My Medical Skills Give Me Experience Points Chapter 1375 546: Asymptomatic Is Most Dangerous, Diagnosis

When various critically ill patients are brought to the hospital, the situation often looks particularly frightening.

At least when Zhou Can first started his internship in the Ergency Departnt, five critically ill patients in near-death status were admitted in just one day.

"I rember your na is Xie Yu, right?" Zhou Can talked with the young nurse as they walked towards the ergency hall.

"I didn't expect you to rember my na, I'm so touched!" The young nurse was sowhat flattered.

Now, everyone in the Ergency Departnt knows that Zhou Can is a key figure in the departnt. He has strength, status, and a bright future. Though not everyone worships him, at least they have reached a consensus to treat Zhou Can as a heavyweight in the departnt.

"Let tell you, patients who seem to have severe conditions like this aren't actually scary. What truly needs vigilance are those patients who don't seem so serious. For instance, pulmonary embolism, its onset is very quick, and death can occur within one or two minutes."

Zhou Can was advising the newcor.

In the hospital, dical staff form a community of shared interests. Especially mbers of the sa departnt; if one person gets into trouble, it could potentially drag down the entire departnt. So, even those doctors or nurses with reclusive personalities will take the opportunity to offer guidance to newcors.

The reason why dicine can be perpetuated is precisely because of this spirit of being eager to teach others.

"Dr. Zhou isn't exaggerating at all. I still rember in my first year as a nurse, I was examining a patient under observation in the ward. The patient was very cheerful and talkative, actively chatting with . His children were also by the bedside. I had just asured his blood pressure and found it was dropping. Obviously, the patient could still talk and laugh, showing no symptoms, so why was his blood pressure so low? I prepared to switch arms for another asurent. Suddenly, the patient convulsed, collapsed on the bed, his eyes rolled upwards, and he died quickly. We discovered later that there was an aortic dissection in his body, which ruptured."

Jiang Wei also shared her own growth experience alongside.

An aortic dissection, during its formation process, generally causes varying degrees of pain.

But so patients have a high tolerance for pain and don't care about the mild pains, making them easy to ignore.

Then there's the most terrifying kind of aortic dissection.

The ti from formation to rupture is extrely short, with a near 100% mortality rate.

Unless it can be detected in advance and intervened, like placing a vascular stent to seal off the torn part of the vessel wall, not even a divine doctor could save them.

"I've been taught, and I will definitely be cautious in the future! I truly didn't realize asymptomatic patients could be the most dangerous ones."

The young nurse deeply agreed with what these two seniors said.

By this ti, the three had arrived in front of the triage desk, where they saw a man of about thirty-four or five, lying pale on a stretcher.

It was clear he had been brought back by an ambulance as an ergency patient.

The patient was clutching his chest tightly, his face deathly pale, sweat had already ford on his forehead, and his hair was wet.

His expression was one of extre pain.

Breathing seed to be quite difficult.

Seeing Zhou Can approach, the on-duty doctor felt like he'd found a savior and quickly stepped aside to let Zhou Can examine the patient.

"Where do you feel pain?"

Zhou Can first checked the patient's carotid artery.

Encountering such patients with suspected chest pain, or patients who suddenly faint and fall, checking the carotid artery can yield a lot of diagnostic information.

For instance, the strength or absence of the carotid artery pulse can roughly infer the working status of the heart.

So patients may also exhibit neck stiffness, which can have diagnostic significance for conditions like ningitis or neurological disorders.

"Here, the pain is severe! It also seems like the left shoulder and back are aching intermittently."

The patient's voice sounded weak, like he could expire at any mont.

Upon hearing this, Zhou Can tried pressing the indicated area on the patient's chest.

The patient rely groaned twice, with no significant reaction to the pressure.

So patients have beco numb to pain, so they don't even know where it hurts. They only know that a large area is very painful.

At this ti, it requires a doctor to use their experience and dical knowledge to discern and finally pinpoint the real pain location.

Everyone knows that pain is actually a form of protection for the body.

Wherever it hurts indicates that the organ or body tissue in that area is undergoing severe pathological changes. The more intense the pain, theoretically, the more severe the pathological changes.

Moreover, if initially, there's only a bit of pain, and it continues for a long ti with gradually intensifying pain, or if it's intermittent, this can generally indicate a chronic condition.

Only when the pain starts mild and quickly becos unbearable, progressing swiftly from mild to severe pain, one should be wary.

These are typically acute pathological changes, often with a high degree of danger.

There's no need to ntion chest pain or tightness, but even acute severe abdominal pain or headaches require special attention.

Such as common cases of cerebral infarction, cerebral hemorrhage, acute appendicitis, acute bowel perforation, etc., if not treated in ti, it's easy to miss precious golden rescue ti, ultimately leading to death or disability.

After pressing the patient's chest, finding no significant reaction to the pressure, Zhou Can had so reassurance in his heart.

It's very likely not cardiac pathology.

The on-duty doctor may have been a bit panicked after hearing about the patient's chest pain and vomiting.

Since the pain area isn't in the chest, it ans the chest pain might be referred pain.