Chapter 2604: Key Points Highlighted

After calming down, Liu Li thought about all this, feeling anxious and regretful. Compared to being criticized, as an obstetrics doctor, she was more afraid that she might overlook major issues with a patient. Obstetrics is a matter of life and death for two lives.

She was sweating profusely and wiped her forehead again with a tissue.

The waiter served the dishes. Several doctors were not in the mood to eat and focused on studying the patient’s medical records.

"The orthopedic outpatient doctor wasn’t entirely unaware; they added an ECG for her," Cui Shaofeng said as he turned to the next page of the examination report.

Cervical spondylosis wasn’t obvious, so let’s check if the patient has coronary heart disease. The patient is in her fifties, and coronary heart disease is common clinically at this age. Atypical symptoms may include radiating pain to the upper limbs.

The ECG results showed no significant abnormalities. Subsequently, events occurred at the patient’s home; her daughter fell ill. When a person is busy with work and family, their tolerance for minor physical issues increases. Coupled with the initial check-up where the doctor said there was no problem, the patient later sought treatment at Beidu Third Hospital without mentioning cervical spondylosis. Liu Li and the previous obstetrics doctor were completely unaware of this.

The patient came for in vitro fertilization, repeating all the tests. The ECG was done again, and there were no issues. The cardiac ultrasound also showed no problems.

There’s one thing doctors need to pay attention to.

"She used to have high blood pressure," Cui Shaofeng emphasized again.

In her early fifties, from a high-asset family, with overnutrition, high blood fat, and high blood pressure being too "normal." The patient has arteriosclerosis. When undergoing obstetric treatment, the patient diligently took lipid-lowering medication and regulated her blood pressure. After stabilizing her blood pressure, she could undergo in vitro fertilization. After conceiving, she stopped various medications, including antihypertensive drugs. Recently, her blood pressure soared again, so antihypertensive drugs were reintroduced.

Repeatedly scrutinizing the patient’s medical records, it’s apparent that the examination results and some of the patient’s clinical symptoms don’t match, and the underlying cause is unexplained. The next step is to definitely proceed with targeted further examinations.

Tan Kelin saw his cousin about to prescribe tests for the patient and criticized, "Why are you giving her more cardiac ultrasound and ECG tests? What’s the point of checking her blood lipids?"

These tests have been done multiple times, and the patient definitely doesn’t want to redo tests that have been done repeatedly.

Moreover, checking blood lipids, high blood lipids is the pathological basis of various diseases. Lowering blood lipids is a combined treatment method for many diseases, attempting to slow the progression from the cause and pathology. It takes effect slowly, with minimal rescue effect for acute severe conditions. This patient’s blood lipids have always been high, so doing the test again won’t show much difference. If you’re worried the patient has an emergency severe condition, why prescribe this blood lipid test?

"This—" Liu Li frowned, finding it difficult for a young doctor to open up other possibilities.

What examination might ECG and cardiac ultrasound not detect, potentially missing diagnosis?

"She’s pregnant, so at this critical moment, we can’t order a CT scan. She definitely wouldn’t agree to a CT." Liu Li said.

Performing a CT scan on a pregnant woman? It’s known that especially an abdominal CT is entirely inadvisable.

"Why prescribe her a CT?"

If ECG and cardiac ultrasound can’t detect it, then a CT scan must be done. That should be Liu Li’s clinical thinking, trying a different machine when one doesn’t work.

Oh dear, this cousin, her technical brain is truly muddled. I guess apart from obstetrics knowledge, all other department knowledge is gone.

Tan Kelin glanced at his old classmate: Do you know?