Chapter 220
Zhou Yewu asked the nurse to quickly prepare to put an oxygen mask on Li Heiyun.
He began to check his body: "Uncle, I'll check his body!"
"Search the body... why do you check the body again?" Li Heiyun smiled bitterly. He still remembered the last time Chen Riyuan checked his groin.
Zhou Yewu also laughed. Li Heiyun was almost breathless and looked at him. He was so funny.
It's really a matter of putting life and death aside!
Zhou Yewu comforted Li Heiyun like coaxing a child, and then began to check his abdomen.
"Does it hurt here?" Zhou Yewu pressed his upper right abdomen and said, "This is where the liver and gallbladder are.
When Li Heiyun was pressed against the upper right abdomen by Zhou Yewu, he became even more painful, and his expression became slightly ferocious.
"It hurts." Li Heiyun shouted.
md, this is sour and refreshing, just like sprinkling salt on the wound!
"You press the wound with your hands, do you think it hurts or not? I've already been injured internally." Li Heiyun sucked high concentrations of oxygen and was still joking with breathlessness.
Zhou Yewu let go of his hand and thought to himself that there was a fart wound, but this internal injury...is somewhat possible.
Is there really something wrong with the gallbladder?
Moreover, the tenderness is quite obvious. What's wrong with this? It's still fine during the day.
Things come at night!
Zhou Yewu suddenly remembered the curse of the doctor on duty. Many patients were in peace during the day and became critically ill at night.
I heard at Tianfeng People's Hospital that a graduate student had just graduated and went on duty. The patients in one ward were very stable during the day, but at night, there were various accidents. Four died in one night. In the end, the graduate student had a psychological shadow and applied to be transferred to the Archives Department.
Night shift may be common for senior doctors, but for young doctors, it is simply a nightmare!
"Does it hurt?" Since I thought that it was a problem with the gallbladder, Zhou Yewu subconsciously made a Murphy sign.
His left palm was pressed against the lower part of Li Heiyun's right chest, which was almost at the bottom of the ribs, and then he pressed the abdominal wall at the junction between the outer edge of the right rectus abdomen muscle and the right rib arch with his left thumb.
"Take a deep breath." While he went to Murphy's election, he found that Li Heiyun was indeed positive for Murphy's election!
Is the gallbladder inflammation?
When doing Murphy's signs, touching the thumb pressed hard when the patient's gallbladder, which is inflammatory during inhalation, can cause pain. If the inhalation is stopped due to severe pain, it means that the patient's gallbladder may have problems!
It may be inflammation caused by gallbladder stones, or bile duct obstruction...
All the reasons are all involved in the liver and gallbladder issues.
"Uncle, your Murphy sign is positive, which means that your gallbladder has inflammation. The swollen gallbladder is close to the abdominal wall, and the inflammation affects the abdominal wall. At this time, if our hands press down at the gallbladder position, it will be surprisingly painful." Zhou Yewu explained, but Li Heiyun's previous liver and gallbladder ultrasound did not see gallbladder stones, and he was a little confused.
It took about three minutes to inhale oxygen, and Li Heiyun's symptoms of shortness of breath improved slightly.
It's true that oxygen inhalation works.
Zhou Yewu was thinking about the possibility of abdominal pain. At this time, Chen Riyuan, who had been talking to him, finally spoke.
"Do an electrocardiogram and then call the surgeon to come and consult for a while." He reminded.
Now Chen Riyuan is determined to cultivate Zhou Yewu, so many times he delegates power more often!
He handed over all the opportunities to deal with patients to Zhou Yewu. If he really had no chance, he would take care of them personally.
Zhou Yewu nodded, then ran to the doctor's office to make a doctor's order.
This electrocardiogram is nothing more than identifying myocardial infarction because the patient has abdominal pain, and myocardial infarction may also involve abdominal pain.
Because myocardial infarction is acute ischemia and hypoxia in the coronary artery of the heart, there are often severe and long-lasting poststernum pain in clinical practice. Since the heart is located behind the sternum and close to the xiphoid process, severe pain is easily mistaken for upper abdominal pain.
Then the nerve pain in the heart is medically an internal organ pain. Its characteristic is that it is inaccurately positioned and is very prone to radiation pain, which leads to pain in the abdomen, because there are nerves in the abdomen.
Zhou Yewu ran to his computer and quickly finished the instructions for the electrocardiogram and surgical consultation.
After giving the doctor's instructions, he quickly ran back to Li Heiyun's bedside.
He ran around and issued a doctor's order. He suddenly missed the time when he had a mobile computer at Tianfeng People's Hospital. He could do a doctor's order while checking the rounds, so he didn't have to run around!
"I have arranged an electrocardiogram for you. There is a surgeon coming to see you later. Please consult me, don't worry." Zhou Yewu looked at Li Heiyun's blood oxygen saturation and gradually became relaxed.
When Li Heiyun heard that a surgeon was coming, he was filled with panic: "Surgeon? Am I going to have surgery?"
Li Heiyun mistakenly thought that his abdominal pain would be needed for surgery, and his face turned white so scared.
My skin color has not become whiter for about a few decades than today.
The originally dark face turned pale because of fear...
What kind of surgery is done? It’s really wind or rain. Zhou Yewu pointed to Li Heiyun’s stomach and said, “I didn’t call me to have surgery. How can I do surgery in the ward? Even if I do surgery, I will go to the operating room. We are now doubting whether there is a possibility of gastrointestinal perforation, because gastrointestinal perforation will cause the blood oxygen saturation to drop like you.”
Regardless of the matter, it is always correct to ask a surgeon to come for consultation.
Zhou Yewu only called the doctor from the gastroenterology department for consultation.
Linping Hospital is a hospital that isolates New G, and it is also a doctor from various specialties in a comprehensive hospital. Otherwise, if you encounter problems in other specialties and cannot handle them, it will be over!
Li Heiyun nodded and said she knew, but looked at the ECG connected to him by the nurse, and her face turned ugly again.
"Is there any electricity in this line? It won't reach me or something, right?" he shouted, but he didn't dare to move around.
The nurse smiled.
Zhou Yewu patted his forehead. This uncle is really timid!
"The electrocardiogram ruled out the possibility of myocardial infarction, and any abdominal pain must be ruled out. This is the hospital's clear regulations."
Originally, Zhou Yego wanted to find a surgeon's consultation and then take an electrocardiogram.
Unexpectedly, the nurse took action with mercy! I was really moved...
After a while, the paper reading machine of the ECG machine was running, and with a dripping sound, the ECG report came out!
Zhou Yewu took the long electrocardiogram and studied it. There was no big problem, just the heart rate was faster, 123 times per minute.
"Uncle Chen, you can take a look." Zhou Yewu handed the electrocardiogram to Chen Riyuan and looked at it all.
The two people finally confirmed that it was not a heart-induced abdominal pain!
Chapter completed!