Famous Among Top Surgeons in the 90s
Chapter 491 - Chapter 491 Pain relief injections should not be administered

Chapter 491: Pain relief injections should not be administered casually Chapter 491: Pain relief injections should not be administered casually “`

If it’s primary hypertension, in addition to lowering blood pressure, it’s also essential to prevent complications triggered by high blood pressure. If it’s the latter, secondary hypertension, the cause of the hypertension must be found before the pressure can naturally be reduced. Therefore, it’s not just a matter of carelessly prescribing antihypertensives to solve the problem.

The patient claims not to have a history of hypertension. Has it not been checked, or is it really absent?

The patient’s blood pressure isn’t extremely high, although it’s quite a bit over the normal value; in a clinical setting, truly scary cases of hypertension can soar above 200. The patient doesn’t have a particularly high diastolic pressure–an important indicator–which hasn’t exceeded the normal range.

We need to first rule out potential complications caused by hypertension, as this is the most conspicuous abnormal indicator on the patient right now.

Cardiac examinations and ECGs don’t seem to show anything for the moment; the troponin I test hasn’t been done, and it’s necessary to order a lab test for it. Given the patient’s physique, it’s unlikely that they’re without hyperlipidemia. These tests need to be ordered. Another severe complication of hypertension is cerebrovascular disease.

The patient is conscious and can answer questions when the doctor asks.

“Can you tell us exactly where it hurts?” Xie Wanying approached the patient with the medical records to help her teacher inquire.

The male patient clearly understood her question and pointed to his chest, but he seemed to be in so much pain that he couldn’t speak.

“Should we give him an analgesic injection? I think he’s in agony,” said the patient’s sister, her heart wrenched by the sight of her brother’s pain.

How badly is the patient hurting now? His lips are a bit pale, his face is continuously sweating, and his breathing is weak and gasping.

“You can’t just randomly give painkillers; if you do, the pain’s root cause might be masked by the effects of the analgesic. Pain is a signal that there is a problem within the body. Using painkillers to cover up unexplained pain can influence the doctor’s judgment of the condition, leading to a misdiagnosis, which might have more severe consequences later,” Xie Wanying explained to the patient’s family who made the request.

“What if he keeps hurting like this, could it kill him?” The patient’s sister was frantic, knowing her brother was in pain and pleading for help.

“Don’t be anxious,” Xie Wanying comforted her, “Let’s find out the cause of the pain first. Without using painkillers, once the source of his pain is addressed, he will naturally not hurt anymore.”

“You doctors must examine him quickly, we can pay whatever it costs,” the family of the patient said.

It’s not a matter of money. Some diseases are not easy to diagnose. If money could solve this puzzle, then some rich people who spend a lot still might not be able to find out what’s wrong with them.

Sun Yubo finished examining the patient’s heart and lungs and turned to check on his student, noticing she didn’t even reach for her stethoscope. It was odd; wasn’t the student always eager to do an examination?

Because with just a glance, Xie Wanying didn’t think the patient had a cardiopulmonary problem. If the lungs had issues, there would definitely be a breathing problem. This patient didn’t have any, except for the gasps due to the pain. If it was the heart, cardiac pain would feel like suffocation, not this kind of breathing.

Knowing this student had a good eye, Sun Yubo put away his stethoscope since he hadn’t detected any issues with the heart and lungs after listening for a while, and said to the student, “You go order a CT scan.”

If it’s not the heart or lungs, digestive tract issues must be considered.

Regarding how to fill out the request form, Xie Wanying had just thought it through in her mind. She walked over to the nurse station, grabbed a blank form, and quickly filled it out before handing it to her teacher for review.

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