Xie Wanying thought about it: The doctor would be very embarrassed in such a situation.
I glanced out of the corner of my eye to see what Teacher Tan would decide.
She glanced at the teacher and seemed to accidentally catch the teacher's peripheral vision staring back at her.
The teacher's look made her suddenly feel a little guilty.
"Lie on the examination bed." Tan Kelin covered the medical record page with his fingers and said to the patient.
Following the order, Xie Wanying opened the white curtain beside the examination bed.
The two sons helped the old lady lie down on the examination bed.
"You check her first." Tan Kelin ordered the student.
After receiving the teacher's instructions, Xie Wanying turned around and came to the examination bed, took out the stethoscope from her pocket, and first placed it on the patient's heart, lungs and abdomen to listen. After listening, she put on gloves for palpation.
Since the patient had undergone relevant examinations in other hospitals, the main purpose was to touch the diseased parts to save time.
First palpate superficially, put your right hands together and spread them flat, and use your fingertips to gently touch the affected side of the patient. This is the left colon area. Since the intestinal cavity of the left colon is narrow, tumors can easily cause acute and chronic intestinal obstruction, which is consistent with this
Characteristics of the condition of an elderly patient.
Elderly patients, when they were young, they had nothing to eat during the famine years. When they are old, the economy has improved, and their children have become filial, they eat much more high-fat foods than before. The elderly did not keep their mouth shut, and the children did not study medicine and did not understand, so they only thought they were for the elderly.
Many people are filial, but they don’t know that high fat is one of the main risk factors for left colon cancer.
When I discovered that the old man was losing weight the more he ate, had difficulty defecating, and even vomited, then he realized something was wrong and rushed to the hospital. After a checkup, he found that he was in the middle to late stage.
This kind of thing is common in clinical practice, and family members do bad things with good intentions. It shows that national health education is completely inconsistent with the ever-developing economic and living conditions.
Xie Wanying's fingertips searched for masses in the patient's abdominal cavity.
This tumor is not small despite the CT scan taken in other hospitals, but the left colon tumor itself is difficult to feel. The old lady is thin but her abdomen is not thin and bulges when she lies flat. It is not easy to feel the deep tumor in this patient's body.
If superficial palpation fails, change to deep palpation. Put the two, three, and four fingers of your right hand together, and press the tip deep into the patient's abdomen. Finally, you can feel a mass, which is very deep. Gently slide your fingers up and down on the left and right sides of the mass, and feel
The situation around the mass.
The position was too deep. Xie Wanying thought: No wonder the patient was misdiagnosed several times in a small hospital near her home when seeking medical treatment. The doctor thought it was just a common gastrointestinal problem and did not ask the patient to continue the examination. The patient even vomited, and at one time the emergency doctor at a second-grade hospital thought it was gastritis.
It wasn't until he developed an intestinal obstruction that he realized something serious was going on and was transferred to a tertiary hospital.
Speaking of this, the patient's two sons said helplessly: "I don't know how the doctor looked at the disease before. If he had known it was a tumor, he would have hired someone to perform surgery immediately. As a result, he was delayed for more than half a year."
Half a year is a big deal, and early-stage tumors and mid- and late-stage tumors cannot be generalized at all.
Because of this experience and word of mouth, people now like to go to the top three restaurants.
Some diseases are easy to be misdiagnosed in clinical practice, such as the old lady. The doctor asked the patient to do too many examinations, and was scolded by the patient. An elderly patient like this had a stomachache and vomiting and called for a gastrointestinal endoscopy. The old lady thought that
It's scary to have a tube inserted in your mouth and anus, so I probably won't accept it.
People don't understand and think it's because the doctors are not good enough. In fact, doctors have already said that instead of waiting for treatment before getting sick, it is better to go for regular physical examinations. All diseases can be detected early. Early detection and early treatment will make everyone happy.
