Chapter 2607: Intense Shock

It’s just that she didn’t have clinical experience in other fields and couldn’t think of the cause of the illness.

"What’s the condition when there’s such a large discrepancy in blood pressure on both sides?" Liu Li asked. She knew that for normal people, generally the blood pressure in the right upper limb is 10 to 20 points higher than that in the left upper limb. There are few cases with congenital large discrepancies in hand blood pressure, and if present, they should have been discovered early in previous examinations.

"Several of us discussed this case this afternoon. Everyone thinks either we’re overthinking it, hopefully we are. Maybe it’s not a big issue. If it’s the worst-case scenario, I personally suspect it could be like this: she previously had this aortic aneurysm, but the tumor was small and the symptoms were not obvious, mingling with her cervical spondylosis symptoms. From the orthopedic doctors adding an electrocardiogram for the patient, it was known that the patient had some chest and back pain before, otherwise, the examination wouldn’t have been done again. The aortic aneurysm didn’t break through to the outer layer and has recently evolved into an aortic dissection, hence the symptoms that have made Teacher Liu Li very worried." Xie Wanying said all of this in one breath.

With this worrisome discussion result, it’s definitely necessary to contact Teacher Liu Li quickly. It just so happened that they were going to meet Teacher Tan and could ask his opinion. Unexpectedly, Teacher Liu Li came for dinner, and Teacher Tan proactively brought it up.

Now she was speaking while observing Teacher Tan’s expression. Actually, the result of their classmates’ discussion was written on the back of the medical record photocopy, which was seen by both Teacher Tan and Teacher Cui. The two teachers seemed to agree with her opinion and let her speak.

Liu Li’s mind was blown: What?!

Aortic aneurysm, aortic dissection, could there be major bleeding? Acute mortality rate more than twenty or thirty percent?

"But, her electrocardiogram and cardiac ultrasound showed no abnormal reflections." Liu Li asked, remembering these two conditions could be detected using the above means.

"The detection rate for these two conditions using electrocardiogram is too low. Previously cardiac ultrasound couldn’t detect it, suggesting this aortic aneurysm and dissection should occur from the descending aorta to the abdominal aorta segment. At that time, if an ultrasound was to be performed, it should be a transesophageal echocardiogram rather than a conventional transthoracic echocardiogram. The gold standard for diagnosing this condition is CTA, but since she was pregnant, she couldn’t undergo CT angiography and could only have an MR." Xie Wanying said, "Fortunately, it’s correct that Teacher Liu first focused on lowering the blood pressure to control the rupture."

Not feeling she should be praised, Liu Li’s mind went blank, showing that she was completely unfamiliar with these two conditions, with almost zero specialist knowledge.

It’s not her fault. In Beidou Third Hospital, encountering such a rare case in a pregnant woman might not happen even once a year. Patients of this type are more commonly seen in Guoxie Guozhi.

Tan Kelin frowned severely as he looked at his cousin in this state.

Cui Shaofeng stood up and called Director Liang of the obstetrics department. This kind of tricky case requires leadership to oversee, letting a young doctor like Liu Li handle it isn’t feasible.

When the call was made, Director Liang was surely frightened on the other end, instructing the young doctor to quickly notify the patient and family to come to the hospital.

Liu Li didn’t eat and hurriedly ran out of the restaurant to hail a taxi back to the hospital, while calling to notify the patient’s family first.

"Eat." Tan Kelin picked up the chopsticks, instructing his apprentice.

Xie Wanying, whose gaze was following Teacher Liu’s figure, was caught by Teacher Tan’s look and turned back to eat.

Clinically, treatment is based on order, it’s not that encountering a patient prompts everyone to rush in to save them, as this can lead to chaos, and chaos can lead to mistakes. The attending physician will first handle the situation, calling others for help if unable to manage, eliminating the need for excessive worry.