frowned, it was not easy for a young doctor to open his mind.
?? Are there any tests that may not be detected or missed by ECG and echocardiography?
?? "She's pregnant, so she can't do CT until it's critical. She definitely won't do CT either." Liu Li said.
?? Do pregnant women do CT? Want to know, especially the waist and abdomen CT, can not be done at all.
?? "Why did you give her a CT?"
?? The electrocardiogram cannot be detected by heart color Doppler ultrasound, so we can only do a CT scan. This should be Liu Li's clinical thinking, this machine is not good, try another machine.
??Come on, this cousin, her head is technically a mess. It is estimated that in addition to the knowledge of obstetrics and gynecology, all other knowledge is lost.
??Tan Kelin glanced at his old classmate: Did you know?
?? (end of this chapter)