I really don't want to be a doctor

Chapter 164 Another Myocardial Infarction?

"Junior brother, I really didn't expect you to like sister nurse?"

Li Wenlin wrinkled Xiao Qiong's nose, her eyes glanced at the nurses at the central nurse station, and then settled on a young and beautiful little nurse.

"Do you like someone like Guan Xin?" Li Wenlin said, "Beautiful, good figure, and gentle, can arouse your boys' desire to protect?"

Jing Xiaoran was stunned for a moment, and the figure of little nurse Guan Xin appeared in his mind. Just as he was about to speak, he heard the bell of "ding ding" coming from the door of the intensive care unit.

"Here comes the patient! From the 120 emergency department!"

The door of the intensive care unit of the Cardiology Department was pushed open a crack, and the security uncle poked his head out of the crack, and then shouted loudly towards the intensive care unit.

"Senior sister, is it our turn to admit patients?"

Jing Xiaoran looked up at the wall of the doctor's office, there was a list of admitted patients posted on it, the next one was Zhu Zhu's turn.

"Well, let's go, let's pick up the patient."

Li Wenlin nodded slightly, then picked up the stethoscope on the table, quickly stood up and walked towards the door of the intensive care unit.

Jing Xiaoran followed closely behind, secretly glad that he did not continue this topic.

At the gate of the intensive care unit, the entourage of the 120 ambulance pushed in a flat car.

A middle-aged woman about 50 years old was lying on the flat car. The clothes on her body were a little faded, and she occasionally groaned in pain.

Standing beside the flat car was a 30-year-old woman with a flustered expression and a black bag in her hand.

At this time, Zhu Zhu and Teacher Cao had already rushed over from other wards.

"Doctor, we performed an electrocardiogram on the patient in the ambulance, and the results showed ST-segment elevation in leads II, III, and avF. We highly suspected that she had acute inferior wall myocardial infarction, and the symptoms were very consistent, so we immediately Sent to the cardiac intensive care unit." An entourage in an ambulance said.

In the 120 ambulance, once a patient with acute myocardial infarction is considered, he will be sent directly to the intensive care unit of the cardiology department, saving the step of going to the emergency department first.

Zhu Zhu nodded slightly.

However, it is obviously not sufficient to judge myocardial infarction based on an electrocardiogram alone.

She turned to the female family members beside the flat car and said, "Who are you to the patient?"

"I'm her daughter." The female family member hurriedly said, and then handed Zhu Zhu a black bag in her hand, "My mother was admitted to the local hospital a week ago. These are some medical records at that time. I don't know if they are useful..."

Zhu Zhu took the information bag without any hassle.

There is only a chest CT image in it, and a few payment receipts.

"The patient had been in the local hospital a week ago, so why didn't I see some of the inspection and test sheets at that time? There is only one chest CT film in this bag."

"Doctor, it's like this. We haven't had time to go through the discharge procedures at the district hospital, and we can't copy the medical records for the time being." The female family member explained, "If you definitely need these test results, I will ask my relatives to go to that hospital to check the results of the hospitalization. The results were photographed."

"Forget it." Zhu Zhu shook his head, handed the information bag to Teacher Cao, and then turned to look at Jing Xiaoran, "Xiao Jing, give the patient a review of an electrocardiogram first."

"Ok."

Jing Xiaoran had already brought an electrocardiogram machine, and began to do 18-lead electrocardiograms for patients together with Li Wenlin.

When Jing Xiaoran approached the female patient, he found a strange stench emanating from the patient's body, like the smell of feet mixed with the smell of sweat.

"Senior Sister, I will do the electrocardiogram." Jing Xiaoran said, "You can ask the patient's medical history."

Even Jing Xiaoran couldn't stand the smell, let alone Li Wenlin, a girl.

Li Wenlin just wrinkled her nose slightly, and immediately picked up the electrodes of the electrocardiogram, "Two people are faster, and an 18-lead electrocardiogram is going to be done, it's not easy for you to do it alone."

For the 18-lead ECG, the patient needs to lie on his side. Most patients cannot complete this position due to their illness, so two people are usually required to complete it together.

"it is good."

Seeing this, Jing Xiaoran didn't even notice, and quickly began to connect various leads on the patient.

……

"Doctor, what is my mother's disease? Why is it suddenly like this? She was in good health before, and she can do farm work by herself at home."

Seeing that her mother had been connected to an electrocardiogram lead, the female family member asked.

"For the time being, it is very likely to be a myocardial infarction, but some other diseases cannot be ruled out." Zhu Zhu frowned, "What is the main symptom of the patient this time?"

"No, it's nothing, it's just that I suddenly felt uncomfortable in my chest this morning."

The female family member said with some uncertainty.

"Did the patient complain of chest pain, or a feeling of tightness in the chest?"

Zhu Zhu continued.

When the female family member heard the words, she did not answer immediately, but leaned over to the patient and asked, "Mom, the doctor asked if you felt any chest pain or tightness."

The patient nodded slowly, still touching his chest with one hand, "It hurts here."

"When did it start to hurt?" Zhu Zhu asked again.

"It should have started a week ago." The female family member said, "At that time, besides chest discomfort, my mother also had some symptoms of fever and cough, so she went to the local hospital to take an X-ray, and then hung up the water for two days and she was fine."

Zhu Zhu murmured, and said, "Did you have any pain in your chest during this week?"

"My mother said that it still hurts occasionally, but intermittently, and it's not very serious, so I just took it over."

"Then what happened at home today?" Zhu Zhu said, "What was your mother doing at that time?"

"Today, my mother was knitting a sweater in her own room. She suddenly felt unwell and collapsed and sat on the ground. Fortunately, she didn't hit anything."

……

Jing Xiaoran and Li Wenlin had finished the patient's electrocardiogram, and the result was still ST-segment elevation in leads II, III, and avF, which was no different from before.

Following everyone's consultation, Jing Xiaoran gradually gained a preliminary understanding of the patient's condition.

"Female patient, 52 years old, had no obvious cause of chest pain symptoms a week ago, accompanied by fever, cough, and expectoration. The patient was treated in a community hospital at that time. The white blood cell count increased. Chest CT showed no obvious abnormalities. After anti-inflammatory treatment , Symptoms relieved and discharged."

"One hour before admission this time, I went to see a doctor because of sudden severe and persistent upper abdominal pain. The pain had no radiation and was severe and unbearable. It aggravated when lying down and had nothing to do with breathing exercise."

"He had a history of hypertension for more than 10 years, with a maximum blood pressure of 180/100mmHg. He did not take antihypertensive drugs regularly, and his blood pressure control was poor. He previously denied coronary heart disease, diabetes, smoking history, and drinking history."

"The electrocardiogram of the patient on the 120 ambulance: ST-segment elevation in leads II, III, and avF."

"A week ago, the chest CT showed that the lung markings increased, but no abnormalities were found."

……

Judging from the current evidence, this female patient has a high probability of acute myocardial infarction.

But Jing Xiaoran always felt that something was wrong, did he overlook something?
(End of this chapter)