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   "It must be an infection that causes peritonitis and fever."

   "Mr. Sun, I mean, maybe it came from a pelvic infection."

   "Oh—" Sun Yubo suddenly said, and pointed at the student\'s head: Smart!

  The nurse shouted at the end of the corridor: "The emergency patient is here, Dr. Sun!"

  The sound of the wheel rolling came in from the door of the ward, and the person who came from the emergency department pushed the lathe all the way to the treatment room of the department where the temporary extra bed was located.

   is an obese patient, a middle-aged man, who may not be able to move himself, and needs several people to lift it together.

   The emergency nurse who escorted the patient to the ward shoved the medical records to Xie Wanying, turned and left, the emergency room below was busy.

   After getting the emergency medical record and opening it, Xie Wanying glanced at ten lines, quickly browsed the emergency medical record above, and focused on the key points.

   There is no ECG monitor anymore. The nurse measured the patient\'s blood pressure with manual blood pressure. This patient does not appear to be the same as the hemorrhagic patient admitted to the surgical gastrointestinal emergency.

  Sun Yubo hung up the stethoscope and listened to the patient\'s heart and lungs. He turned around and asked the student, "What\'s the emergency said about him?"

   "Constipation, the pain is in the chest. It turned out that the emergency department suspected myocardial infarction, but the ECG was pulled and the myocardial infarction was not obvious. They may have something to do with Director Shen, so Director Shen called to collect it." Xie Wanying grabbed the key teacher who read the medical records to report.

   The two work together quickly.

The patient\'s family came up with the patient and introduced himself: "I am his sister, his wife and children are not here, they are in my hometown. When I came here to do some business, I suddenly fell ill and called me. I happened to know Director Shen. , I asked Director Shen what he should do in this situation. Director Shen said that he should be admitted to the hospital to check the situation. After all, he has been constipated for several days."

   "High blood pressure?" Sun Yubo asked, thinking of what the leader called attention to on the phone.

   "Now 156, 80." The nurse is here, reporting blood pressure.

   No monitor anymore. Sun Yubo scratched his head to remove which patient\'s monitor to put on this patient. The biggest problem is that many inspections are not done and sent. At least it is necessary to determine the approximate cause of the pain, is it not the heart or the stomach or esophagus? According to an emergency CT should have a relatively clear direction.

   Maybe the emergency department was too busy to arrange the patient for examination, or maybe it was because the patient’s focus was on high blood pressure and there was no need to do CT right away. You need to ask the patient’s family: “Did he have high blood pressure before?”

"No, I haven\'t heard him say that he has high blood pressure. I feel strange. The doctor said that it is normal for him to be so fat and have high blood pressure. Maybe he doesn\'t check his blood pressure on weekdays, so he doesn\'t know." The patient\'s sister said, "I want to say that I\'m also fat, but I don\'t have high blood pressure. I\'ve had my blood pressure measured. Director Shen said that not all fat people will have high blood pressure."

   It’s not that obesity will inevitably lead to high blood pressure, and it is the same reason that thin people will definitely not develop high blood pressure. High blood pressure can be roughly divided into two types according to the cause. If there is no other disease, it is called primary hypertension, and if it is caused by other diseases, it is called secondary hypertension.

   For doctors, it is very important to distinguish how the patient\'s high blood pressure comes from.

   (end of this chapter)