【321】Palpation
The patient's plea moved.
Xie Wanying thought: Doctors will be in a difficult situation in this situation.
Look at the corners of your eyes and see what Teacher Tan will make a decision.
She looked over the teacher and seemed to accidentally bump into the teacher's eyes under the teacher's nose and looked back at her.
The teacher's eyes made her feel a little guilty.
"Lying on the examination bed." Tan Kelin covered his finger back to the medical record page and said to the patient.
Following the order, Xie Wanying opened the white curtain beside the bed.
The two sons helped the old lady lie on the examination bed.
"You check it out for her first." Tan Kelin ordered the student.
After receiving the teacher's instructions, Xie Wanying turned around to the edge of the examination bed, took out the stethoscope from her pocket, and put it on the patient's heart, lungs and abdomen to listen. After listening, she put on gloves for palpation.
Since the patient has undergone relevant examinations in other hospitals, he mainly touches the diseased area to save time.
First palpate the shallow part, close the right hand together and spread it flatly, and use your fingertips to gently touch the patient's side. This is the left hemicolon area. Since the intestinal cavity of the left hemicolon is narrow, tumors are prone to acute and chronic intestinal obstruction, which is exactly in line with the characteristics of this elderly patient.
The elderly patients have no food when they encounter famine when they are young. When they are old, the economy is better. The children are filial and eat much more high fat than before. The elderly do not keep their mouths, and the children do not understand. They only think that eating more is filial, but they do not know that high fat is one of the main factors of left colon cancer.
When I found out that the elderly ate, they became thinner, had difficulty defecating, and even vomited, they realized something was wrong and rushed to the hospital. After a check, it was found that it was in the middle and late stages.
Such things are common in clinical practice, and family members do bad things with kindness, which shows that national health education and the growing economic living conditions are completely incompatible.
Xie Wanying's fingertips looked for the mass in the patient's abdominal cavity.
Although this tumor is not small in other hospitals, it is difficult to touch the tumor in the left half of the colon itself. The old lady is thin but her abdomen is not thin and flat. It is not easy to touch the deep tumor in the patient's body.
The shallow palpation is not possible and the deep palpation is changed. The two, three and four fingers of the right hand are put together, and the end is pressed deep into the patient's abdomen. Finally, a mass can be felt, and the position is very deep. The fingers gently slide up and down the left and right sides of the mass, feeling the situation around the mass.
The location is too deep. Xie Wanying thought: Don’t blame the patient for being misdiagnosed in a small hospital near home a few times when he was seeking medical treatment. The doctor thought it was just a common gastrointestinal disease and did not ask the patient to continue the examination. The patient even vomited. The emergency doctor at the Second A Hospital thought it was gastritis. It was not until it turned into an intestinal obstruction that he realized that the matter was serious and he was transferred to a Third A Hospital.
Speaking of this, the patient's two sons said helplessly: "I don't know what the doctor before treated me. If I had known it was a tumor, I immediately found someone to have a cut. The result was more than half a year."
It's a big deal for half a year, and early and middle- and late-stage tumors cannot be generalized.
It is precisely because of this experience and word of mouth that ordinary people now like to run to the third grade.
Some diseases are easily misdiagnosed in clinical practice, such as the old lady. The doctor asks the patient to have too many examinations and is scolded by the patient. An elderly patient like this is called a gastroenteroscope for a gastroenteroscope. The old lady thinks that the tube is inserted into her mouth and anus is terrible.
Chapter completed!