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   The patient self-reported that he had no past history of hypertension. Did he not check it or really did not?

   Now the patient's blood pressure is not very high, although it exceeds the normal value by a lot, but the clinically scary hypertensive patients can soar to more than 200. The important indicator of diastolic blood pressure in patients is not particularly high, not exceeding the normal value.

   It is necessary to rule out the possible complications of high blood pressure, because this is the most obvious abnormal indicator in the patient.

  The ECG of the heart check is fine for the time being, and the three items of myocardial infarction have not been checked. Judging from the patient's body type, hyperlipidemia is indispensable. These require billing checks. Another terrible complication of hypertension is cerebrovascular disease.

   If the patient is conscious, the doctor can answer the question.

   "Can you tell me exactly where your pain is?" She approached the patient with the medical record, and Xie Wanying asked the teacher for help.

  The male patient clearly heard her question clearly, and the part of his finger on his chest was just too painful to speak.

   "Would you like to give him a painkiller, I think he's going to be in pain to the point of death." Seeing his brother's pain, the patient's sister was very worried.

  The patient is in pain now, his lips are a little white, his face is sweating constantly, his breath is weak and panting.

"Pain-relieving needles can't be hit randomly. If they are hit, the pain caused by the specific cause will be covered up by the effect of the pain-relieving needle. Pain is a signal for help sent out when the human body has a problem. Use pain-relieving needles to cover up unexplained pain, It will affect the doctor's judgment of his condition and lead to wrong judgment, and the consequences will be more serious." The family members have this request, Xie Wanying explained to the patient's family members.

   "What should he do if he continues to hurt like this, it will hurt him to death." The patient's sister only knew that her brother was in pain and asked her for help, and she was anxious.

   "Don't be nervous." Xie Wanying comforted her, "Find out what the cause is first, without painkillers, the cause of his pain will be solved, and he will naturally not be in pain."

   "Your doctor should check it for him quickly, we can spend as much as we can," said the patient's family.

   Where is the question of money. Some diseases are not easy to judge. If money can solve this problem, it will not say that some rich people spend a lot of money and may not be able to find out what disease they have.

  Sun Yubo listened to the patient's heart and lungs, turned around to look at the student, and found that she didn't even take out the stethoscope: Strange? Isn't this student always very active in physical examination?

  Because she glanced at it, Xie Wanying didn't think the patient had heart and lung problems. If there is a problem with the lungs, there must be a problem with breathing. This patient did not, at most was breathing in and out due to pain. If it is the heart, the pain of the heart is the same as suffocation, and it is not this way of breathing.

   Knowing that this student has good eyesight, Sun Yubo took back the stethoscope. Anyway, he just listened to it for a long time and didn't hear any heart or lung problems, so he said to the student, "Go and issue a CT order."

   is not the heart and lungs, the digestive tract must be considered.

   As for how to write this inspection application form, Xie Wanying just thought about it in her heart. She went to the nurse station to get the blank form and wrote it down, and submitted it to the teacher for review.

   (end of this chapter)