Practicing Medical Skills in a Small Clinic novel Chapter 650

Chapter 650: Chapter 298: The Weakest Department, Hypokalemia_3

But at this moment, she was playing with her phone, seemingly indifferent to the arrival of Li Jingsheng.

Or rather, she didn’t really care about her husband’s condition.

"What’s his issue that requires hospitalization?"

Li Jingsheng decided to first understand the patient’s situation.

To be honest, he wasn’t very adept in the field of endocrinology.

Pulmonary medicine, gastroenterology, cardiovascular, orthopedics—he was more skilled in these areas.

Even though he had helped multiple teams or chief physicians win awards in skill competitions, he knew well that he wasn’t particularly outstanding.

In many aspects, he relied on clever tactics.

At least, he personally believed there was still much room for improvement.

"The patient’s symptoms upon admission included weakness in the limbs, struggling even to walk. These were the tests done after admission."

Director Kuo handed the information to Li Jingsheng.

The male patient’s wife, upon hearing this, retorted, "He’s always been useless! Can’t do anything right."

She said this right in front of the patient.

The woman appeared very resentful.

Li Jingsheng looked sympathetically at the patient on the bed.

The medical records indicated that the patient had been experiencing body weakness for over ten years. No wonder his wife held such deep resentment.

When physiological needs are unmet for a long time, emotions can also fade over time.

It’s fortunate there hasn’t been a divorce.

From the test results, the patient has low potassium levels.

Blood pressure is 170/110mmHg, about 28 breaths per minute, and the body temperature should be around a low-grade fever at 36.9 degrees Celsius.

In medical practice, some hospitals and doctors like to adhere rigidly to rules, believing a patient’s body temperature below 37 degrees is not a fever.

Li Jingsheng despised this approach.

The most fearsome thing in practice is encountering dogmatic, inflexible doctors.

They operate entirely by the textbook.

Little do they know, textbooks are also written by doctors.

The content is just their summary and judgment based on clinical medical experience, but it’s not an edict.

Different patients can have vastly different conditions, requiring tailored treatments and diagnosis.

Rather than carrying out rigid analysis and treatment according to textbooks.

The patient is currently still conscious.

Hearing his wife’s complaints, cursing him as useless, he showed a guilty expression.

The patient’s serum potassium was 2.14mmol/L, and there were U waves present on the ECG.

Firstly, the patient’s serum potassium level was clearly below normal.

Normal blood potassium levels should be above 3.5 and within 5.5.

Too low or too high blood potassium is never a good thing.

There’s a saying that goes "too much is as bad as too little."

This patient, besides having blood potassium far below normal, also had a U wave on the ECG, which is equally a major issue to be wary of.

In general, when a U wave appears in a clinical ECG, it can first be determined as bradycardia or electrolyte imbalance.

Possibly even myocardial infarction.

And the dreaded myocarditis can also show U waves.

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