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【757】Patient Unaware

The ambulance was parked at the door of the emergency room, and a patient got off the ambulance and moved into a wheelchair in the hospital. It can be seen that the patient's condition is not serious.

Xie Wanying walked to the patient and found that the patient's face was very familiar: By the way, it was the school beauties Li Yaxi mentioned by Li Qi'an.

Why are you going to hospital again? And this time I haven't been to the second grade of the general public and foreign affairs department and transferred to the hepatobiliary surgery department?

"This is her medical record." The nurse who sent the patient gave the medical record to Xie Wanying.

After taking the medical record, Xie Wanying opened the examination report and the referral opinions written by the doctor.

The latest CT test shows that there is a problem with the patient's pancreas.

The result made Xie Wanying blink and remembered that she asked Li Qi'an to observe the patient more than two months ago. Perhaps, she had the idea of ​​asking Li Qi'an not to have too heavy tasks when she started learning, but why didn't Li Qi'an ask Li Qi'an to observe other patients but this person. It turned out that she predicted in her intuition that the patient's condition was not mild.

Pancreatic cancer is called the king of cancer because it is too difficult to detect. When it is discovered, the patients are basically in the middle and late stages.

First of all, many clinical symptoms of pancreatic cancer are too confusing with other diseases and are difficult to identify.

For example, when this patient came to PAS2 for examination, he suspected that gastroduodenal problems were caused. Upper gastrointestinal symptoms may be one of the early symptoms of pancreatic cancer. However, doctors generally do not suspect that pancreatic cancer first is because pancreatic cancer patients are much less common than other gastrointestinal tumor patients. The high incidence age is men in their forties, and Li Yaxi does not meet these conditions at all.

The doctor was not irresponsible when the patient was hospitalized and prescribed a systemic examination to rule out other causes.

Li Yaxi had routine B-ultrasound for liver and gallbladder and pancreas. Unlike liver and gallbladder, the positive detection rate of B-ultrasound in early pancreatic cancer is extremely low. There are often patients with such a person. It is normal to check B-ultrasound three months ago, and then check three months later, the pancreatic tumor is about to die.

Do ct? Sorry, it is also difficult to detect early pancreatic cancer by doing routine ct. Multiple thin-layer enhancement ct scans are required. No particularly experienced imaging doctors can do this examination on the patient, and it cannot be found.

Therefore, even if the patient can be found to be a pancreatic tumor now, there must be some expert guidance, because it is not in the late stage yet.

When the nurse who handed over the patient was about to leave, she gently pinched Xie Wanying's arm and gave her a look.

Xie Wanying said that she received a reminder: The patient does not know what disease he is currently suffering from.

If a young college student is notified of cancer, this blow will be like a collapse of the sky and the earth, completely destroying the patient's spirit.

After folding the medical record, Xie Wanying stuffed it into her white coat pocket and compacted it with a stethoscope to prevent it from accidentally falling out and being seen by the patient.

The emergency nurse here helped bring an oxygen bag and connected it to the oxygen tube so that the patient could continue to inhale oxygen on the way to the hospitalization department.

Li Yaxi, who was sitting in a wheelchair, was obviously much thinner than two months ago. The medical record was written, and it was because of this unidentified weight loss that she went for another examination. At the beginning, it was probably not found out again. I don’t know which expert guided her to do a CT scan, and the examination was made.
Chapter completed!
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