The reason for the misdiagnosis at the grassroots level is that Xie Wanying looked at the pregnant woman's belly. Perhaps most doctors are not gynecologists, and they are afraid that palpation of the pregnant woman's belly will cause harm to the fetus. The grassroots outpatient clinic may have only X-ray machines but no b
Super-machine, doctors are afraid of using X-ray machines to cause harm to the fetus, so they fail to do relevant examinations on the patient, which leads to inaccurate judgment.
Doctors know a lot, so they have many concerns. The people don’t understand very much, so they will only chase and ask why they didn’t see it.
"Yingying, how about it?" Seeing that her expression was not right, Wu Lixuan pulled her little cuff and asked quietly, "Do you have to be hospitalized?"
Hospitalization is a must, and must be immediately!
Xie Wanying took out her cell phone and called Teacher Sun to discuss it first.
"Aren't you off work?" Sun Yubo was surprised to receive her call, thinking that all the students had left.
"Teacher Sun, there is a patient who is four months pregnant. I initially suspect that she has acute appendicitis and has been delayed in the primary outpatient clinic for almost a week. The situation is quite serious. I want to discuss with the teacher that will not be discharged from bed 7 tomorrow?
Can you take her in tonight first?" The situation was urgent, Xie Wanying directly explained the situation 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 the meeting this afternoon and didn't happen to leave, so I asked him."
As he said that, Tan Kelin opposite received a message and asked the key point: "Pregnant woman, acute appendicitis?"
"Yes!" Sun Yubo was shocked that his student was going to take an amazing case. Pregnancy and acute appendicitis are rare. He must ask the student: "How do you confirm that she has appendicitis?"
"I did Bryan and Alder experiments for her on the right side of the lying position. The abdominal pain worsened when she was lying on the right side, and the finger pressing appendix point also worsened when she was lying on the left side. In addition, she began to say that it was the stomach.
It hurts, and later it turns to stomach pain, typical of the right lower abdomen pain."
The students' clear descriptions came from the phone, and the teachers here all raised their eyebrows.
They did not teach students this. Because it was a rare case, Xie Wanying had just entered a three-month clinical internship, and the possibility of seeing a rare case was a winning lottery. The case that the clinical teaching teacher did not expect to teach.
I can only say that what the student learned is quite solid and comprehensive, and can quickly remember it. Even if this kind of case textbook is mentioned, it must be a knowledge point hidden in the corner.
It is really a patient with pregnancy and acute appendicitis. Grassroots hospitals are helpless against this patient and must turn to the third grade. Sun Yubo asked: "Where is the patient now? At home?"
"She has been to our hospital's emergency department and can't get a pass," said Xie Wanying. "Maybe our hospital's emergency department is full and I can't accept her. She took antipyretic medicine and was injected in the grassroots outpatient clinic, but the grassroots level did not diagnose her with appendicitis.
The anti-inflammatory injection may not be strong enough. Now, it is obvious that her condition has worsened again."
Hearing this was the case, Tan Klin said without saying a word: "Cake!"
Sun Yubo ran out and asked the nurse to prepare for an extra bed.
Chapter completed!