Famous Among Top Surgeons in the 90s
Chapter 490 - Chapter 490 The emergency patient has arrived

Chapter 490: The emergency patient has arrived. Chapter 490: The emergency patient has arrived. Teacher Sun was willing to discuss things, Xie Wanying admitted, “I feel like she might have an infection.”

“It’s definitely an infection that leads to peritonitis and fever.”

“Teacher Sun, what I mean is, it might have spread from a pelvic infection.”

“Oh–” Sun Yubo suddenly understood, pointing a finger at the student’s head: Smart!

A nurse called out from the end of the corridor, “Emergency room patient coming up, Doctor Sun!”

The sound of wheels rolling came from the entrance of the ward, the person from the emergency room pushing the gurney all the way to the treatment room where the temporary bed had been set up.

The patient was obese, a middle-aged male, likely because he had difficulty moving himself, it took several people to lift him with effort.

The emergency room nurse who escorted the patient to the ward handed the medical record to Xie Wanying and left; the emergency room below was busy.

Upon receiving the emergency room medical record, Xie Wanying quickly skimmed through the emergency records, seizing the key points to think about.

There was no cardiac monitor left, so the nurse measured the patient’s blood pressure manually. After measuring, they found the blood pressure was high, systolic almost 156, diastolic almost 80. This patient seemed different from those with gastrointestinal emergencies and massive bleeding who were brought in.

Sun Yubo, with a stethoscope, began auscultating the patient’s heart and lungs, and then asked the student, “What did the emergency room say his condition was?”

“Constipation, the pain in the chest. The original emergency room suspected a heart attack, but the EKG showed it wasn’t clear. They might be associated with Director Shen, so Director Shen called to have him admitted,” Xie Wanying captured the key points from reading the medical records and reported to the teacher.

The two worked quickly in tandem.

The patient’s family member accompanied the patient and introduced herself, “I am his sister. His wife and child are not here; they’re back in our hometown. He came over for some business dealings and suddenly fell ill, so he called me. I happen to know Director Shen and asked what should be done about his condition. Director Shen said to admit him for observation first. After all, he’s had constipation for several days now.”

“Is his blood pressure high?” Sun Yubo, recalling what the leader had mentioned on the phone, asked.

“Now it’s 156, 80,” said the nurse, reporting the blood pressure.

No monitor left. Sun Yubo scratched his head, deciding which patient’s monitor to take down for this patient. The biggest problem was that many tests had not been done before he was brought up. They at least needed to confirm the likely cause of the pain; if it’s not the heart, could it be stomach disease or esophageal disease? An emergency CT scan should give a clearer direction.

Perhaps the emergency room was too busy to arrange tests for the patient, or perhaps they thought the patient’s focus was on the high blood pressure and there was no immediate need for a CT scan. It was necessary to ask the family member, “Did he have high blood pressure before?”

“No, he never mentioned having high blood pressure, which I found strange. The doctors below said it was quite normal for someone so obese to have high blood pressure, probably because he didn’t monitor his blood pressure regularly, so he didn’t know,” said the patient’s sister. “I wanted to say, I’m also obese, but I don’t have high blood pressure; I’ve measured it. Director Shen has said, not all overweight people will have high blood pressure.”

Being obese doesn’t necessarily lead to high blood pressure, just like being thin doesn’t guarantee one will not have it. Hypertension can generally be divided into two types based on cause: if it’s only high blood pressure without other diseases, it’s called primary hypertension; if it’s high blood pressure caused by other diseases, it’s called secondary hypertension.

For doctors, it’s very important to determine the origin of this patient’s high blood pressure.

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