The reason for the misdiagnosis at the grassroots level is probably that Xie Wanying looked at the belly of the pregnant woman. Perhaps most doctors are not gynecologists, and they are afraid that casual palpation of the belly of a pregnant woman will cause harm to the fetus. The grassroots clinic may only have an X-ray machine but no b
Under normal circumstances, doctors are afraid of using X-ray machines to cause harm to the fetus, so they fail to perform relevant examinations on patients and cannot make accurate judgments.
Doctors know a lot, so they worry a lot. People don't understand much, and they just ask why they didn't see it.
"Yingying, how are you?" Sensing that something was wrong with her expression, Wu Lixuan pulled her cuffs and asked in a low voice, "Do I have to be hospitalized?"
Hospitalization is necessary, and it must be done immediately!
Xie Wanying took out her mobile phone and called Teacher Sun to discuss it first.
"Aren't you off work?" Sun Yubo was surprised when he received her call, thinking that all the students had left.
"Teacher Sun, there is a patient who is four months pregnant. I initially suspected that she had acute appendicitis, and she has been delayed in treatment at the grassroots outpatient clinic for almost a week. The situation is quite serious. I want to discuss with the teacher, won't she be discharged from the hospital tomorrow in bed 7?
Can you take her in tonight?" The situation was urgent, so Xie Wanying explained the situation directly to the teacher.
Sun Yubo asked her to wait: "I can't decide on the bed. It needs to be decided by Teacher Tan. Teacher Tan went to a meeting this afternoon and happened to be there. I'll ask him."
As he said that, Tan Kelin received the message and asked the key point: "Pregnant woman, acute appendicitis?"
"Yes!" Sun Yubo was shocked that his student was about to admit a terrible case. Pregnancy complicated by acute appendicitis is rare. He must ask the student: "How are you sure she has appendicitis?"
"I performed the Bryan and Alder tests on her right side and left side respectively. It was obvious that the abdominal pain worsened when she was lying on her right side, and the appendix point was also aggravated when she was lying on her left side. Furthermore, she started to have symptoms that were said to be gastric.
It hurt, and then it turned into stomach pain, which was typically transferred to the right lower quadrant.”
The student's clear description came from the phone, and the teachers listening here raised their eyebrows.
They didn't teach students this. Because it was a rare case, Xie Wanying had just been in clinical practice for three months, so the chance of seeing a rare case was a lottery win. For cases that had not been encountered, the clinical teachers did not expect to teach them.
It can only be said that what this student learned is quite solid and comprehensive, and he can associate it quickly. Even if this kind of case textbook is mentioned, it must be a knowledge point hidden in the corner.
It is true that patients with pregnancy complicated by acute appendicitis are helpless in primary hospitals and must be transferred to tertiary hospitals. Sun Yubo asked: "Where is the patient now? At home?"
"She came to our hospital's emergency department but couldn't be admitted," Xie Wanying said. "Maybe our hospital's emergency room was full and we couldn't admit her. She took antipyretics and had an injection at the grassroots outpatient clinic, but the grassroots hospital didn't diagnose her with appendicitis.
The anti-inflammatory shot may not have been strong enough. Now, it's clear that her condition has worsened again."
Hearing that this was the case, Tan Kelin said without further ado: "Stop it!"
Sun Yubo ran out and asked the nurse to quickly prepare an extra bed.
Fortunately, Teacher Tan was here and was willing to accept it. Xie Wanying breathed a sigh of relief, seeing that the patient could not move around and needed a lathe. If she went back to the general surgery department to go up and down the cart, it would be faster to borrow a lathe from the department on the ninth floor to transport the patient.