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160条急诊经典经验(160 classic experience in emergency room)
160条急诊经典经验(160 classic experience in emergency room)
160 classic experience in emergency room
1. for young patients with fever and neck lymph nodes, such as antibiotic therapy, the possibility of necrotizing hyperplastic lymphadenopathy is considered.
2. for elderly or middle-aged patients with syncope, priority should be given to cardiogenic (coronary or malignant arrhythmias), regardless of whether or not they have similar history of attack.
3. the young and middle-aged patients with digestive tract symptoms should think of the possibility of acute severe myocarditis.
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 cerebellar hemorrhage, infarction!
7. young men had hypertension, sudden abdominal pain, high fever, and hypotension shock. Pheochromocytoma, hemorrhage, necrosis, and pheochromocytoma due to pheochromocytoma should be considered.
8., abdominal pain at night, often gallstone, biliary colic, kidney stones, kidney colic predilection period, adults have a history of attack; the first onset of attention to acute appendicitis diagnosis.
9., intravenous infusion of cephalosporins, symptoms after drinking, attention is double sulfur like reaction.
10. hand injuries, 2 areas of flexor tendon rupture, should consider the nerve damage may.
11. chest trauma, open chest surgery, should consider the intercostal vascular injury, can cause hemorrhagic shock - death!
12., all above the mouth below the pain above the navel will do ecg.
13. sudden confusion, accompanied by heart rate, blood pressure changes (elevated or decreased), the back does not fit, first consider aortic dissection.
14. make your diagnosis explain all the symptoms, signs, and f
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