My Medical Skills Give Me Experience Points Chapter 1375 546: Asymptomatic Is Most Dangerous, Diagnosis Like Dispersing Clouds to See the Sun

The sight of critically ill patients arriving at the hospital could often be quite grim.

When Zhou Can first began his internship in the Emergency Department, a staggering five patients in critical condition were admitted on a single day.

"I recall your name is Xie Yu, correct?" Zhou Can inquired, walking alongside a young nurse towards the emergency hall.

"I'm genuinely touched that you remembered my name!" the young nurse exclaimed, a hint of flattery in her voice.

Currently, it was common knowledge within the Emergency Department that Zhou Can held a pivotal position. He possessed capability, influence, and a promising future. While not everyone might outright adore him, there was a general agreement that Zhou Can was a significant figure in the department.

"Let me enlighten you," Zhou Can continued, "patients who appear gravely ill aren't always the most alarming. True caution is warranted for those whose conditions don't seem immediately severe. Take pulmonary embolism, for instance; its onset is incredibly rapid, and death can occur within a minute or two."

Zhou Can was offering guidance to a newcomer.

Within the hospital, medical professionals formed a cohesive unit, sharing common interests. This was particularly true for members of the same department, as one individual's misfortune could potentially impact the entire team. Consequently, even doctors and nurses with more reserved dispositions would seize opportunities to mentor new staff.

The continuity of the medical field is sustained precisely by this spirit of willingness to impart knowledge.

"Dr. Zhou isn't exaggerating one bit. I vividly remember in my first year as a nurse, I was tending to a patient under observation in a ward. This individual was quite cheerful and talkative, engaging me in conversation. His family was also present. I had just taken his blood pressure, and it was dropping. It was perplexing; the patient was still conversing and laughing, showing no apparent distress, yet his blood pressure was falling. As I prepared to remeasure on the other arm, the patient suddenly convulsed, slumped onto the bed, his eyes rolled back, and he passed away swiftly. We later learned he had suffered an aortic dissection that ruptured," recounted Jiang Wei, sharing her own formative experience.

An aortic dissection typically manifests with varying degrees of pain during its development.

However, some individuals possess a high pain tolerance and might overlook or dismiss mild discomfort, making it easy to ignore.

Then there exists the most perilous form of aortic dissection.

The interval between its onset and rupture is exceedingly brief, resulting in a near-certain fatality rate.

Unless detected early and treated with intervention, such as inserting a vascular stent to seal the damaged vessel wall, even a miraculous intervention would be insufficient for salvation.

"I have learned a valuable lesson. I will certainly be more vigilant moving forward! I truly hadn't grasped that asymptomatic patients could pose the greatest danger."

The young nurse wholeheartedly agreed with the insights shared by her two seniors.

By this point, the trio had reached the triage station. There, a man, appearing to be in his mid-thirties, lay pale on a stretcher.

It was evident he had been transported as an emergency case via ambulance.

The patient was clutching his chest tightly, his face ashen, perspiration beading on his forehead and his hair visibly damp.

His expression conveyed an intense level of agony.

His breathing seemed significantly labored.

Upon seeing Zhou Can approach, the doctor on duty visibly relaxed, as if a savior had arrived, and promptly stepped aside to allow Zhou Can to assess the patient.

"Where exactly are you experiencing pain?"

Zhou Can began by palpating the patient's carotid artery.

When faced with patients presenting with suspected chest pain or sudden collapse, examining the carotid artery pulse provides crucial diagnostic information.

For instance, the strength or absence of the carotid pulse offers a preliminary indication of the heart's functional status.

Furthermore, some patients might exhibit neck stiffness, which could be indicative of conditions like meningitis or other neurological issues.

"Here, the pain is intense! It also radiates intermittently to my left shoulder and back."

The patient's voice was frail, suggesting he was on the verge of expiring.

Receiving this information, Zhou Can gently applied pressure to the area on the patient's chest that was indicated.

The patient merely emitted a couple of groans, showing no pronounced reaction to the palpation.

Certain individuals develop a dulled sensation to pain, rendering them unable to precisely identify the source of their discomfort, only knowing that a broad region is afflicted.

At such junctures, a physician must rely on their accumulated experience and medical expertise to systematically diagnose and ultimately pinpoint the true site of the pain.

It is a widely understood medical principle that pain serves as a natural protective mechanism for the body.

Pain is a signal from your body that an organ or tissue is experiencing severe pathological changes in that specific area. In theory, the more intense the pain felt, the more severe the pathological changes occurring.

Furthermore, if the pain initially felt is minor and persists for an extended period, gradually intensifying, or if it comes and goes intermittently, this typically signifies a chronic condition.

It's only when the pain begins mildly and rapidly escalates to an unbearable level, swiftly progressing from slight discomfort to severe agony, that one should exercise extreme caution.

These instances frequently indicate acute pathological changes, often carrying a significant degree of danger.

While chest pain or tightness warrants immediate attention, even acute and severe abdominal pain or headaches necessitate special vigilance.

Common conditions such as cerebral infarction, cerebral hemorrhage, acute appendicitis, or acute bowel perforation, if not treated promptly, can easily result in the loss of critical golden rescue time, ultimately leading to death or permanent disability.

After applying pressure to the patient's chest and observing no significant reaction, Zhou Can felt a measure of reassurance.

It was highly probable that the issue was not cardiac-related.

The doctor on duty might have been somewhat flustered upon hearing about the patient's chest pain and vomiting.

Since the primary pain location was not in the chest, it implied that the chest discomfort could potentially be referred pain.