My Medical Skills Give Me Experience Points Chapter 1203: 475: Resolving a Patient’s Inner Knot with a S

Capítulo 1203: Chapter 475: Resolving a Patient’s Inner Knot with a Single Sentence, Taking on a Difficult Case (Part 2)

There is also a suspicion of putting others down to elevate oneself.

When handling dical staff relationships, doctors should remain as humble as possible. Because doctors have superior status, inco, and prospects compared to nurses, if the latter feel disrespected, it can severely impact their motivation.

Many dical tasks require close cooperation between doctors and nurses, highlighting the importance of nurses.

Patients and their families may look down on nurses and discriminate against the profession, but doctors absolutely must not.

Not only should they not discriminate against nurses, but they should also care for them in every way.

“Blood pressure is 115/79mmHg!”

Normal adult blood pressure ranges from a systolic pressure of 90mmHg to 140mmHg and a diastolic pressure of 60mmHg to 90mmHg. This patient’s blood pressure is normal.

Zhou Can breathed a slight sigh of relief.

Normal blood pressure generally rules out acute cardiovascular and cerebrovascular ergencies.

Chest pain, chest tightness, difficulty breathing, and coughing up blood are very dangerous symptoms.

“Are the blood pressures in both arms the sa?”

Zhou Can, out of caution, still wanted to conduct so preliminary simple checks to rule out aortic dissection, heart disease, and other high-risk factors.

“The blood pressure on both sides of the body is basically the sa!”

Nurse Luo’s ability is indeed excellent, as can be seen from these details.

Ordinary novice nurses often asure blood pressure on only one side. If the patient has a common illness, it naturally poses no problem. But when a patient has chest pain symptoms, experienced nurses will asure the blood pressure on both sides of the body.

Zhou Can felt the patient’s forehead temperature with his hand, normal.

Earlier, while performing a tenderness test on the patient, he had silently calculated the patient’s pulse and respiration.

The pulse was about 100 beats per minute, which might have a certain error, but not too large.

This indicates the patient’s heart rate is normal.

Once again, heart disease suspicion is ruled out.

The patient’s breathing was about 40 tis per minute.

In adults, the normal breathing rate in a quiet state is about 16-20 tis per minute. If it exceeds 24 tis per minute, it is considered rapid breathing. Clearly, this patient has a respiratory issue.

When Zhou Can observed the patient earlier, he did not find any obvious skin jaundice, bleeding, or swollen superficial lymph nodes; the patient had regular features, only slightly cyanotic lips.

This is very likely related to the patient’s breathing difficulty, but judging from the degree of cyanosis, hypoxia is not severe.

Seeing this, Zhou Can felt even more at ease.

This patient is not in imminent danger of death, and it’s basically ruled out that they will die if not imdiately resuscitated.

He further checked the patient’s pupils; both were equal, round, and responsive to light, further indicating the patient was in no imdiate life-threatening condition.

If the pupils were contracted, unresponsive to light, plus the symptom of chest pain, one would need to be particularly careful.

Such patients are at high risk of imminent death.

New trainee doctors encountering such patients should imdiately consult senior doctors for evaluation. However, with ordinary chest pain patients, senior doctors generally would not be complacent enough to leave them entirely to interns.

They usually first check, and if it’s determined not to be a high-risk fatal condition, only then is it handed to interns for training.

“Co, let look at your neck!”

Despite the patient’s cold deanor, showing no reaction to Zhou Can’s examination.

Zhou Can still tried his best to establish an initial trust relationship with the patient. Specific areas such as one’s neck, head, waist, armpits, and private parts naturally evoke rejection when touched by outsiders.

Couples with deep emotional connections would experience that, after growing closely attached to the boyfriend, the girlfriend enjoys the boyfriend’s caresses. Whether it’s hugging or touching the waist, common private parts, generally there would be no resistance.

But if touched on the buttocks, or hugged, or even just a pat on the shoulder by a stranger, she would be especially alert and possibly disgusted.

After examination, the patient’s neck was rather soft, without resistance, and there was no neck stiffness.

No jugular vein distention, the thyroid was normal with no enlargent.

Out of caution, Zhou Can also examined the patient’s cardiac region, finding no obvious precordial bulge and the cardiac boundary was not enlarged.

“Teacher Luo, may I borrow your stethoscope?”

“Here you go!”

Nurse Luo gladly handed the stethoscope to Zhou Can.

Upon receiving it, he focused on listening to the patient’s cardiac region; the rhythm was regular, the heart sounds were strong, and no murmurs were heard.

It seems there are no major heart problems.

This is strange. The patient has severe left chest pain; if not caused by heart disease, what could it be?

Linking it to the patient’s breathing difficulty and slightly cyanotic lips.

The symptoms appeared after the patient’s mother nagged a few tis, causing an outburst.

At this mont, Zhou Can began to seriously suspect a lung problem in the patient.

He palpated the patient’s abdon, finding it flat, soft, with no tenderness reaction, and no rebound tenderness. No hard masses or tumors were detected in the liver and spleen area, indicating no significant enlargent of the liver or spleen.

The patient’s limbs were examined, showing normal muscle strength and joint movent.

Originally, a physiological response test for the patient would be possible, but due to the patient’s lack of cooperation, Zhou Can tried to avoid provoking the patient.

“Doctor, how serious is my son’s illness?”

“Vomiting blood is certainly serious. Today’s young people are under a lot of pressure, so try to give your child more understanding in the future. During my diagnosis, I noticed that your son’s palms have thick calluses, which indicates he is not as idle and unprofessional as you perceive. On the contrary, he should be working particularly hard and tirelessly.”