Dr. Xin's eyes at her suddenly became very stern: What are you doing? Don't blame me for coming to complain. You can't do such a simple examination and test?
Didn't she say it? She didn't remember it. And she just saw it. It was obvious that Xie Wanying didn't answer the classmate's question. She probably didn't know how to do it just like her. Why was Xie Wanying suddenly able to answer it? Shen Xifei bit her lowered face fiercely. Shut up.
Okay, even if appendicitis is not a disease that their obstetrics and gynecology department sees, the students may have forgotten it, but what about prenatal palpation? After all, this pregnant woman has a stomachache. You can try to feel it to see if it is pain in the uterus. What's wrong with being afraid to report your diagnosis?
Dr. Xin was speechless at the student's inexplicable and completely unconfident silence, so he had to palpate the patient again. He was sure that he felt more of the fetus's small limbs, and said: "We need to consider multiple pregnancy. Do pregnant women know that they are pregnant with twins? ? Logically speaking, at this gestation week, you should have had your first B-ultrasound examination."
When others heard this, Sun Yubo turned to his student: Xiao Xie, are you self-taught? You can already touch the small limbs of the fetus without going to the obstetrics and gynecology department.
"Teacher Sun, our embryology teacher is the director, and he took our students to the obstetrics clinic to study." Xie Wanying said the reason.
It is different to have a histology class teacher who is the director. Originally, the histology embryology department would not have outpatient study courses. But because there is a director as a teacher, they directly took their class of students to go to the obstetrics clinic, which was helpful. Lessons on their understanding of embryology.
Li Qian remembered this. At that time, the teacher said that we could study on the spot, and no one dared to go up and touch a pregnant woman. Only Xie Wanying in the class dared. Later, the boys in the class agreed that because she was a girl, she was not good at obstetrics and gynecology. Boys are not as scrupulous as they are, and mothers can touch them whenever they want.
Back to the problem of the current patient, the main reason was that the patient was thin and had a large abdominal circumference, which made her a little worried about whether there was a problem with the uterus, so she had to touch it during the examination.
"So you studied in our clinic." Dr. Xin was very impressed when he heard what she said. As long as you study and remember, you are a good student.
Seeing her teacher praising other students, Shen Xifei regretted it. She had known better not to complain.
After discussion, the two doctors made a preliminary diagnosis of the patient. It was judged that the patient had no symptoms of miscarriage for the time being and could be sent for B-ultrasound examination. Once the results came out, as long as it was appendicitis without perforation, the best time to have appendicitis surgery was now in the second trimester of pregnancy. The operation should be performed as soon as possible to avoid further increase in risks. Once the application form for B-ultrasound examination is issued, the patient should be referred for examination immediately.
The doctor from the general surgery department talked with the patient's family.
The patient's husband went out to work and was not in the local area and could not come back for the time being.
Aunt Li said: "Her husband will come back the day after tomorrow. Her husband and my husband went to work in other places together."
"In this case, the patient's surgery signature can only be signed by you." Sun Yubo pushed the family to read the informed consent form for the surgery and explained, "She must do this surgery, so do it quickly. Otherwise, if you wait for the perforation, everything will be late. Of course. , there are risks during the operation. Once a critical situation occurs, we cannot guarantee whether the fetus can be saved, because the life of the mother is the most important at this stage, and as doctors we need to do our best to protect the health of the mother first. Therefore, doctors in the obstetrics and gynecology department Will also be on standby."
