Ma Xianyi thought about it.

He looked at Zhou Yewu and slowly said: "The past history is relatively simple. He has had hypertension for 20 years and diabetes for 15 years."

Zhou Yewu also said "yes".

The patient's past history refers to the serious illness he had suffered.

If it is just simple hypertension and diabetes, it is relatively simple.

I hope the patient will not hide his medical history!

Thinking of Li Sifeng's family history of concealing his tuberculosis, Zhou Yewu is still a little scared now.

If every patient is so uncooperative, it will be even more difficult to give the already difficult clinical diagnosis...

Being a doctor is difficult.

It is even more difficult to be a doctor who is not deceived by patients!

Zhou Yewu was used to asking about major medical records, and then asked again, "Then is there anything special about the family history of this old man?"

Ma Xianyi shook his head and said, "I said it was nothing special when I asked him. I haven't seen his direct family yet. The one I sent him to was the nanny at home."

Can you afford a nanny?

It seems like a rich man.

No wonder I can afford a non-invasive ventilator.

Now the slightly new version of Yuyue Brand on the market starts at 10,000 yuan.

"bite--"

During the chat, the elevator had already gone from the 14th floor to the 18th floor. In just 2 minutes, Zhou Yewu had become quite interested in this new patient.

"The ward of our geriatric department is ahead." Ma Xianyi started to lead the way like a tour guide in front.

Looking around, it's really empty!

No wonder patients were stuffed into emergency room...

Even Zhou Yewu couldn't stand it.

Ma Xianyi seemed to be a roundworm in Zhou Yewu's belly, and he could see through what he was thinking at first glance.

"I laughed at it. The elderly ward has just been established for two weeks. There are only me and our department director in the ward. There is really no one under my command, so I dare not accept patients for the time being." Ma Xianyi explained.

I see!

Zhou Yewu instantly understood something. This is a department that is so unpopular that it is "desolate"!

Just like the ancient wild border, Ma Xianyi must be the one who was exiled to the frontier!

There is an unwritten rule in public hospitals, that is, doctors with low seniors will be assigned to meet the operations of various departments, and seniors like Ma Xianyi will definitely be the first choice for dispensation!

Soon, Zhou Yewu pushed a non-invasive ventilator and arrived at the ward where the elderly with COPD were located.

When the old man saw Ma Xianyi and Zhou Yewu coming, he gasped heavily, and his breathing seemed to be extremely irregular and rapid.

The tip of the nose stopped and seemed to be almost unable to breathe!

"How much oxygen saturation is there? I think he is cyanotic." Zhou Yewu said to the patient's blue and purple lips.

This shows that the patient is really hypoxia!

Cyanosis refers to a manifestation of increased deoxygenated hemoglobin in the blood that causes the skin and mucous membrane to appear blue-purple, and can also be called cyanosis!

This change often occurs in areas where patients with dyspnea have thinner skin, less pigmentation and richer capillaries, such as lips, nails, etc.

Zhou Yewu knew that the patient was very dangerous and might have hypoxia at any time, so he quickly pushed the ventilator to the patient's bedside!

At this time, you should be faster.

"Is there any pulse meter?" Zhou Yewu looked at Ma Xianyi.

Ma Xianyi shook his head.

Zhou Yewu said in his heart: "Damn... this doctor is really brave!"

The patient has type II respiratory failure and is not yet equipped with a special care and life monitor.

Is this the real dead pig not afraid of boiling water?

The hotter you are, the more wet you are?

Ma Xianyi didn't even think about getting up to adjust the ventilator, so he stood there.

It seems that I am waiting for Zhou Yewu...

Really!

well.

It's hard to describe in one word.

Zhou Yewu sighed. Fortunately, he had seen Chen Riyuan adjust parameters several times in the ward. Then he learned from the nurse before leaving and could adjust the ventilator, otherwise it would be difficult to get started.

Tianfeng People's Hospital is a city's Grade A hospital, so how can one encounter more and more pitfalls?

Have I encountered all the most tricky doctors in the hospital?

Zhou Yewu was so scared that he was almost urinating. As the progress was progressing, he was a little worried that his doctoral career would be ruined in this hospital before it even began.

After Zhou Yewu skillfully adjusted his non-invasive breathing, he put his mask on the old man.

The ventilator is running normally.

Start working.

Oxygen quickly enters the mask from the official cavity.

"You go and find a finger pulse oxygen for me, and I'll take a look at this patient." Zhou Yewu said softly to Ma Xianyi.

Since I am here for consultation, of course I have to cooperate with the consultation doctor’s request!

Without saying a word, Ma Xianyi rushed out of the ward and ran towards the nurse's table.

Zhou Yewu looked at the old man's tired face and thought that in order to clarify his condition, he should have a physical examination.

"Chronic disease, no obvious abnormalities in the eyelid conjunctiva, barrel-shaped chest..."

Zhou Yewu quickly checked his body.

From ordinary physical examinations to specialist physical examinations, there are basically no major abnormalities.

How come there are no clues?

He had a little doubt, but after only a moment he continued to start auscultation.

Ma Xianyi also came back with his finger pulse oxygen. When he saw Zhou Yewu being auscultated, he did not dare to make a sound. He put his finger pulse oxygen on the fingertips of the ward and waited aside.

"The patient's breathing sounds are relatively thick, and a small amount of dry and wet rales can be heard in the lower right lung. The heart rhythm is uniform, and there is no obvious pathological noise. There seems to be no major problem." Zhou Yewu put away the stethoscope and looked at Ma Xianyi and preached.

Ma Xianyi agreed and said, "The condition is basically stable. The physical examinations I checked the rounds several times, and there was no big change, but the symptoms of dyspnea are always there."

The patient seemed more and more special, which made Zhou Yewu's curiosity suddenly come!

At this time, there was no worry and fear of replacing Xu Lu's consultation. Instead, I wanted to continue studying the patient's condition in person.

Zhou Yewu and Ma Xianyi faced each other, and both of them looked very serious.

Everyone is feeling difficult about this condition!

Thinking of what he had missed, Zhou Yewu suddenly asked: "Have you read the patient's examination report for the past two years?"

This question made Ma Xianyi a little confused.

He handled it too hasty and forgot to check out the patient's past medical records in person!

Zhou Yewu then walked to the doctor's office, chose a computer casually and sat down.

Since almost all hospitals in Tianfeng City have used an electronic network system in combination, medical records can be inter-regulated, and medical records within 3 years can be seen in the system!

This policy of the Health Bureau has indeed improved the diagnosis of medical treatment a lot!

Zhou Yewu quickly and quickly read the information in the patient medical community system.

There was no obvious abnormality in the patient's chest CT increase in October last year.

I had a cystoscopy three years ago, and the results showed that "the urethra was narrow, there was no obvious tumor in the bladder wall, and some of the visual field was unclear."

The craniocerebral MRI shows that there are old lacunar foci in the left brain and changes in the atrophy of the brain in the elderly.

The cardiac hypertension showed an ejaculation fraction of 52%, no mitral and tricuspid regurgitation, and no mitral and tricuspid closure.

Then there were no abnormalities in various liver and abdominal ultrasounds...

This seems to be a very simple patient. How could he suddenly experience breathing difficulties? What is the cause?
Chapter completed!