急诊科医生总结(Summary of emergency physicians).docVIP

急诊科医生总结(Summary of emergency physicians).doc

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急诊科医生总结(Summary of emergency physicians) 1. of the fever and cervical lymphadenopathy in adolescent patients, such as antibiotics, to think of necrotizing hyperplastic lymphadenopathy may. 2. of elderly patients with syncope, to give priority to cardiogenic (coronary or arrhythmia), regardless of who had no history of similar attacks. 3. with gastrointestinal symptoms in young patients with acute severe myocarditis may think. 4. elderly anorexia, will not be dysphagia? Let him laugh is not a face mask! 5. shortness of breath, dizziness, especially looking character immature teenagers, young women, to see whether red lips (not lipstick, lipstick than bright colors), may be alkaloses yo (hysteria respiratory alkalosis and acute gastroenteritis alkali generation) 6. dizziness, vomiting, to prevent hemorrhage, cerebellar infarction! 7. young men, with a history of hypertension, abdominal pain, fever, hypotension and shock. Should think of pheochromocytoma hemorrhagic necrosis caused by pheochromocytoma and gastrointestinal proliferative endarteritis obliterans. 8. abdominal pain at night, often cholelithiasis biliary colic, kidney stones, renal colic predilection time, adults have seizures onset history; pay attention to the diagnosis of acute appendicitis. 9. input intravenous cephalosporins, drinking after the onset of symptoms, attention is disulfiram like reaction. 10. hand injury 2 flexor tendon fracture should be considered a nerve injury. 11. chest trauma, open chest operation was needed, should be considered injury intercostal vessels can cause hemorrhagic shock and death! 12. all the above shall be the following umbilical pain and ECG 13. sudden restless heart rate with the change of blood pressure (increase or decrease), back to first consider the aortic dissection 14. let your diagnosis can explain all of the patients symptoms, signs and auxiliary examination results, otherwise the correct diagnosis should be suspected 15. from head to foot thorough physical

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