The patient's plea is moving.
Xie Wanying thought about it: The doctor would be very embarrassed in such a situation.
He glanced out of the corner of his eye to see what Teacher Tan would decide.
She glanced at the teacher, and seemed to accidentally catch the teacher's peripheral vision staring back at her.
The teacher's look made her suddenly feel a little guilty.
"Lie on the examination bed." Tan Kelin covered the medical record page with his fingers and said to the patient.
Following the order, Xie Wanying opened the white curtain beside the examination bed.
The two sons helped the old lady lie down on the examination bed.
"You check her first." Tan Kelin ordered the student.
After receiving the teacher's instructions, Xie Wanying turned around and came to the examination bed, took out the stethoscope in her pocket, and first placed it on the patient's heart, lungs and abdomen to listen. After listening, put on gloves and perform palpation.
Since the patient had undergone relevant examinations in other hospitals, the main purpose was to touch the diseased part to save time.
First palpate superficially, put your right hands together and spread them flat, and use your fingertips to gently touch the patient's affected side. This is the left colon area. Because the intestinal lumen of the left colon is narrow, tumors can easily cause acute and chronic intestinal obstruction, which is consistent with the characteristics of this elderly patient's condition.
Elderly patients, who had nothing to eat during the famine years when they were young, but when they are old and the economy has improved and their children have become filial, they eat much more high-fat foods than before. The old man did not keep his mouth shut, and the child did not study medicine and did not understand. He only thought that giving the old man more food was filial piety, but he did not know that high fat is one of the main risk factors for left colon cancer.
When he discovered that the more he ate, the more he lost weight, had difficulty defecating, and even vomited, then he realized something was wrong and rushed to the hospital. A check, middle to late stage.
It is common in clinical practice that family members do bad things with good intentions. This shows that there is a complete mismatch between national health education and the ever-developing economic and living conditions.
Xie Wanying's fingertips searched for masses in the patient's abdominal cavity.
This tumor is not small despite the size of the CT scan taken in other hospitals, but the left colon tumor itself is difficult to feel. The old lady is thin but her abdomen is not thin and bulges when she lies flat. It is not easy to feel the deep tumor in this patient's body.
If superficial palpation is not possible, change to deep palpation. Put the two, three, and four fingers of your right hand together, and press the tip deep into the patient's abdomen. Finally, you can feel a mass, which is very deep. Gently slide your fingers up and down around the mass to feel the surroundings of the mass.
The location is too deep. Xie Wanying thought: No wonder the patient was misdiagnosed several times at a small hospital near her home when seeking medical treatment. The doctor thought it was just a common gastrointestinal problem and did not ask the patient to continue the examination. The patient even vomited, and for a time the emergency doctor at a second-grade hospital thought it was gastritis. It wasn't until he developed an intestinal obstruction that he realized something serious was going on and was transferred to a tertiary hospital.
Speaking of this, the patient's two sons said helplessly: "I don't know how the doctor looked at the disease before. If I had known it was a tumor, I would have hired someone to remove it immediately. As a result, I was delayed for more than half a year."
Half a year is a big deal, and early tumors and mid- and late-stage tumors cannot be generalized at all.
Because of this experience and word of mouth, people now like to go to the top three.
Some diseases are easily misdiagnosed clinically, such as the old lady's. If the doctor asks the patient to do too many tests, he will be scolded by the patient. For an elderly patient like this who has stomach pain and vomiting and calls for a gastrointestinal endoscopy, the old lady probably won't do it even if it's scary to have a tube inserted in her mouth and anus.
The common people don't understand and think it's because the doctors are not good enough. In fact, the doctor has already said that instead of waiting for treatment after getting sick, it is better to go for regular physical examinations. All diseases will be detected early for you. Early detection and early treatment will make everyone happy.
