Practicing Medical Skills in a Small Clinic novel Chapter 575

Chapter 575: Chapter 262: Eliminating Possibilities One by One, a New Approach to Diagnosis_3

Just by listening to the patient’s description of the illness, he could diagnose the cause.

He glanced at the blood gas analysis time; it was only a little over two hours from the patient’s initial diagnosis time after admission.

In such a short time, the patient probably hadn’t had time to complete the admission procedures.

When the hospital receives such a patient, it’s impossible that they would blindly admit them without any examination.

Otherwise, the hospital would have gone bankrupt long ago.

Not every family member is easy to deal with.

If someone dies, compensation is at least hundreds of thousands. Even in a larger hospital, if one or two patients die a day, the hospital would have worked for nothing.

Moreover, a high mortality rate will trigger various supervision and assessments.

This patient went to the hospital at around eight in the evening because of a lot of purpura on the skin, which made him scared.

What if he died in his sleep at night?

The patient himself might not be afraid, but his family would be.

They would undoubtedly urge him to go to the hospital overnight for a check-up.

At night, specialized clinics are closed, with only emergency services and sudden illness centers on duty 24/7.

Since the patient only had purpura on the skin, he couldn’t possibly run to register at the sudden illness center.

Even if he went there, they would not admit him.

Because this isn’t a chest pain or cardiovascular disease.

So, he could only register at the general emergency.

The emergency department has no authority to admit patients; they must call specialized doctors.

Analyzing it this way, Li Jingsheng estimated that the patient had been waiting, undergoing various tests for two hours since admission.

The emergency doctors on duty at night are often young and inexperienced.

How could they order fewer tests?

Seeing the patient’s body full of purpura, which young doctor wouldn’t be trembling?

They would certainly perform every necessary test!

Therefore, the patient likely didn’t receive any treatment during these two hours. For the condition to change so rapidly in just two hours, ordinary viral meningitis wouldn’t have this capability.

The only thing that came to Li Jingsheng’s mind was fulminant meningitis, and the acute kind.

The patient’s platelets suddenly halved, and he certainly couldn’t withstand it.

At this point, he was most likely in a state of shock.

He silently speculated about the patient’s condition at that time.

The examiners were cunning, intentionally withholding information about the progression of the illness. They let the competitors diagnose on their own and fill in the gaps with their imagination.

Experienced doctors have a significant advantage.

Li Jingsheng, for instance, realized as soon as he thought about the patient’s platelets dropping by half in two hours, which fell by nearly 40, that the patient was in shock at that time.

The hospital wouldn’t just watch a patient die and do nothing; the emergency doctors would certainly initiate resuscitation immediately.

The blood gas analysis showed metabolic acidosis in the patient.

But was this blood gas analysis’s result done before or after the patient went into shock?

It was most likely urgently redone after the shock.

If done after shock, the receiving doctor was likely panicking as the cause was unknown, then how should they proceed with resuscitation?

Although the patient had signs of respiratory infection before admission, who could be certain that pneumonia caused the shock?

The rescue measures at this time would undoubtedly lean to the conservative side.

Strengthening antibiotics and actively replenishing blood volume is standard procedure.

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