After Liu Li calmed down and thought about this, she felt panicked and regretful. As an obstetrician, she was more afraid of not being able to see that the patient had a serious problem than being criticized. The nature of obstetrics is that one person kills two people.
She was sweating profusely, so she took a tissue and wiped her forehead again.
The waiter brought the dishes to the table. Several doctors didn't think about eating and were immersed in studying the patients' medical records.
"This orthopedic outpatient doctor cannot be said to have been 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, then check whether the patient has coronary heart disease. The patient is in his fifties, and coronary heart disease is clinically common at this age. Atypical symptoms of coronary heart disease may radiate to upper limb pain.
The results of the electrocardiogram showed no obvious abnormalities. Next, other things happened at the patient's family, and his daughter became ill. This is what illness is like. If a person is busy with work and housework, he will increase his tolerance for minor physical problems. In addition, the initial
The examining doctor said everything was fine, and the patient later went to Beito San for medical treatment and did not mention the cervical spondylosis. Liu Li and the previous obstetrician and gynecologist were completely unaware of this.
The patient came for in vitro fertilization and went through various tests again. The electrocardiogram was done again, and there was no problem, and there was no problem with the cardiac color ultrasound.
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.
He was in his early fifties, his family was rich in wealth, he was over-nourished, and his blood lipids and blood pressure were too high, which was "normal." The patient had atherosclerosis. When he was seeking medical treatment in the obstetrics and gynecology department, the patient tried hard to take lipid-lowering drugs and regulate blood pressure.
After the blood pressure is stabilized, IVF can be done. After pregnancy, various drugs can be stopped as often as possible, including antihypertensive drugs. Until recently, when the blood pressure could no longer rise, antihypertensive drugs were prescribed.
After repeated review 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 would be to issue a more targeted test list.
When Tan Kelin saw the examination that 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 based on the cause and pathology. It takes effect slowly and has little effect on emergency and severe cases.
This patient has always had high blood lipids, and even if you check the results, you won’t be able to find much. If you are afraid that the patient is suffering from a critical illness, why would you order 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.
Should pregnant women undergo CT scans? You may also know that CT scans of the waist and abdomen, especially, are not allowed 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 really confused technically. I guess she has lost all her knowledge except obstetrics and gynecology.
Tan Kelin glanced at his old classmate: Do you know?
