The ambulance stopped at the emergency door. A patient got out of the ambulance and got into a wheelchair in the hospital. It can be seen that the patient's condition is not serious.
Xie Wanying walked up to the patient and found that the patient's face was very familiar: By the way, it was the school beauty Li Yaxi that Li Qian mentioned.
Why do you have to be hospitalized again? And this time you didn’t go to the general surgery department, but you were transferred to the hepatobiliary surgery department?
"This is her medical record." The nurse who sent the patient gave the medical record to Xie Wanying.
After taking the medical record, Xie Wanying opened it and reviewed the attached examination report and the referral opinion written by the doctor.
The latest CT examination showed that there was something wrong with the patient's pancreas.
This result made Xie Wanying blink, remembering that she asked Li Qian to observe this patient more than two months ago. Perhaps she had the idea of asking Li Qian not to take too heavy a task when he started studying, but why not ask Li Qian to do it?
Observing other patients, this person was the one. It turned out that her intuition predicted that this patient's condition was serious.
Pancreatic cancer is called the king of cancers because it is so difficult to detect. When it is discovered, most patients are in the middle and late stages.
First of all, many clinical symptoms of pancreatic cancer are so confused with other diseases that they are difficult to identify.
Like this patient, he came to General Surgery No. 2 for examination before and suspected a gastroduodenal problem. Upper gastrointestinal symptoms may be one of the early symptoms of pancreatic cancer. But most doctors will not first suspect the pancreas. This is because
Patients with pancreatic cancer are much rarer than patients with other digestive tract tumors. The most common age group is men in their forties, and Li Yaxi does not meet these conditions at all.
When the patient was hospitalized, the doctor was not irresponsible and gave the patient a full body examination to rule out other causes.
Li Yaxi had a routine B-ultrasound of the liver, gallbladder and pancreas. Unlike the liver and gallbladder, the positive detection rate of early pancreatic cancer by B-ultrasound is extremely low. There are often patients who had a B-ultrasound three months ago and everything was normal, and three
A further check after a few months revealed that the pancreatic tumor was fatal.
Should I do a CT? Sorry, it is also difficult to detect early-stage pancreatic cancer with a routine CT. It requires a multi-layer thin-section enhanced CT scan. If there is no particularly experienced imaging doctor to do this examination for the patient, it will not be able to detect it.
of.
Therefore, even if a patient is diagnosed with pancreatic tumor now, someone must have given advice because it is not at an advanced stage yet.
When the nurse who handed over the patient was about to leave, she gently squeezed Xie Wanying's arm and gave her a look.
Xie Wanying said she received a reminder: The patient does not know what the disease is for the time being.
If a young, college student is informed that he has a fatal cancer, the shock will be like the earth shattering, completely destroying the patient's spirit.
After folding the medical record, Xie Wanying stuffed it into the pocket of her white coat and compacted it with a stethoscope to prevent it from accidentally falling out and being seen by the patient.
The emergency nurse here helped bring an oxygen bag and connected the oxygen tube so that the patient could continue to breathe oxygen on the way to the inpatient department.
Li Yaxi, who is sitting in a wheelchair, is obviously much thinner than she was two months ago. It is written in the medical record that it was precisely because of this unknown weight loss that she went for a check-up again. It was probably not found out at first, and I don’t know what happened.
Some expert instructed her to do a CT scan, and she was found out.
Other than that, the patient is in good spirits, no different from two months ago. He may think that he is coming to the hospital again for a quick checkup, but his attitude is still a bit high.