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¡¾2604¡¿Key points

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    After Liu Li calmed down and thought of this, he felt panicked and regretful.  Rather than being criticized, as an obstetrician, she is more afraid that the patient has a major problem that she has not noticed.  The nature of obstetrics is that one body kills two lives.

    Sweating, she took a tissue and wiped her forehead again.

    The waiter brings the dishes to the table.  Several doctors had no intention of eating and were immersed in studying the patient's medical records.

    ¡°It cannot be said that the orthopedic outpatient doctor was unaware and added an electrocardiogram to her.¡± Cui Shaofeng turned to the next page of the examination report and said.

    If the cervical spondylosis is not obvious, check whether the patient has coronary heart disease.  The patient was in his fifties, and coronary heart disease is clinically common at this age.  Among the atypical symptoms of coronary heart disease, pain may radiate to the upper limbs.

    The electrocardiogram results showed no obvious abnormalities.  Next, other things happened at the patient's home, and his daughter became ill.  Sickness is like this.  If a person is busy with work and housework, his tolerance for minor physical ailments will increase.  In addition, the doctor at the initial examination said everything was fine, and the patient later went to Hokutosan for medical treatment and did not mention the cervical spondylosis.  Liu Li and his previous obstetricians and gynecologists had no idea about this.

    The patient comes for in vitro fertilization and undergoes various examinations again.  The electrocardiogram was done again and there was no problem, and the color Doppler echocardiography also showed no problems.

    There is one thing that doctors need to pay attention to.

    ¡°Her blood pressure was already high before.¡± Cui Shaofeng emphasized the key point again.

    I am in my early fifties, my family is wealthy, I am over-nourished, and my blood lipids and high blood pressure are too ¡°normal¡±.  The patient has atherosclerosis.  When seeking medical treatment in the obstetrics and gynecology department, the patient tried hard to take lipid-lowering drugs and regulate blood pressure.  After your blood pressure is stabilized, you can do in vitro fertilization.  After pregnancy, various medicines can be stopped as often as possible, including antihypertensive medicines.  Until recently, my blood pressure could no longer rise, so I was prescribed antihypertensive drugs.

    After repeated examination of the patient¡¯s medical records, it was determined that the test results were inconsistent with some of the patient¡¯s clinical symptoms, and the root cause could not be explained.  The next step will definitely be to issue a more targeted checklist.

    When Tan Kelin saw the test his cousin was going to prescribe for the patient, he approved it again: "Why are you going to give her a color echocardiogram and an electrocardiogram? What's the use of checking her blood lipids again?"

    ¡°These examinations have been done several times, and the patient is definitely not willing to do the same examinations that have been done repeatedly.

    Let¡¯s talk about checking 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 in rescuing acute or severe cases.  This patient has always had high blood lipids, and even if you check the results, you won¡¯t find much.  If you are afraid that the patient is suffering from a critical illness, why would you prescribe this blood lipid test?

    "This -" Liu Li frowned. It was not easy for a young doctor to open his mind.

    Are there any tests that EKG and cardiac color Doppler ultrasound may not detect or miss?

    "She is a pregnant woman and cannot do a CT scan until it is very critical. She will definitely not want to do a CT scan either," Liu Li said.

    Will pregnant women undergo CT scan?  I also know that CT scan of the waist and abdomen, especially, cannot be done at all.

    "Why did you give her a CT scan?"

    The electrocardiogram and cardiac color ultrasound cannot detect anything, so we can only do a CT scan.  This should be Liu Li's clinical thinking. If this machine doesn't work, try another machine.

    Come on, this cousin is technically confused.  It is estimated that except for the knowledge of obstetrics and gynecology, all other scientific knowledge has been lost.

    Tan Kelin glanced at his old classmate: Do you know?

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