medical road high rise

Chapter 442 A Little Confused Parent

Chapter 444 A Little Confused Parent

The fact that Qin Feng served as the head nurse of the emergency department spread throughout the hospital directly, and this method was also recognized by everyone.

Even the hospital is planning to organize a training, which is equivalent to how to fight back after this kind of medical staff is beaten and scolded.

In the past, medical staff were always humiliated, especially the medical staff in the emergency department, who were often beaten and scolded by drunk patients, but there was nothing they could do because the rules were there.

But Qin Feng broke this rule and brought back the dignity to the medical staff of Ruijin Hospital.

This incident was spread on the Internet, and the expected black fans did not appear, but a large number of them supported Qin Feng's behavior.

At the same time, Qin Feng's actions were also spread to major hospitals across the country and became one of the weapons for medical staff to protect themselves.

After solving the emergency room, Qin Feng went directly to the ward round. When he came to the ward, he saw an attending doctor looking at the patient on the bed with a serious expression.

Li Hao turned his head and saw Qin Feng. He is a new attending doctor in the emergency department, so he doesn't have much contact with Qin Feng. It can be said that he knows Qin Feng, but Qin Feng may not know him.

"Doctor Qin, are you free now?" Li Hao asked.

"Are you in any trouble?" Qin Feng handed the medical record to Yue Meng, and walked towards Li Hao's hospital bed.

"I'm a patient, I won't be able to find the reason for a while, you help me come and have a look." Li Hao made room for Qin Feng.

"The patient is 65 years old, with abdominal pain and low blood pressure..."

Qin Feng listened carefully. Low blood pressure is actually a dangerous signal, which proves that the patient may have suffered decompensated shock, and then the organs and tissues of the whole body will begin to be damaged due to the decrease in blood perfusion.

Looking at the patient on the hospital bed, Qin Feng glanced at the ECG monitor, which showed blood pressure 90/50mmhg.

"Does the patient have high blood pressure?" Qin Feng asked.

"some."

"If the patient has a history of hypertension, the blood pressure is a bit too low. Are there other symptoms?" Qin Feng asked.

"When the patient was sent here, we ruled out acute appendicitis, kidney stones, and cholecystitis... and now we suspect that the patient's abdominal pain may be caused by diabetic ketoacidosis, because the patient also has a history of type II diabetes, and ketones were present when he was admitted to the hospital The test value was too high, and we treated it with hypoglycemia and fluid replacement, but the patient's abdominal pain still did not improve." Li Hao said.

Qin Feng began to look through all the examination results of the patient, including CT and so on.

After 10 minutes, Qin Feng found that the patient's blood pressure had a serious problem, and the value kept dropping, and he also had abdominal pain.

Then abdominal infection, septic shock, etc. are all possible.

When Qin Feng looked at the electrocardiogram, he also found a problem.

"See if the patient's heart rhythm is a little irregular." Qin Feng said.

Li Hao looked over and found that, as Qin Feng said, the patient's heartbeat was arrhythmia, and the middle part of the wave of the T-shaped line also paused a little.

The p wave disappears, the baseline disappears, and the RR interval also varies. These are the three basic characteristics of atrial fibrillation.

Atrial fibrillation, abdominal pain and shock, the diagnosis instantly came to Qin Feng's mind.

"Patient should have mesenteric artery embolism."

Because in atrial fibrillation, the blood flow in the atrium is irregular, and the patient's age is too old, it is easy to cause local thrombosis, and those thrombus will be attached to the atrium.

When the thrombus falls off, it may flow to different organs with the blood flow, causing corresponding embolism. For example, Qin Feng has encountered many pulmonary embolisms and cerebral embolisms before.

At the same time, it can also cause embolism of the superior mesenteric artery, limb arteries, renal arteries, etc. After embolism, there will be local tissue ischemia, hypoxia, and then necrosis.

This disease is one of the most serious cases.

After hearing this, Li Hao was stunned for a moment, then repeated Qin Feng's diagnosis, and recalled the whole process of his own diagnosis.

It is found that the patient's symptoms are [-]% similar to superior mesenteric artery embolism, and the possibility is very high.

"Thank you, Doctor Qin. I'll go talk to the family members and ask them to have an enhanced CT scan." Li Hao said gratefully.

"It's a small matter, but the patient's kidneys are not good. If the family members disagree with the CT imaging, then go for dialysis." Qin Feng suggested.

Li Hao nodded.

"There is one more thing, that is, when the patient was admitted to the hospital, didn't you detect atrial fibrillation?" Qin Feng asked.

"I took over later, I'll call and ask." Li Hao called directly face to face.

After the shift doctor over there received the call, he said that the shift was too urgent and forgot to say, which almost made Li Hao explode.

If he had discovered atrial fibrillation earlier, he would not have taken the detour that almost caused a disaster!

The reason why Qin Feng proposed is that atrial fibrillation is easy to be detected. Basically, such elderly patients will do ECG during admission examinations, and doctors can see it if they are careful.

This is obviously the mistake of the shift doctor. Although he may be criticized at a meeting tomorrow to deduct the bonus, Qin Feng is also doing it for the good of the shift doctor. With the lessons learned this time, a similar situation will not happen again next time.

Qin Feng returned to the emergency department and continued to see patients. In recent winters, the chances of children getting sick are getting higher and higher, and Qin Feng receives more and more children patients.

Today's first patient was also a child. When he came, the child had a cooling patch on his forehead. Qin Feng took a look and knew that the child must have caught a cold.

After listening to the patient's parents, Qin Feng nodded, and then asked: "Has your child been anywhere recently?"

This is to investigate the epidemic. When a large-scale cold occurs, the cause can be determined. These doctors must record it.

"I didn't go anywhere, I just played in our own community." The patient's mother said.

"What's your body temperature?"

Before coming in, Yue Meng and the others would give patients with a cold and fever a thermometer to record their body temperature to avoid wasting time.

"39 degrees."

"Does the child have chills?"

"No."

"Are your joints swollen?"

"The kid didn't say anything."

Qin Feng gave the patient another physical examination. There was no skin rash, no swollen lymph nodes, and no headache. After the whole process was checked, there was no special symptom. It should be an ordinary fever.

"Patients just remember to take their medicines on time," Qin Feng said.

"But is it really okay for my child to have a fever of 39 degrees?" the patient's mother worried.

"39 degrees is a very common fever phenomenon. It is a fever symptom and not a disease..." Qin Feng explained.

"But……"

"Don't worry, what do you think of the child's routine blood and urine tests?" Qin Feng said helplessly.

I wanted to save some money for the parents, but the parents just didn't want to.

"it is good!"

(End of this chapter)