Vol 3 Chapter 2301: Asking medical history
-
Live Surgical Broadcast
- 真熊初墨
- 1291 characters
- 2021-03-01 09:05:08
Leading away, Lin Yuan was heartbroken.
Where does the small blood clot in the iliac blood vessel come from? There are many possible locations. The most common is carotid plaque detachment.
问题 But the problem is here. The patient is so young, where is the arterial plaque?
The probability is there, but it is too small to consider it for the time being.
Tong Linyuan recalled the medical records written by the resident called Zhong Min in Haicheng, and thought about a lot of medical records written by sister Chang Yueyue, thinking about the true intentions of boss Zheng while walking.
This is a test for yourself! The real test.
In the end, Lin Yuan was still dew-headed, and he could only blame everything on Zheng to test himself.
博士 Dr. Mehar of Sweden had surgery, and Professor Rudolf Wagner was going to accompany him back to Europe to start the work before the long Nobel Prize.
I walked away with a surgeon. Is it necessary for Boss Zheng to pass a test, and then let himself be the surgeon?
Thinking of this, Lin Yuan was a little excited.
But she immediately overthrew her thoughts-that's impossible!
Whether the operation is done well has nothing to do with the writing of the medical records. Sister Yue's medical records are well written and never go to surgery.
Lin Yuan, who was full of doubts, came to the Department of Neurology, many wards, and it took a long time to find the ward where Yang Lixin was located.
But he has already been sent for surgery, Lin Yuan is a little worried.
If you go back like this, you can't complete the task that Boss Zheng explained.
Although I haven't been in the medical team for a long time, Lin Yuan has a little fear of Boss Zheng.
This is caused by technical crushing and has nothing to do with other things. Even Lin Yuan was so upset that he was wondering if he could meow with boss Zheng meowing twice.
But Mr. Zheng is not his own grandfather. It is estimated that it is unlikely, and Lin Yuan still made a clear judgment.
She stood at the door of the ward for a long time, and finally made up her mind and asked the family members of the patient to ask about the situation.
I touched the neurology interventional operating room. She was strange to this side and needed to ask for directions. Lin Yuan felt that he was too house, and even did not know the basic location of the 912 departments.
However, Lin Yuan didn't have any fear, and he directly touched the door of the intervention room.
I asked her family members how she had plans.
"Yang Lixin's family!" Lin Yuan, dressed in white clothes, shouted in front of the family members of patients waiting for surgery.
"Doctor, what are you doing to me?" A 24 or 5 year old girl stood up timidly, looking a little scared.
Patients are most afraid of doctors shouting when performing surgery, but anyone with a little common sense knows this. The doctor shouted to his family that the operation was definitely not smooth and he was in trouble.
Tong Linyuan smiled and said, "Being scared, I'm a doctor in the emergency department. Let's find out the medical history and go back to write a medical record."
I heard Lin Yuan say so, the girl's mood was a little calmer.
She and two colleagues from Yang Lixin came to a relatively secluded location with Lin Yuan. Lin Yuan asked directly: "Talk about the illness this time."
The girl glanced at Yang Lixin's colleague and did not speak immediately.
"Doctor, this is the case. Today I went to the bathroom, and I heard a bang before I entered the door. When I went in, I saw Xiao Yang falling to the ground." Yang Lixin's colleagues said, "He didn't speak clearly and scared me If it breaks, call 120 for emergency treatment and take it to the hospital. The doctor said that if you send it a little later, you may have to stay disabled. "
What is this, Lin Yuan expressed his dissatisfaction with it, and there was almost nothing of value.
I asked these Lin Yuan when he was sick and how he was sent to the hospital, but he still didn't get any particularly valuable information.
"Did the patient have been sick before?" Lin Yuan asked.
"Once my mouth was a little crooked, it happened a few months ago." Yang Lixin's girlfriend said immediately, "But Lixin didn't go to the hospital. He thought it was facial paralysis. He took some medicine and it was just a few days. "
Oh? There have been seizures in the past. This is a point. Lin Yuan wrote it down.
Patients often stay up late without smoking or drinking. However, I usually have a good health and rarely get sick.
There is no history of hypertension, coronary heart disease, diabetes, no clear family history, no history of infectious diseases, and no history of surgical trauma. These Lin Yuan also asked.
That's all ... Lin Yuan is helpless. She is really afraid that if she goes back like this, she will be scolded by boss Zheng.
Although Boss Zheng is very kind, it is not the same when he comes to the stage.
Hemostatic forceps knocked on his own radial styloid process, which was a pain. The key is to be familiar with the anatomical structure.
回 This time it involves a patient who needs emergency surgery. If I go back and ask a little medical history and go back, do I have to be killed?
Alas ... Lin Yuan was a little sad.
看着 She looked at the family members of the patient, "Are there anything wrong with him except the corners of his eyes?"
Yang Lixin's girlfriend is not deeply involved in the world and doesn't feel anything. But the two male colleagues felt that Lin Yuan was a little strange, she seemed to point otherwise.
"Doctor, Xiao Yang is fine." A colleague said bitterly, "So young, what can I do if I become disabled?"
"Uh ..." Lin Yuan stunned for a moment ~ EbookFREE.me ~ She didn't dare to say that she was fine, and she couldn't say that there was something, where there would be an answer to such a thing.
Seeing her stunned, several family members became even more panicked.
Yang Lixin's girlfriend's eyes flickered a little, apparently scared. She asked timidly, "Doctor, Lixin will not be paralyzed."
"..." Lin Yuan really felt that he had less clinical experience this time.
She sighed and said, "I'm a doctor in the emergency department, just to ask the medical history and go back to write a medical record. If you want to know the operation, you have to wait for the operation to be completed and ask the neurologist.
Disappointment and hope are intertwined in the eyes of several families, which is extremely complicated.
"Is there anything else? Do you usually take any medicine?" Lin Yuan was ready to go. She knew that she hadn't completed the test well, and that Boss Zheng wouldn't scold others.
I shouldn't. Maybe the next operation, the hemostatic pliers will hurt more.
"Um ... Li Xin usually takes pain medicine occasionally." Yang Lixin's girlfriend said, "He often has migraines."
Migraine ... Lin Yuan remembered this.
病 This disease is divided into 6 major categories and 15 minor categories, which can be light or severe; it can be migraine caused by general neurological symptoms, it can also be a precursor to epilepsy, or it can be ... In short, it has no meaning for cerebral infarction.
Many patients have migraine headaches since childhood, but have never known how they came.
But this still makes no sense, Lin Yuan thought. Looking at it now, the most likely cause is a headache caused by frequent attacks of small lumen.
最后 She finally politely said good-bye to the patient's family members and went all the way back to the intervention department.