"Did the patient have a sudden heart disease?!" Dr. Ma said in surprise, "It is impossible. The patient was under ECG monitoring, and there was no obvious abnormality in the electrocardiogram."

If he had a heart attack and had an electrocardiogram, he would not be able to see the professor on duty.

"No." Xie Wanying shook her head, "I mean, I'm afraid it's not the patient's original disease that caused this condition, but the complications after endoscopic treatment."

"What complications do you think are?" Fang Xueqing and Dr. Ma were anxiously trying to let her explain clearly.

This is a technical problem related to internal medicine, which is very fatal. Besides, endoscopic treatment is much safer than surgical treatment. The most terrifying complication of endoscopic treatment should be major bleeding or perforation. However, the patient's symptoms and signs do not support these two serious complications.

Xie Wanying said: "It's pulmonary embolism."

Fang Xueqing and Dr. Ma stared at her for a while, then looked at each other. As internal physicians, they had never heard of this complication.

"There are papers that have reported such cases." Xie Wanying told them.

"Professor Fang?" Dr. Ma asked Professor Fang that he was completely unsure of his mind. Pulmonary embolism is extremely rare in clinical practice. He has never seen this young man before, so he could only ask the professor if the symptoms of this patient were suspected to be pulmonary embolism.

Fang Xueqing frowned. She seemed to have never seen pulmonary embolism in her impression. She was a doctor in the gastroenterology department, not a respiratory medicine department or a heart and chest.

Most importantly, extremely rare cases in clinical practice can be published as special cases. But it is indeed too rare and cannot be used to infer clinically. It can only be used as a reminder to remind clinicians that they may need to pay attention to the existence of such special cases.

How to determine whether what Xie Wanying said was caused by random thoughts in a paper? Some medical students who like to study and study papers are like this. They are immediately suspicious when they see similar cases in the clinical practice. In the eyes of clinical teachers, such medical students seem to deliberately show off their talents and show off their skills, which makes clinical teachers not very fond of them.

The guess is OK, but it needs evidence to support it. The speculation of rare cases means that the patient needs to undergo extra examinations. The cost is all paid by the patient and the patient's family. If you suspect that you are wrong, this money is a waste. Once a medical dispute arises, the patient's family will use this to attack the doctor. Now the patient's family is dissatisfied, so they will do random examinations for the patient? Fang Xueqing's eyebrows are so frowning that it cannot be solved. Dr. Ma is waiting for her decision, and sometimes he looks at the family outside and is very anxious.

"Doctor Song." Fang Xueqing asked Song Xuelin's opinion again.

Song Xuelin said: "Do what Dr. Xie said."

A look of surprise flashed through Fang Xueqing's eyes: "Do you support her opinion, Dr. Song?"

Dr. Ma was more anxious than anyone else and asked urgently: "If you suspect that it is a pulmonary embolism, what tests are needed? Will you send it to you for CT immediately?"

It is too rare to remember and forget the relatively remote knowledge points in textbooks.
Chapter completed!