Chapter 1226 【1226】Need to Know Which Department the Disease Is

Epistaxis generally involves capillaries, and bleeding can be stopped quickly as long as the method is correct.

In addition to ice compresses, Xie Wanying took the cotton balls brought by the nurse with gloved hands, and stuffed the patient's bleeding nasal cavity to stop the bleeding.

The blood in the patient's nasal cavity will definitely continue to flow until the bleeding stops completely.

"Hey, don't tilt your head back." The nurse held the patient's head steady.

Some people move habitually, and when their nose bleeds, they think that raising their head might allow the blood to flow back into the body. The idea is absurd. The blood flowing out of the blood vessel cannot flow back into the blood vessel by itself unless it is transfused.

On the contrary, if the head is tilted back, the blood that does not flow back to the blood vessels will flow to the esophagus, stomach, trachea, and lungs. Because the channel under the nose is connected with these organs.

Blood flow to the esophagus and stomach can cause nausea and vomiting.

If it flows to the trachea and lungs, the situation is more serious, which will cause the patient to suffocate instantly.

If the patient hadn't lost too much blood when she came in, her face was pale, she was dizzy and couldn't stand up, so she had to lie down first, otherwise the doctor would tell her to sit up and lean forward a little to let the blood flow out of the body.

Now the medical staff makes the patient's head sideways, anyway, the blood cannot flow back to the trachea and lungs.

Time passed by, and the atmosphere at the scene was a little tense.

Whether the blood can be stopped or not requires a doctor to quickly judge why the patient has a lot of nosebleeds?

Only by finding the cause of the disease can the medicine cure the disease.

The doctor first asks the patient's medical history, and then conducts a targeted physical examination on this basis.

"Has her nose been injured?" Xin Yanjun asked the patient friend who accompanied the patient.

The first step is to rule out trauma as usual. Although the doctor did not see any signs of trauma in the patient for the time being. Just to be on the safe side, you can't go wrong by asking again.

"No. She had a nosebleed suddenly during dinner. We asked her to cover it at first, but we couldn't cover it, so we had to take a taxi to the hospital to see it." The patient's friend said.

"You're talking about today's situation? What about before? I'm talking about before today, can you recall if she had a car accident recently? Or did she accidentally fall down in such an accident?" The doctor said again. Ask about the history of trauma.

"No. I haven't heard of her having a car accident." The patient's friend shook his head.

It seems that the trauma can be ignored for the time being, and the doctor needs to consider whether the patient has epistaxis caused by systemic diseases. For example, epistaxis caused by coagulation dysfunction, such as leukemia, which is often heard by ordinary people, will have symptoms similar to this patient, anemia and bleeding.

"Draw some blood." Xin Yanjun gave the nurse a verbal doctor's order.

A blood test is done to see if there is something wrong with the cells in the blood.

The nurse ran to get the blood drawing kit.

The doctor then asked the patient's friend: "Has she ever said that she has any illness?"

"No, she is so young, where did the disease come from." The patient's friend said, "You can ask her yourself."

After lying flat with ice packs, the female patient seemed to be in better condition. She could hear the conversation between the doctor and her friend, and she nodded to confirm that her friend was right.

In this case, it means that even if the patient himself is sick, he does not know and cannot answer the doctor's questions.

"Should I ask the otolaryngologist to come down and have a look?" The nurse asked next to him, should he call the doctor in the inpatient department for help.

It is necessary to find a specialist in the inpatient department. The problem is that you must find the right doctor for which department you are looking for. Otherwise, it will be a waste of time to make a trip, and the time of patients and colleagues will be wasted. Emergency physicians have this technical responsibility.