Chapter 639 【639】Don't Waste Time
Why call her here without any test results.
Tell her to make a preliminary judgment after palpation and auscultation of the patient like the boss? If she had this ability, she would have been famous all over the world. Shen Xifei slandered herself in her heart.
But Teacher Gao Leng of the Second General Foreign Language School really thinks of her that way.
Even with the assistance of instruments and equipment, the various basic clinical skills of doctors cannot be lost. This is what medical students most need to learn and master clinically.
I am a graduate student, so I have to know how to auscultate and palpate a pregnant woman.
Seeing that the doctor and teacher opposite did not tell her not to do it, Shen Xifei bit the bullet and walked to the patient's bedside. First take out the stethoscope and listen to the heart and lungs for pregnant women. Now the condition of the pregnant woman has improved, she is conscious, the oropharyngeal ventilation tube has been pulled out, and she is breathing oxygen. It should be effective after some first aid treatment after coming here.
"What do you feel uncomfortable about?" Shen Xifei asked the patient, she was gentle, amiable, cautious, and the elders around her were watching.
"It hurts." Xu Xing moaned.
"Does it hurt your stomach?" Shen Xifei's eyes fell on the patient's slightly raised belly, and she felt her scalp numb. How to do palpation for abdominal pain in pregnant women with appendicitis? The impression is that I have encountered it and have not encountered it. Probably never encountered it. Because of appendicitis, seeing a doctor in the general surgery department does not perform surgery in their obstetrics and gynecology department. Therefore, it happened so suddenly that she couldn't remember the relevant knowledge in an instant.
Helpless, I took out a tape measure from my pocket to help the pregnant woman measure the palace height and abdominal circumference, and wrote down the numbers, which were considered to be within the normal range. Use a stethoscope to try to listen to fetal heart sounds from left to right under the patient's navel. Ask the patient again, there are no symptoms such as lower body bleeding for the time being.
After the routine examination of pregnant women in the obstetrics department, Shen Xifei unconsciously wiped the sweat off her forehead with the back of her hand. I saw Sun Yubo and the others watching her.
The scariest thing was that Tan Kelin, who she was most afraid of, looked back and met her.
The cold eyes under Tan Kelin's long eyebrows seemed to be chopping off her hand with a scalpel at this moment.
What are you doing? What did she do wrong in front of this terrible man?
Shen Xifei was so frightened that she withdrew her hands back.
waste time.
Doesn't this person realize that he is wasting precious time?
Isn't it said that the obstetrics and gynecologists are as anxious as their general surgeons? Why is it like this? Sun Yubo thought that he was the same as everyone else and absolutely couldn't figure it out. After waiting for a long time, this guy didn't do palpation related to stomach pain for pregnant women?
Tan Kelin wanted to chop off this person's hand, and he wanted to chop off this person's hand, because this person's hand didn't know what it was doing, and he didn't even know what to do with the patient. It can be called a doctor's hand.
The patient's chief complaint was abdominal pain. Calling your obstetrics and gynecology department is precisely to check whether the pain is related to uterine pain. People from the general surgery department should touch it again, preferably from the department of obstetrics and gynecology. Everyone feels the same when touching it, and the diagnosis can basically be made. Even if the patient is pushed for B-ultrasound, the doctors in the general surgery department here can consider whether to perform the operation, and they need to call someone back for the operation.
"Is it pain in her uterus?" Sun Yubo asked her, seeing that she didn't seem to be doing other examinations, he immediately asked her about the examination results.
Of course, Shen Xifei couldn't be sure, so she had to say some data from the obstetrics examination: "The patient's abdominal circumference is 80.5 cm, and she is almost 16 weeks pregnant, which is within the normal value. The palace height is—"