Do the doctors like patients with medical knowledge, or do they like patients without medical knowledge?

Tell me a case I’ll never forget.

It is important to remember that if the girl had a little medical knowledge, she would not have put herself at risk later.

The girl’s name is Zhao, 27 years old, probably in the evening, with her boyfriend.

I was on duty that day.

At the time of arrival, the abdominal pain at home had been going on for a while.

I didn’t really care.

But tomorrow the little couple is going to go abroad to see what’s going on in the emergency in order not to delay the trip.

It’s been two days since I asked, but the pain is either too severe or not comfortable.

She showed me the most obvious pain in a smaller position.

After a close examination, which excluded some common abdominal pain, I asked her a key question.

“Is the period coming?”

“Come on, Aunty’s been here all day. She probably thinks my problems are a little grotesque, and they look a little weird.

I’ll keep asking.

“No, it’s a few days late. She said, “But finally it’s here. I’m sorry.

That’s a little weird. I took a look at her boyfriend, and they moved.

Then I asked if I had sex.

She was, uh, kind of sure of my problem.

I have a rapid brain shift, a woman of childbearing age who has had sex and abdominal pain, and I have to think of a disease that is already common, an extrauterine pregnancy.

Unpregnant pregnancies were previously misdiagnosed because they were not common.

However, in recent years, it has been felt that extra-uterine pregnancies are becoming more common, as has been the case in meetings and peer exchanges.

As a result, there has been increased vigilance about extra-uterine pregnancy.

But the woman said her period was coming, but it was a few days late, didn’t it mean that there was no chance of pregnancy?

Otherwise the menstruation won’t happen.

Of course not.

There’s a big hole in it.

Many women consider vaginal haemorrhage to be menstrual.

In particular, vaginal haemorrhage before and after menstruation is more likely to be mistakenly assumed to be family visits.

Yes, in most cases, pre- and post-menstruation vaginal haemorrhage is due to menstruation.

In a few cases, however, it may be merely vaginal bleeding, not real menstruation.

I decided to keep tracking the menstruation line.

Ask her if she’s got a few days of menstruation. She’s got the same color every day.

She stunned, said it was a little different this time, three days late.

And one day of menstruation, it’s broken. It’s not so much red today.

He whispered that he might have to go to gynecology sometime.

She answered, and suddenly I was on guard.

It’s probably not menstruation, but vaginal haemorrhage from extrauterine pregnancy.

As a matter of urgency, I told her straight away that she needed to leave a urine and have a pregnancy test to exclude the possibility of pregnancy, especially outside the court.

The girl was a little confused and had no idea what extramural pregnancy was.

We told her that the fertilized eggs were not beded in the womb, but encamped in the fallows or somewhere else, which was called extramural pregnancy.

Out-of-court pregnancy can cause abdominal pain, and it’s scary if you misdiagnosed, so I have to be careful.

I showed her my worries.

But the woman doesn’t seem to be able to get pregnant.

Sounds like a bad word.

“And this time your menstruation is extraordinary, and be cautious.” Yesterday’s menstruation, which may be merely vaginal bleeding, may also be a symptom of extrauterine pregnancy. I told her.

The girl still doesn’t believe it.

She told me she was in her last room with her boyfriend during the security period.

“There is no absolute security period. I asked her, “Do you have security? I’m sorry.

“Emergency pills were taken afterwards. She replied.

“Did you wear a condom?” I went on to ask.

“None. “She was a little embarrassed and took a look at her boyfriend.

As you can see, the girl is a little upset about not wearing a condom.

I guess he didn’t like to wear a condom.

“How long was the emergency pill? I have to get all the details straight.

“The next day. She replied:

“I felt a little uneasy, too, and didn’t want to get pregnant, so I took one the next day. They say it still works in three days. She told me.

“It’s best to eat together within 12 hours, and it’s harder to eat late and make sure nothing happens. I told her.

I’ve come here to basically go over the basics again.

A woman of child-bearing age who chose to live together during the so-called safety period (not the ovulation period) had no safety measures.

An emergency pill was taken the following day, and the period of menstruation was delayed by three days.

There was only one day of menstruation and then abdominal pain.

Even more, extra-uterine pregnancy cannot be ruled out.

In fact, the security period is very rough, and it can be said that there is no absolute security period.

The ovarian ovulation time is not so good to calculate, and many young people, in order to avoid pregnancy, choose to stay with women during their safe period (7 days before and after menstruation), but reality often teaches them to be human.

Also, it’s not 100 percent of the emergency contraception that can stop a pregnancy, especially when it’s taken the next day, like this female patient.

I’m still not comfortable.

“Do a piss pregnancy test, or do a gynecology B super, if it’s okay. I gave her advice.

The female patient did not believe, or insisted that it was impossible to get pregnant, let alone outside the palace, so let me give her some antibiotics.

“I can’t, just go home and fly to Australia tomorrow. She told me.

In the interests of safety, I gave her a full range of possibilities, as well as the danger of extramural pregnancy, and tried to persuade her to undergo an examination.

But the girl firmly refused, and the tone became clear and became increasingly impatient.

“Well, let’s not do a piss pregnancy test. I’m sorry.

When she first came to the emergency, the girl herself suspected that she was an appendicitis.

So at this point, I suggest she do a B super, look at the appendix.

“Look at the uterus and the ovaries at the same time. What do you think? I tried to save the country.

I deliberately had a B superdoctor do the abdominal “B” super, check for liver pancreas, and arrange for a gynaecology “B” as well, to see if there’s an extrauterine possibility.

The results are out.

B super-specified, no extramural pregnancy.

However, the appendix was not very clear, at least not very significant.

In fact, I let her do the abdominal B super purpose, which is to prove the existence of extramural pregnancy.

She actually stopped for 37 days.

But B gave more negative results than extra-uterine pregnancy.

But I’m not giving up.

After all, B can’t rule out extrauterine pregnancy 100%.

To be sure, we have to do a urine pregnancy test.

But patients don’t cooperate.

“Are you sure you don’t want to take a piss pregnancy test? I asked her one last time.

“If not, it needs to be signed. “I will not say anything.

The urine gestation test is the human velvet membrane gland hormone (HCG) in the patient.

It’s usually stopped 35 days to detect this hormone in urine, which means it’s pregnant.

She was also very calm and said that she would sign it and that she was very determined not to do urine pregnancy tests.

At that time, her abdominal pain seemed to have abated, saying that it seemed that the water had gone out and the tummy had changed.

I would have been reluctant to give her antibiotics, because the possibility of pregnancy was not completely ruled out and there was a great risk of using antibiotics.

This time, the abdominal pain is reduced, the medicine is free.

I gave her a medical notification confirming that the urine pregnancy test was not performed and that the patient was fully informed.

Of course, at the time of the signing, she had been persuaded by the bitterness of her heart and had taken the risk seriously.

But patients are very determined.

She didn’t even look at her signature list, and she signed her name directly at the Dragon Fei Feng Dance.

Then he left.

The ER is busy, so I quickly forgot about this young woman.

I didn’t know she was in front of me five days later.

This time, she told me that she flew to Australia, but the abdominal pain increased the next day.

And the menstruation has suddenly increased.

Yesterday, the day of return, the abdominal pain was further aggravated, and there was a great deal of blood in the aunt’s towel.

She’s scared.

The menstruation has been intermittent for eight days, and in the past it was only four to five days.

Just a plane. Come to the hospital.

I’m telling you, you’ve come a long way. You don’t have to come all the way to our hospital.

She’s a little embarrassed to say nothing.

By this time, the possibility of an extra-uterine pregnancy is very high.

But it was late at night and the gynaecology was not taken.

The situation of female patients appears to be much more serious than last time.

She’s got her hands covered in her stomach and her face is not natural.

I didn’t care, I didn’t think she was a gynecologist.

After a brief examination and judgement, however, the real killer was locked in a gynaecological disease.

I redoed her abdominal gynaecology B super, with blood-scattered blood, coagulation, liver and kidney.

This time, the patient was uncooperative.

“The urine pregnancy test, this has to be done. I confirmed with her.

She nodded and seemed sweaty.

Boyfriends are here, and they’re soothing.

I despise men who don’t want to have children and who don’t want to wear condoms. Even though I’m a man.

B’s super-results will be out soon.

I still don’t see a visible pregnancy bag, not outside the palace.

Two times back and forth B looks so much like that.

I’m calling B’s super room, and I can’t really see it, no sign of it.

Dr. B replied that the abdominal is a bit agitated, and that these ovaries, ovaries, etc., are still a distance from the surface.

Normal abdominal gynaecology B super, is not too clear to see.

Let’s set up a more vulva tomorrow.

To tell you the truth, there’s been no extrauterine pregnancy or any other gynaecology disease twice, and I’m somewhat frustrated.

But I knocked out almost all the common and unusual abdominal pains, and the woman didn’t match.

Out-of-uterine pregnancy is most likely to occur only if the gynaecology is the most compatible, with all current symptoms.

But why can’t you find out?

Blood regular results come out, blood protein 112g/L.

OKAY, NO BLOOD. I’m so relieved.

I’m so worried about her bleeding as a result of the breakdown of extramural pregnancy.

If the ovaries are born on the ovaries, how much ovaries can they be, if they don’t do it, they break the bleeding, and if they bleed and misdiagnose, it’s a human life.

Shortly after she had peed, she left urine specimens for testing and pregnancy tests.

A few minutes later, the results were returned.

Positive.

Diagnosis test positive.

She’s pregnant.

I had a cold back and a cold breath: five days ago she was also positive if she wanted to.

Surprisingly, she wasn’t too surprised when I told the woman.

It is estimated that there is psychological preparation, after all, for such a long period of time, more haemorrhaging than ever before, accompanied by blood clots.

A little healthy girl knows something could happen.

Looks like it’s almost 10 days of vaginal bleeding, not menstruation.

If you know, or have doubts, how can you feel free to spend these days abroad?

I can’t help but feel.

Then I called a gynecologist to see him.

When the gynaecologist came, he learned the basics and looked at the results of the urine pregnancy test, indicating that the situation was not positive.

And there’s an abnormal bleeding in the vagina, which is definitely not good.

Even if you say so, you have to be hospitalized right away.

The gynaecologist immediately checked the bed and found that Corey had no bed for the time being and could not stay up that night.

And be careful that 100% of the pregnancy is confirmed and tomorrow you have to do a vagina ultrasound to be fully diagnosed.

The female patient was then placed in the emergency room for observation and was hospitalized in the early morning hours of the day when the bed was empty.

The most critical question that night was observation.

It is good that the temporary vital signs of the female patient are stable, and even if the pregnancy occurs outside the ceremonial area, there are no clear signs of a break in ceremonial pregnancy.

The haemoglobin, red cell count did not decline, and there was no anaemia, i.e. it was not necessary to operate immediately.

The gynaecologist also stated that if the vaginal haemorrhage was found to increase, blood hemoglobin fell off, or vital signs were unstable, it might have to stop immediately.

Otherwise, we can wait until tomorrow, when the arrangements are in place, to make it clear that it is an ecdotal pregnancy and that the problem will be solved through microbred abdominal lens.

In addition, extra-uterine pregnancy is not necessarily subject to surgery, and some patients are treated with simple drugs, depending on the situation.

Well, that night, it was safe.

The next morning, I went with a nurse to knock on the door of the B super room and make a vagina B super.

As a rule, an emergency doctor is not required to accompany the patient for examination unless the vital signs are unstable or the bomb is planted.

This girl is the one who was buried with a bomb.

I have repeatedly analysed the common abdominal conditions such as appendicitis, cholesterol, pancreas, enteric infarction, gastrointestinal perforation and gastrointestinal inflammation, which do not explain her condition, with only extrauterine pregnancy being the most likely.

So in my mind, she’s an extramural.

I’m very worried that this skinny little cyst will burst at any time, and if it explodes, it’ll be a blood vessels burst.

There would be a lot of blood in the air, and if it was not dealt with in a timely manner, hemorrhagic shock would soon die.

So don’t let her out of my sight until I get off work.

“B” super-doctor came to work early in the morning to see me push a patient into the vagina B.”

“What’s with the condoms? “The female patient wonders.

And I explained that doing vagina B is so much a condom that doesn’t cause infection.

“You don’t have a condom. Give me one. I’ll check her out. “B, the doctor asks the patient’s boyfriend.

Her boyfriend reacted by pulling a condom out of the bag and handing it to the B supersurgeon.

The female patient saw her boyfriend pull out the condom, had a very complex look and looked him in the eye.

I couldn’t wait to push her to the bed and wait outside.

A little while later, the B supersurgeon came out and said he saw the embryos on the left side of the ovary tube and was determined to be eccentric.

When her boyfriend heard it, he couldn’t help, looked at me, and seemed to wait for me to explain.

“Thank God you came back in time. I counted him, “If you’re still out there playing crazy, maybe when the concubines burst, there’s no one left.” I’m sorry.

I’m definitely not the alarmist. They haven’t seen cases where extra-uterine pregnancy can’t be saved, and naturally they don’t know what the disease is.

After the examination, I carefully pushed the patient back to the emergency and put him in the rescue room.

The nurse had to open an additional vein.

If the cyst really burst, it’s easier to get a blood transfusion.

Then contact the gynaecologist.

When the gynaecologist heard the results, he said it’s still impeccable, and it’s only about 80% of the ultradiagnosis rate through the abdomen.

She came down in a hurry to assess the situation and prepare for admission to the gynaecology ward.

That’s when the woman had a fight with her boyfriend.

The patient, to be precise, was pointing at her boyfriend ‘ s nose and scolding.

She blamed her boyfriend for having condoms on him. She said she didn’t like to wear them. She also said she didn’t want to be married before marriage.

Her boyfriend tried to explain it, but the reasons were far-fetched, at least she felt it.

Anyway, in her opinion, her boyfriend betrayed her, and there must be someone out there, so she keeps it on.

Several nurses are persuading the female patient.

Because at this point, the thing that worries us most is that when she gets excited, the pregnancy bag explodes.

But reality sometimes happens.

Scared of what, coming what.

When the bed was ready, the female patient covered her stomach with her hands and said she was in severe pain, which was more painful and swollen.

And quickly pale.

Boyfriend’s scared.

Seeing the patient’s abdominal ache, I’m afraid the cyst broke.

The gynaecologist is well-informed and calm, and may not necessarily be the result of a contusion of the pregnancy, a slight hemorrhage, or a gastrointestinal spasm.

But the patient’s behaviour is very worrying, with an accelerated heart rate, a pale face, a rapid measurement of blood pressure by the nurse, and 140/80 mmHg.

But doesn’t that mean there’s no haemorrhage. Early haemorrhagic pressure increases.

Without timely intervention, blood pressure will collapse without too long.

The gynaecologist also found that it was inappropriate to stop the transfer and to observe the rescue immediately.

Things have gone on as far as everyone can imagine.

The patient can’t talk to her boyfriend at this time, looking at me, panicking, saying he’s having a hard time with his chest and feeling like his heart’s about to jump out.

When I look at the electrocardiogram, the heart rate is 120 times.

I’m sure it’s bleeding.

The patient’s vital signs have changed so much in the short term that it is easier to explain that the contusions of the pregnancy cysts have haemorrhage.

The patient was in shock at that time and had to speed up the rehydration, blood transfusions and then urgently deliver a caesarean section to stop the bleeding.

The gynaecologist agrees with me.

It’s really a good thing I just opened up an additional vein, two-pronged, refilling the fluid, and then I contacted the blood transfusion and I called in some blood products.

The blood transfusion said he saw more than 110 erythroglobins. He said the blood source was nervous, so he didn’t have to switch.

When I say so, there’s a possibility that the patient may have a haemorrhage, and the blood protein must have fallen, and if it wasn’t for the blood transfusion, it would have been on the table.

The blood transfusion is also not a stubborn donkey and understands the needs of the clinicians and ultimately agrees to the blood transfer application.

4u red cell, 800ml plasma.

And he said he’d follow the changes.

Once the gynaecologist has examined the patient ‘ s abdominal, a regular gynaecology examination is performed.

I saw a little blood coming out of the vagina, and when the time came, I couldn’t wait to get to the table.

Cesarean section.

There is a high risk that the patient will bleed out of a pregnancy cyst, and if the bleeding is not stopped in time, hemorrhage will cause death.

The gynaecologist said to the patient’s boyfriend, and asked him to call the patient’s parents and sign them.

The patient’s boyfriend said he could sign.

“You have no legal rights, you’re not married, you’re just a friend of hers. “The gynaecologist is a little impatient.

“But you can sign before they come. Also, call them about this. Ask them if they want surgery. I’m sorry.

I don’t think it’s going to be easy. I didn’t think I’d need an operation, but I don’t have any family.

Find the director and let him put his staff on these matters.

When the gynaecologist and the patient’s boyfriend had finished their conversation, they were going to give the first patient a vaginal post-dome puncture.

If you can draw no blood from the post-vagina dome, it means that there is blood in the abdominal cavity.

Where’s the dome behind the vagina?

It may not be known, so let’s say, that the doctor punctured the patient’s vagina with a thin needle, penetrating in the cavity around the cervix and entering the abdominal cavity.

If there is internal bleeding in the abdominal cavity, there will be blood accumulation there.

The gynaecologist, with the consent of the patient and his boyfriend, was very familiar with the molybdenum, so that a few nurses could help the patient with the vescular cutter (the one that gave birth to the child), and the vulva exposed the cervix and the vaginal dome, with a needle in his hand and calmly and with courage.

Go back.

I saw the dark red blood coming out.

The gynaecologist immediately determined that it must have been bleeding inside the abdominal cavity, which was not condensed and could not have been taken by mistake.

He immediately contacted the anesthesia section and informed his superior physician that there was an extramurally pregnant patient who had developed bleeding and was in shock.

The patient is sober at this point, and he doesn’t know whether he has abdominal or puncture pain, and his eyebrows are wrinkled and humming in his mouth.

I thought maybe she was just so excited that she broke her pregnancy bag.

It’s such a coincidence.

The Director is here, the Medical Services Section is here, and the patient’s immediate family is not yet here.

“We can’t wait. Let’s talk in the advanced operating room. The director said:

That’s all.

The parents of the patients were already panicking at the end of the phone, saying that whatever the cure, the life-saving would agree to do and now come.

But it’ll take at least a few hours until they get to the hospital.

The patient can’t wait.

The patient’s boyfriend cried over his head and told me you should’ve been in the hospital five days ago.

I say it’s pointless to talk about it now, but we have to do what’s right in front of us.

That said, I cannot help but blame them.

But their lives are theirs, and I can only give them advice, not force them.

Besides, five days ago I dared not to say that she was an extramural pregnancy, and many extramural pregnancies would not break, and would be diagnosed in time, either by surgery, or by medication, with little progress towards haemorrhaging.

Medical Services said that the patient’s boyfriend had signed first and that they would follow up on the family and expenses.

Do what you have to do. Don’t delay.

It’s kind of green.

If the Medical Section didn’t come to vouch for us, we’d be hesitant.

One is the absence of immediate family members, and the availability of another medical fee is a question.

All right now, Medical Section in town.

Me and the gynaecologist, and two nurses, escorted patients all the way to the operating room.

The anaesthetologist was ready to respond and was brought to the operating table.

Fortunately, it went well.

The operation was a caesarean section, not a caesarean lens.

The situation is urgent, with caesarean sections being the most reliable, in the event that the patient is not bleeding from an ecstasy, but from other diseases, and that the caesarean section allows the doctor to have a wider view and to be more flexible.

It was confirmed that the bleeding was caused by the rupture of the ecdotal pregnancy and that the patient had a smaller cyst than the eggs, but had broken the tubal, which had led to a haemorrhage.

The place where the normal fertilized eggs are laid is the uterus, which has enough land for the fertilized eggs to grow, and the fallow tube is only a passage from the ovary to the uterus, which is limited in space and cannot be suitable for the fertilized eggs to grow, so that when the cyst grows to a certain extent, it will break.

Why is there an extramural pregnancy?

It’s probably related to inflammation of the tubal, or stunting, abnormal functioning, etc.

Of course, there are also extrauterine pregnancies that do not occur in the fallows, but are rare.

The surgery removed the side fallopian tube and stopped the bleeding.

I just got my life back.

After the surgery, the parents arrived.

Thanks to the doctor. In particular, thanks are due to gynaecologists and anaesthetologists.

Well, they forgot me. They forgot we had a head start.

Ha-ha. It doesn’t matter. The patient gets better.

Cope Class: What is extrauterine pregnancy? How to distinguish between acute abdominal pain and eccentric pregnancy?

Girl’s abdominal pain. What kind of disease?

The causes of abdominal pain are very complex and take into account many diseases, such as common appendicitis, cholesterol, pancreas, enteric infarction, digestive perforation, etc.

However, it is more complicated for women, especially women of childbearing age, than for men because of the possibility of diseases of the gynaecological and reproductive system.

For example, the ecstasy that we’re talking about in this article, the ovarian cystals, the ovarian cysts, the yellow bodies, etc., all have abdominal pain. Women of child-bearing age must be cautious and cautious when they have a period of menstruation accompanied by abdominal pain.

The urine pregnancy test has to be done.

If the female patient, as we speak, is accompanied by an irregular vaginal haemorrhage, it’s even more important to be alert to extramural pregnancy.

Is it serious that vaginal bleeding?

Vagina haemorrhage is a common symptom, and many diseases manifest it. Out-of-court pregnancy is only one of them and must be treated in the gynaecology of the regular hospital.

So, what’s the irregular bleeding?

The point is to be vigilant when it comes to time and time and time and time and irregularity.

What is an extramural pregnancy? Why is an extramural pregnancy?

In short, the fertilized eggs are not in the uterus, but are encamped in the fallow or somewhere else, which is called extramural pregnancy.

The place where normal fertilized eggs are laid is the uterus, which has enough land for the fertilized eggs to grow.

The tube is only a passage from the ovary to the uterus, and the space is limited and cannot be suitable for the fertilisation of the eggs, so when the cyst grows to a certain extent, it is bound to break.

So, why is there an extramural pregnancy?

It’s probably related to inflammation of the tubal, or stunting, abnormal functioning, etc.

Of course, there are also extrauterine pregnancies that do not occur in the fallows, but are rare.

Are you sure you’re not pregnant when you have sex during the security period and you take an emergency pill afterwards?

Like this girl in our article, when she’s suspected of being pregnant outside the palace, she’s very sure it’s impossible.

She was based on the fact that she had sex during the security period and had taken the pill afterwards.

In fact, the security period is very rough, and it can be said that there is no absolute security period.

The ovarian ovulation time is not so good to calculate, and many young people, in order to avoid pregnancy, choose to stay with women during their safe period (7 days before and after menstruation), but reality often teaches them to be human.

Also, it’s not 100% of the emergency contraception that can stop the pregnancy, especially the woman we’re talking about, the next day.

Why do women have abdominal pain and the doctors ask about their sex life?

Women of childbearing age, including 20, 30, 40 and even 15-year-old adolescent girls, must be vigilant about the abdominal abdominal pain of this group, and if they have had a sexual life and have a period of menstruation, they must be alert about the abdominal pain that may have been caused by gynaecological diseases and must be routinely excluded.

So don’t hide it when the doctor asks about sex.

Pregnancy is not normally possible without sex, and naturally it cannot be extra-uterine, provided the medical history is reliable.

Do you really have to do it?

The problem is so great that, in most cases, there is a reason for a doctor to allow a certain examination, as in the case of the first visit of a female patient in Man, and if she agrees to do it, there may be no more.

The doctor had no eye on fire, could not see at first sight all the problems and needed to diagnose the disease by means of an auxiliary examination. Case number: YX11XXG510a

I don’t know.

Keep your eyes on the road.