Starting from the emergency department, becoming a miracle doctor
46 digitalis intoxication

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"I can't remember!"

the patient said weakly.

He Jianyi ignored Hai Yang and asked the patient.

"How many times did you vomit?"

"Once?"

"That's not right. You said it was three times before. Master, I remember it.”

Hai Yang instantly panicked.

She took out the medical record and hurriedly explained to He Jianyi.

If he couldn't even get a clear medical history from the patient, he would be a terrible doctor.

"I can't remember."

the patient said again.

He Jianyi thought for a moment and asked,""What did you eat last night?"

"I can't remember!"

the patient said.

"How many people are there in your family?"

"Two mouthfuls?"

"Three mouthfuls?"

The patient's words were still vague.

"How old are you?"

"I can't remember."

In short, no matter what He Jian asked, the patient would just say,"I can't remember."”

He Jianyi picked up the patient's abdominal plain film and looked at it.

Hai Yang hurriedly explained.

"The distension of the stomach and intestines is very obvious."

"What else did you check?"

"I've checked everything that needs to be checked. There are no specific changes. Even the white blood cells are not high.”

Hai Yang explained helplessly.

This was the first time he had seen a patient like this.

He kept complaining that his stomach hurt, but there was no obvious problem after all the examinations. This gave him a headache.

He Jianyi glared at him.

"Since there are no major problems with all the inspections, I'm afraid that I'll have to do something. Then why do you think that there will be an indication for surgical exploration?”

Hai Yang gulped, feeling a little guilty.

"The abdominal pain is getting worse, and there are symptoms of diffuse laparotomy on the physical examination.”

He Jianyi's face was gloomy as he said sternly,

"He can't even tell how many people he has in his family.

Just based on his chief complaint, you can confirm that there is an indication for surgical exploration? Couldn't he have considered other situations?”

He Jianyi was really disappointed with Hai Yang's performance.

If he had not come to see this patient today, the patient might have been pushed onto the operating table, resulting in medical negligence!

It was definitely a great humiliation for He Jianyi in his medical career.

If a subordinate doctor caused a medical accident, he, as a senior doctor, would be jointly and severally responsible.

He Jianyi did another physical examination on the patient's abdomen.

No matter where he pressed, the patient would say that it hurt.

Just as He Jianyi was examining him, the patient suddenly vomited again.

After he finished vomiting and lay back down, He Jianyi asked again,

"Look at my clothes. What color are they?”

"Why does it look yellow-green?”

the patient said uncertainly.

At this moment, He Jianyi had already determined the patient's condition. He looked at Su Cheng and asked,

"Su Cheng, tell me, what's his situation?”

Su Cheng knew that He Jianyi's diagnosis skills were quite impressive.

He must have already made a diagnosis of the patient in his heart. Now, he was just testing himself.

To be honest, the patient's condition was not that bad.

She kept complaining about the symptoms, but the check-up was not specific. Su Cheng had never seen it before.

However, as a cheater, this question was no longer difficult for him.

Hai Yang glanced at Su Cheng with disdain.

I'm just a master's student, but I can't even diagnose it. What's an undergraduate doing here?

However, Haiyang's words were just a thought.

He didn't dare to say it in front of He Jian Yi.

Since He Jian Yi wanted to test Su Cheng, he naturally had to perform well.

He did not need to perform physical examinations on patients anymore.

He Jianyi's check-up was already very detailed.

Su Cheng saw everything.

However, He Jianyi still had two important questions to ask.

Su Cheng asked the patient.

"Did you have heart disease before?"

"I think so!"

The patient's answer was still very vague.

"What medicine did you take?"

"I can't remember!"

He Jian Yi nodded secretly.

He had forgotten about these two important questions.

"Director He, based on the patient's symptoms, his past medical history, and all the current examinations, I think the patient has been poisoned by foxglove."”

"The patient should be checked for the concentration of foxglove and the level of his mitochondria to make a definite diagnosis.”

Digitoxin poisoning was usually a toxic side effect caused by excessive consumption of digoxin, a drug that strengthened the heart muscle, in patients with heart disease and mental failure.

The first symptoms were abdominal pain, nausea, and vomiting.

Sometimes, things were still yellowish-green.

He Jian Yi did not speak, but his eyes revealed a look of approval.

This was because his diagnosis was also foxglove poisoning.

Hai Yang was still confused and asked,"

"Digitoxin poisoning? That's impossible, right?"

"Although foxglove poisoning can also cause yellow vision, abdominal pain, nausea, and vomiting,

However, the main symptoms of poisoning were bradycardiac arrest, premature beats, and other heart rhythms!”

"But the patient is not…"

Haiyang had yet to say the word 'yes'.

Suddenly, an urgent alarm sounded on the heart monitor.

The monitor showed that the patient was experiencing bradycardiac arrest.

Her heart rate was only 30 beats per minute, and she also had third-degree atriovenous block, accompanied by premature beats.

"This…"

Hai Yang was dumbfounded and speechless.

He could feel his face slapping.

This book comes from:m.funovel.com。

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