Chapter 642: 【642】Consistent diagnosis

  Chapter 642 [642] Consistent diagnosis

   Shen Xifei's head dropped.

   Doctor Xin's gaze at her instantly became very stern: What are you doing? No wonder Puwai Er came to complain. You can't do such a simple inspection test?

   Didn't she say it? She didn't remember. And she saw it just now, obviously Xie Wanying didn't answer her classmate's question, she probably wouldn't do it like her. Why was Xie Wanying able to answer all of a sudden. Shen Xifei's lowered face bit her mouth.

   Well, appendicitis doesn’t belong to their obstetrics and gynecology department, maybe the students forgot, but what about prenatal palpation? After all, this pregnant woman has a stomachache. You try to feel the pain in the uterus, but what if you dare not report your diagnosis.

Dr. Xin was speechless at the inexplicable and completely unconfident silence of the student, so he had to re-palpate the patient himself, confirming that he felt more of the small limbs of the fetus, and said, "Is to consider multiple pregnancy. Does the pregnant woman know that she is carrying twins? It stands to reason that this gestational week should be the first b-ultrasound examination."

   When others heard this, Sun Yubo turned to his students: Xiao Xie, are you self-taught without a teacher? I can already touch the small limbs of the fetus without going to the obstetrics and gynecology department.

   "Mr. Sun, the teacher of our group embryo class is the director, and took our students to study in the obstetrics and gynecology clinic." Xie Wanying explained the reason.

   There is a group teacher who is different from the director. Originally, there would be no outpatient study courses in histology and embryology. But because a director was a teacher, he directly took the students in their class to the obstetrics and gynecology clinic for a walk, which helped them understand the embryology course.

  Li Qi'an remembered this. At that time, the teacher said that they could study on the spot, and no one dared to touch the pregnant woman. Only Xie Wanying dared in the class. Later, the boys in the class agreed that because she was a girl, she would not have as many scruples as the boys in obstetrics and gynecology, and she would touch the mother if she wanted to.

   Back to the current patient's problem, the main reason is that the patient is thin and has a large abdominal circumference, which made her a little worried about whether there is a problem with the uterus, so she had to touch it during the examination.

   "So you studied in our outpatient clinic." Dr. Xin appreciated her words very much. As long as you have studied, you can remember to be a good student.

   Seeing her teacher complimenting other students, Shen Xifei regretted it and knew she would not complain.

After consultation, the two doctors made a preliminary diagnosis of the patient. They judged that the patient had no symptoms of miscarriage for the time being, and could send a b-ultrasound examination. After the results came out, as long as there was no perforation of appendicitis, it is the best time to have appendicitis surgery while the patient is in the second trimester. Surgery should be done as soon as possible to avoid further increased risk. The application form for b-ultrasound examination has been issued, and the patient should be pushed for examination immediately.

  The doctor of general surgery talked to the patient's family.

  The patient's husband went out to work and was not in the local area, so he can't come back for the time being.

   Auntie Li said: "The day after tomorrow, her husband will come back. Her husband and my husband went to work together."

"In this case, the patient's surgical signature can only be signed by you." Sun Yubo pushed the family members to read the informed consent for the operation and explained, "She has to do this operation, do it quickly. Otherwise, if you wait for the perforation, it will be too late. Of course , there will be risks in the operation. In the event of a critical situation, we cannot guarantee whether the fetus can be saved, because the mother's life is the most important at this stage, and as a doctor, we need to do our best to protect the mother's health. Therefore, the doctor in the obstetrics and gynecology department will also be on standby.”

   (end of this chapter)