2604 Chapter 2604 [2604]

After Liu Li calmed down and thought of these things, he panicked and regretted. Compared with being criticized, as an obstetrician, she is more afraid that she will not see the big problem of the patient. The nature of obstetrics is one dead and two dead.

She was sweating profusely, so she took a tissue and wiped her forehead again.

The waiter brings the food to the table. A few doctors didn't have the mind to eat, and immersed themselves in studying the patient's medical records.

"This orthopedic outpatient doctor can't be said to be 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, check whether the patient has coronary heart disease. The patient is in his fifties, and coronary heart disease at this age is clinically common. Atypical symptoms of coronary heart disease may radiate pain to the upper limbs.

Electrocardiogram results showed no obvious abnormalities. Next, other things happened in the patient's home, and the daughter became ill. Illness is like this. If a person is busy with work and housework, he will increase his tolerance for minor physical ailments. In addition, the doctor at the preliminary examination said nothing was wrong, and the patient did not mention cervical spondylosis when he went to Beidu San for medical treatment. Liu Li and the previous obstetrician and gynecologist were completely unaware of this.

The patient comes to do test-tube baby, and all kinds of checks are done again. The electrocardiogram was done again, there was no problem, and the color Doppler ultrasound of the heart also showed no problem.

There is one thing that doctors need to pay attention to.

"Her blood pressure was already on the high side before." Cui Shaofeng re-focused.

In his early fifties, his family has high assets, over-nutrition, high blood lipids and high blood pressure, which is too "normal". Some patients with atherosclerosis. When seeking medical treatment in the obstetrics and gynecology department, the patient tried hard to take lipid-lowering drugs and adjust blood pressure. After the blood pressure is stabilized, you can do test-tube babies. After pregnancy, all kinds of drugs can be stopped, including antihypertensive drugs. Until recently, blood pressure can no longer soar up, and antihypertensive drugs are prescribed.

After repeated scrutiny of the patient's medical records, it can be determined that the test results are inconsistent with some of the patient's clinical symptoms, and the root cause cannot be explained. The next step will definitely be to open further targeted checklists.

Tan Kelin saw the examination that his cousin was going to prescribe for the patient, and approved it again: "Why are you prescribing a heart color Doppler ultrasound and electrocardiogram for her again? What's the use of you checking her blood lipids again?"

These checks have been checked several times, and the patient is definitely unwilling to do the checks that have been done repeatedly.

Besides, checking blood lipids, high blood lipids are the pathological basis of various diseases, and lowering blood lipids is a combined treatment for many diseases. It is an attempt to slow down the further development of the disease from the perspective of etiology and pathology. It acts slowly and has little effect on emergency and severe cases. This patient has always had high blood lipids, and you won't find many results after checking. If you are afraid that the patient is critically ill, why do you prescribe 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 both the electrocardiogram and the color ultrasound of the heart may fail to detect and miss the diagnosis?

"She's pregnant, and she can't have a CT scan unless it's a critical moment. She's definitely not willing to have a CT scan," Liu Li said.

Pregnant women do ct? I also know, especially the CT of the waist and abdomen, it is impossible to do it at all.

"Why did you prescribe CT for her?"

The electrocardiogram and color Doppler ultrasound of the heart can't find it out, so I can only do another CT scan. This should be Liu Li's clinical thinking. This machine won't work, so try another machine.

Come on, this cousin, the head is really confused technically. It is estimated that except for the knowledge of obstetrics and gynecology, all other knowledge is lost.

Tan Kelin glanced at his old classmate: You know what?