To evaluate vision, you need the cooperation of an ophthalmologist, which can be done by non-neurosurgeons. This is called specialization in surgery.
If you are really worried about a skull fracture, you can take an X-ray first to confirm the general situation, and then do a CT examination if necessary. Therefore, if the doctor had considered this neurological damage at the first time, he should have ordered an X-ray.
Check it out instead of arguing with Dr. Wang on the phone about waiting in line for CT scan.
CT is not like MRI. The time it takes for each patient to be scanned is relatively fast. The slower time is the time it takes for the doctor to read the film. The imaging doctors who are on duty at night in tertiary hospitals are actually very experienced. If there are many patients crowded together, give
You should scan everything first and then read the films, so as to avoid complaints from patients and family members waiting in line.
To sum up, what does this doctor really want?
The doctor is considering whether to call an ophthalmologist.
Eye trauma is very special, let alone diagnosis. If there is an eye trauma wound, eye trauma suturing is an independent specialist skill in ophthalmology and requires in-depth learning. If the suturing is not done correctly, it will directly affect the patient's vision and turn it into a complete disease.
Vision impairment.
When Dr. Guan told the nurse that any surgeon could sew the wound, he was just playing the piano. Now that he thinks about it, Dr. Guan realizes that his words were ill-considered.
There are no obvious exposed wounds on the patient's eyes. His vision must be a little damaged, after all, there are bruises. It's almost as good as asking an ophthalmologist to come down and measure the vision of the injured person. Other more detailed examinations probably can't be done at night.
It is better to let the injured person stay under observation in the hospital overnight. If nothing happens, call the ophthalmology professor during the day. The quality of the doctors on duty at night is never very good.
After all, the injured person will be lying in the emergency room and unable to be admitted to the inpatient unit.
Does the ophthalmology department accept patients? This is because the National Association of Ophthalmology Department is not well-known. It is a very small department with very few beds.
Do you think that's just the way it is?
Classmate Xie Wanying said again: "Teacher, this patient needs an electrocardiogram as soon as possible."
"What?" Doctor Guan was startled and asked.
The person from the cardiothoracic surgery department said they had just checked and determined that the injured person’s heart was fine.
Mi Wenlin, Mi Siran, and the junior fellow apprentices all looked uniformly at Xie Wanying who was speaking. There was quite a bit of dissatisfaction in their eyes, and they suspected that senior Xie was just trying to find trouble with them.
"Does your chest hurt?" Xie Wanying lowered her head and asked the injured person again.
"Yes - it hurts -" the injured man's weak voice came out of his mouth.
Doctor Guan sensed something was wrong this time, approached the injured person and asked, "Where do you feel pain? Isn't it your head?"
"Here - it hurts." The patient tried to lift his hand.
Everyone could see clearly that the injured man's hand was trying to point to his chest.
"Impossible." Mi Wenlin and Mi Siran said flatly. They lifted up the injured man's shirt and pointed, "There is no wound, no pneumothorax, no bleeding. There is no murmur in the heart, and the heart rate is within the normal range. He may be
The ribs are a little hurt and a little painful. Otherwise, take a chest X-ray."
If the ribs are really injured, generally speaking, there will be some bruises on the skin. Now this patient said that his chest hurt so much that he could hardly speak. If it was a chest trauma, it would be impossible to say that there were no skin manifestations.
As for whether this junior fellow student can really hear the heart murmur, Zhang Desheng, the senior fellow apprentices at the scene, have to question it. If the heart murmur is obvious, it is easy to hear it.