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¡¾632¡¿Reestablish preliminary diagnosis

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    The reason for the misdiagnosis at the grassroots level is probably that Xie Wanying looked at the pregnant woman¡¯s belly.  Perhaps most doctors are not gynecologists, and they are afraid that casually pressing and palpating a pregnant woman's belly may cause harm to the fetus.  Primary outpatient clinics may only have X-ray machines but not B-ultrasound machines. Normally, doctors are afraid of using X-ray machines to cause harm to the fetus, so they fail to conduct relevant examinations on patients, resulting in an inability to make accurate judgments.

    Doctors know more, so they worry a lot.  Ordinary people don't quite understand, they just ask why they didn't see it.

    "Yingying, how are you?" Sensing that something was wrong with her expression, Wu Lixuan pulled her cuffs and asked in a low voice, "Do I have to be hospitalized?"

    Hospitalization is necessary, and it must be done immediately!

    Xie Wanying took out her mobile phone and called Teacher Sun to discuss it first.

    "Aren't you off work?" Sun Yubo was surprised when he received her call, thinking that all the students had left.

    "Teacher Sun, there is a patient who is four months pregnant. I initially suspected that she had acute appendicitis. She has been delayed in treatment at the grassroots outpatient clinic for almost a week. The situation is quite serious. I want to discuss with the teacher. Isn't she going to be discharged from bed 7 tomorrow?  Can you take her in tonight?" The situation was urgent, so Xie Wanying explained the situation directly to the teacher.

    Sun Yubo asked her to wait: "I can't decide on the bed. It needs to be decided by Teacher Tan. Teacher Tan went to a meeting this afternoon and happened to be there. I'll ask him."

    As he said that, Tan Kelin received the message and asked the key point: "Pregnant woman, acute appendicitis?"

    "Yes!" Sun Yubo was shocked that his student was about to accept a terrible case.  Pregnancy complicated by acute appendicitis is rare.  You must ask the students: "How are you sure she has appendicitis?"

    "I performed Bryan's and Alder's tests on her right side and left side respectively. It was obvious that the abdominal pain worsened when she was lying on her right side, and the appendix point was also aggravated when she was lying on her left side. Furthermore, she started to have symptoms that were said to be gastric  It hurt, and then it turned into stomach pain, which was typically transferred to the right lower quadrant.¡±

    The student¡¯s clear description came out from the phone, and the teachers listening here raised their eyebrows.

    They don¡¯t teach students this.  Because it is a rare case, Xie Wanying has just entered clinical practice for three months, so the chance of seeing a rare case is a lottery win.  The clinical teachers did not expect to be able to teach cases that they had not encountered before.

    It can only be said that this student¡¯s memory of what he learned is quite solid and comprehensive, and he can associate it quickly.  Even if this kind of case textbook is mentioned, it must be a knowledge point hidden in the corner.

    ???????????????????????????????????????????????????????????????????????????????????????????Basically-level hospitals are helpless to treat patients with acute appendicitis during pregnancy and must be transferred to a tertiary hospital.  Sun Yubo asked: "Where is the patient now? At home?"

    "She came to our hospital's emergency department but couldn't get in," Xie Wanying said. "Maybe our hospital's emergency department was full and we couldn't admit her. She took antipyretics and had an injection at the grassroots outpatient clinic, but the grassroots hospital didn't diagnose her with appendicitis.  The anti-inflammatory shot probably wasn't strong enough. Now, it's clear she's getting worse again."

    Hearing that this was the case, Tan Kelin said without further ado: "Stop it!"

    Sun Yubo ran out and asked the nurse to prepare an extra bed.

    Fortunately, Teacher Tan is here and willing to accept it.  Xie Wanying breathed a sigh of relief, seeing that the patient could not move and needed a lathe.  Instead of going back to the general surgery department to get on and off the cart, it would be faster to borrow a lathe from the department on the ninth floor to transport patients.  (Remember the website address: www.hlnovel.com
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