Chapter 632 [632] Re-Establish the Initial Diagnosis

The reason for the misdiagnosis at the grassroots level is very likely that Xie Wanying looked at the pregnant woman's belly. Probably ordinary doctors are not gynecologists, and they are afraid that palpation on the belly of a pregnant woman will cause harm to the fetus. Primary clinics may only have X-ray machines but no B-ultrasound machines. Under normal circumstances, doctors are afraid of using X-ray machines to cause harm to the fetus, so they fail to conduct relevant examinations on patients and cannot make accurate judgments.

Doctors know a lot, so they worry a lot. The common people don't quite understand, they just keep asking why they didn't see it.

"Yingying, what's the matter?" Sensing that her expression was not right, Wu Lixuan pulled Faxiao's cuff and asked in a low voice, "Are you going to be hospitalized?"

Hospitalization is a must, and immediately!

Xie Wanying took out her mobile phone and called Teacher Sun to discuss it first.

"Aren't you off work?" Sun Yubo was surprised when he received her call, because he thought all the students had left.

"Ms. Sun, there is a patient who is four months pregnant. I initially suspect that she has acute appendicitis. The treatment in the primary clinic has been delayed for almost a week. The situation is serious. I want to discuss with the teacher. Isn't she going to be discharged from the hospital tomorrow? Can you take her in tonight first?" The situation was urgent, Xie Wanying directly explained the situation to the teacher.

Sun Yubo told her to wait: "It's not for me to decide about the bed. It needs to be decided by Teacher Tan. Teacher Tan went to a meeting this afternoon, but he just didn't leave. I'll ask him."

As he said that, Tan Kelin received a message on the opposite side and asked the main point: "Pregnant woman, acute appendicitis?"

"Yes!" Sun Yubo was startled, his student was going to accept a terrible case. Pregnancy complicated with acute appendicitis is rare. I must ask the next student: "How can you be sure that she has appendicitis?"

"I did the Bryan and Alder experiments on her in the right lying position and the left lying position respectively. It was obvious that the abdominal pain was aggravated when she was lying on the right side, and the pressure on the appendix point with her fingers was also aggravated when she was lying on the left side. Besides, she started to complain that it was stomach pain. It hurt, and then it turned to stomach pain, which is a typical transfer of right lower quadrant pain."

The student's clear description came from the phone, and the teachers listening here raised their eyebrows.

This is something they don't teach their students. Because it is a rare case, Xie Wanying has just entered the clinical practice for three months, so the possibility of seeing a rare case is a chance of winning the lottery. For the cases that have not been encountered, the clinical teaching teacher did not expect that he would not teach.

It can only be said that what this student learned is quite solid and comprehensive, and he can quickly associate it. Even if this kind of case textbook mentions it, it must be a knowledge point hidden in the corner.

It is really a patient with pregnancy complicated with acute appendicitis. The primary hospital is helpless for this kind of patient and must be transferred to the third class. Sun Yubo asked: "Where is the patient now? At home?"

"She came to our hospital's emergency department and couldn't get a number." Xie Wanying said, "Maybe our hospital's emergency department was full and we couldn't accept her. She took antipyretics and injections in the outpatient clinics at the grassroots level. The grassroots did not diagnose her with appendicitis. The anti-inflammatory injections may not be strong enough. Now, it is clear that her condition has deteriorated again."

Hearing that this was the case, Tan Kelin said without further ado: "Take it!"

Sun Yubo ran out and asked the nurse to prepare an extra bed quickly.

Fortunately, Teacher Tan is here and willing to accept it. Xie Wanying breathed a sigh of relief, seeing that the patient was unable to walk and needed a lathe. Going back to the General Surgery Department to push the lathe up and down, it is better to borrow a lathe from the department on the ninth floor to transport patients faster.