My Medical Skills Give Me Experience Points Chapter 1245: 491: Unexplained High Fever Reaction and Multi

Capítulo 1245: Chapter 491: Unexplained High Fever Reaction and Multifocal Hemorrhage

After performing an ergency endoscopy on the patient, the situation was quite dire.

The patient’s entire gastric mucosa appeared pale, indicating the presence of gastritis, and the condition was very severe.

This situation arises when there is erosion, ulcers, or inflammatory edema exudation on the gastric mucosa surface.

No wonder the patient’s physique appeared emaciated; the patient’s father ntioned that the child spends all day playing gas, hanging out, and hardly eats at ho. With such severe gastritis, symptoms like nausea, vomiting, indigestion, acid reflux, and heartburn are inevitable.

In such a situation, how could the patient possibly ingest food?

However, the formation of gastritis is often due to irregular eating habits. Skipping als, overindulging, drinking on an empty stomach, or eating spicy and barbecued food, among other things.

In general, gastritis is mostly self-inflicted.

People don’t cherish their health until it’s too late.

Eventually, the most stressed organ can’t cope and starts malfunctioning. It’s at this point that one gets ill.

The endoscopy showed old linear mucosal bleeding lesions on the posterior wall of the gastric fundus, superficial erosions on the greater curvature and gastric folds, with fluffy secretions and recent bleeding spots attached to the surface.

The antrum and duodenal bulb were normal.

A rapid urease test was perford on the patient, resulting in negative.

By this step, the cause was basically clear.

It’s gastric bleeding.

After discussing with Zhou Can, Ali decided to first treat with blood transfusion and intravenous infusion of hemostatic drugs.

Almost all responsible doctors prioritize dication treatnt when curing diseases. Only if dication treatnt is ineffective will they consider surgical treatnt.

Because any surgery will cause harm to the patient’s body.

“Dr. Zhou, do you think using Batroxobin as a hemostatic drug is okay?”

“Using just one, it’s a bit too thin. Let’s add tranexamic acid as well!”

Zhou Can replied.

Batroxobin is an imdiate hemostatic drug, commonly used for this kind of urgent internal bleeding. Tranexamic acid has a long-lasting and potent hemostatic effect. It is a drug that inhibits the fibrinolytic system, mainly used for surgical bleeding due to hyperfibrinolysis and gynecological surgical bleeding.

Additionally, it has a powerful ability to cross the blood-brain barrier, so it is often used to stop bleeding in central nervous system bleeding.

After dealing with this patient, Zhou Can quickly went into the operating room.

He instructed Ali that if the above treatnt thods were ineffective, they would have to discuss a new treatnt plan.

…

A little after noon, Zhou Can finished the surgery and went to the canteen with team mbers to eat.

Just past the triage desk, Dr. Ali called out to him.

“Dr. Zhou, are you just out of surgery?”

“Yes! There were quite a few ergency surgeries today, so I got out a bit late.”

So surgeries need to be dealt with promptly, without delay.

Such as stopping bleeding and suturing for traumatic wounds.

And there’s finger replantation.

The Ergency Departnt rarely handled finger replantation surgery in the past because this type of surgery requires extrely high technical skills. Only Dr. Xu could complete it. Additionally, the surgery ti is quite long.

If an ergency patient in need of surgery arrives when Dr. Xu is performing finger replantation surgery, there would be a shortage of manpower.

Ergency surgeries, especially wound suturing, dog bites, falls, and other ergency trauma treatnt, need to be well managed by the Ergency Departnt. If patients of this type are pushed to specialized departnts, they will be scolded.

A few years ago, Director Xie got into a conflict with Vice Director Ye because the Ergency Departnt perford several surgeries.

Actually, Tu Ya never lacks sources of minor surgery patients.

For this well-known top-tier hospital with certain prestige within the province and a reputation in the country, the annual outpatient and ergency volu has been rising at an astonishing rate.

All departnts can get ‘well-fed,’ and many specialized departnts even experience ‘indigestion’ due to an overflow of patients, forcing them to refuse so mild patients.

Therefore, specialized departnts have a very contradictory need right now: the fewer simple minor patients, the better; the more patients with moderate difficulty and above, the better.

For departnt revenue creation, severe patients and those with high treatnt difficulty are prioritized.

Because this kind of patient can ensure the departnt’s bed capacity runs at full load to the greatest extent.

If the Ergency Departnt pushes patients who can be treated with simple procedures to specialized departnts, they are sure to get reprimanded. In the end, it’s all about interests.

Now the Ergency Departnt operating room is already flourishing, with a regular operating room, a class 100 operating suite, and an endoscopic surgery room under construction.

The surgical team has expanded from just a few mbers to twenty-five or twenty-six.

Including more than a dozen surgeons and a dozen surgical nurses.

Now, even if either Zhou Can or Dr. Xu takes a vacation, there’s no problem with ergency operations running smoothly.

“Dr. Zhou, could you please help take another look at the patient with upper gastrointestinal bleeding? After a 1000ml blood transfusion, the patient has slightly improved, but the bleeding hasn’t stopped and now there’s a high fever, with the temperature rising to 39.4 degrees.”

Ali sowhat embarrassedly requested Zhou Can.

She, a nearly fifty-year-old attending physician, has sought help from a twenty-sothing Resident Doctor nurous tis.

In other words, she has long been accustod to it.

“I’ll go check on the patient with you!”

Zhou Can prioritized the patient above all.

“Dr. Zhou, should I prepare your al while you go look at the patient?” Qiao Yu quietly took care of Zhou Can in daily life.