Start as an Emergency Physician

Zhou Yuan sat in the consultation room and did not look up.

The patient has the right to choose a doctor, she is unwilling to let Zhou Yuan see a doctor, and Zhou Yuan has no choice.

"Oh well..."

The woman walked in somewhat reluctantly.

"Hello Dr. Zhou!"

The man was very enthusiastic and took the initiative to chat with Zhou Yuan.

Zhou Yuan looked over and asked, "What's wrong?"

"My stomach hurts, it hurts," the woman said through gritted teeth.

Zhou Yuan frowned, "When did it start?"

"It's menstrual pain. Every time I have menstrual pain, I'm used to it. "

Zhou Yuan glanced at the woman, the latter's face was a little pale, and her hair was sticking to her face because of sweat, and her image was very bad.

"I've had menstrual pain before, so why did you come to see the doctor this time?"

The woman shook her head and said, "I used to take painkillers, but this time I don't know why it didn't work, so I want you to prescribe me some better painkillers." "

Zhou Yuan nodded, "Menstruation?"

"It's coming, why does menstruation hurt if you don't have menstruation?" the woman was a little impatient.

Zhou Yuan was silent for a moment.

The woman's face looked very wrong, not like a simple menstrual pain.

"You wait. Zhou Yuan stood up, walked to the side of the observation bed, pulled up the curtain, and sent a message to He Jing.

Using a mobile phone in front of a patient will give the other party an unstable feeling, so Zhou Yuan hid.

As for why she is called He Jing, He Jing is better at dealing with women, and this woman is unwilling to talk to herself because of her gender.

Without accurate information, he can't make a diagnosis easily, because there are too many reasons for a woman's abdominal pain after marriage, such as abnormal pregnancy, accidental miscarriage, and so on.

Zhou Yuan sat down again and said, "Have you been living with men and women recently?"

The woman was stunned. "How do you ask such a question!"

The man was very honest and said with a smile: "The doctor is also for your illness! No, I've been on a business trip lately, and I don't have time for that kind of thing to happen." "

Zhou Yuan nodded silently.

The woman tugged at the man next to her and said, "Husband, you don't have to tell him so much!

Two minutes later, He Jing rushed over.

Zhou Yuan said hello to He Jing, who stood behind Yuan.

Zhou Yuan asked again: "You said that you also had a history of menstrual cramps before, so apart from this time, is there any difference in menstrual flow, or color or something?"

As he spoke, he looked at He Jing.

This aspect must be judged by her.

The woman thought for a while, nodded slowly, and said, "It's really a little different, the color is lighter this time, and the amount is smaller." "

He Jing lowered his head and thought for a moment, and asked, "Do you usually have regular menstruation? Are these days your usual menstrual cycle?"

The woman shook her head: "It's not very regular, this time it's more than ten days in advance..."

He Jing was stunned for a moment, and was about to speak, but was stopped by Zhou Yuan.

"Patient's husband, can you wait outside the clinic, this female doctor and I still need to do a few tests on your wife. "

The man smiled innocently and was about to go out, but was stopped by his wife.

"Husband, don't go! What kind of examination can't be done in front of my husband! You can't see it alone and call a female doctor!

When the man heard this, he was a little happy.

It seems that she no longer sees herself as an outsider.

Zhou Yuan frowned, stared directly at the woman who had been holding her stomach, and said, "I advise you to let your husband out, I'm thinking about you." "

He Jing's face was a little surprised, but he quickly understood Zhou Yuan's intentions.

After the man left, only Zhou Yuan, He Jing and the gorgeous woman were left in the consultation room.

"He Jing, what do you think?"

He Jing took a deep look at the woman with a painful face and said, "Ectopic pregnancy." "

Ectopic pregnancy, medically known as ectopic pregnancy, refers to an abnormal pregnancy process in which a pregnant egg implants outside the uterine cavity and develops.

This is where ectopic pregnancy is most dangerous, and it usually ruptures at 40 days of pregnancy, resulting in severe internal bleeding and a very high mortality rate.

The woman who was still complaining about Zhou Yuan was stunned for a moment, and after a few seconds, she said in a panic: "What kind of ectopic pregnancy! My husband has been out on business for the past few months, where do you let me get an ectopic pregnancy?"

Zhou Yuan said lightly: "If you're afraid that your husband won't hear it, just shout louder." "

Hearing this, the woman immediately became dumbfounded, clutching her severely painful stomach, and looking at Zhou Yuan and the others with an angry face.

"You can fool your husband, you can fool other people, but you can't fool the doctor. Whether or not there is anything we don't know, that's what we see. "

Zhou Yuan's words had a determined tone, and his originally angry expression immediately changed, and he panicked instantly.

"Doctor, don't talk nonsense! I only have one man, my husband! You haven't done any tests, so you think I'm ectopic pregnant, what about my reputation!"

Zhou Yuan and He Jing glanced at each other.

Zhou Yuandao: "What you said makes sense, this is just our subjective judgment, so it's okay, let's do a chorionic gonadotropin test, and you can know if it's an ectopic pregnancy at that time." "

Chorionic gonadotropin is a glycoprotein hormone secreted by placental syncytiotrophoblast cells, also known as HCG, chorionic gonadotropin test refers to the diagnosis of early pregnancy, ectopic pregnancy, molar pregnancy, incomplete miscarriage, seminoma testicular cancer and other HCG-related diseases by detecting HCG levels in the serum.

For men and non-menopausal women, the test results should be 0~5U/L, and for menopausal women, 0~10U/L.

In the case of normal women in the first trimester, HCG production begins on the 5th ~ 6th day after ovulation, and reaches a peak at 8~10 weeks of gestation, and the HCG value is as high as 15000~200000U/L.

In the case of an ectopic pregnancy, the HCG content is significantly lower than that of a normal pregnancy, which is easy to judge.

The woman was stunned for a moment, her expression very entangled.

"Doctor, prescribe me some better painkillers, I won't check it out!"

He Jing shook his head and said, "No, you are completely a symptom of ectopic pregnancy now, you had better stay." "

"I'm not cured!

So saying, the woman got up and left.

Zhou Yuan glanced at it and said: "The development limit of ectopic pregnancy is forty days, and if it is not treated in time, it will rupture in the later stage, and the mortality rate will be very high." _

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