Classic Emergency Medicine Sentence
1. In the adolescent patient with fever and enlarged cervical lymph nodes, think of the possibility of necrotizing proliferative lymphadenopathy if antibiotic therapy is ineffective.2. In the middle-aged or elderly patient with syncope, prioritize cardiac (coronary or malignant arrhythmia), regardless of a previous history of similar episodes.3. In the young or middle-aged patient who complains of predominantly gastrointestinal symptoms In young and middle-aged patients, think of the possibility of acute severe myocarditis.4. In elderly patients with poor natriuresis, could it be dysphagia? Let him smile, is not a mask face yo! 5. shortness of breath, dizziness, especially look immature character of adolescents, young and middle-aged women, to see if the lips are reddish red (not lipstick, brighter than the color of the lipstick), it may be alkalosis yo (hysterical hooziness and acute gastroenteritis on behalf of the alkali) 6. dizziness, vomiting, to prevent cerebellar hemorrhage, infarction!
7. Young male patients with previous hypertension, sudden abdominal pain, high fever, hypotensive shock. Should be thought of pheochromocytoma hemorrhagic necrosis and pheochromocytoma caused by the gastrointestinal tract proliferative occlusive endarteritis. 8. Abdominal pain at night, often cholelithiasis biliary colic, renal calculi renal colic is good time, adults have a history of seizures; first-time sufferers of attention to the diagnosis of acute appendicitis. 9. Intravenous input of cephalosporin drugs, the onset of symptoms after alcohol consumption, attention to the bithionic-like reaction.
10. hand trauma 2 area flexor tendon rupture should be considered finger nerve injury possible. 11. thoracic trauma, thoracic cavity opening are required to operate, should be considered intercostal vascular injury can cause hemorrhagic shock - death!
12. Where the maxillofacial below the umbilicus above the pain always do electrocardiogram.
13. Sudden tossing and turning with changes in heart rate and blood pressure (increase or decrease), back discomfort first consider aortic dissection.
14. Let your diagnosis explain all of the patient's symptoms, signs, and ancillary findings, otherwise the correctness of the diagnosis should be questioned, . 15. skin pain sensitivity, should consider the possibility of early herpes zoster;
16. to the denial of their own injuries and repeatedly ask the same question trauma patients, the cranial brain is definitely a problem;
17. tattooed cardiac and respiratory arrest patients, to consider the possibility of drug intoxication;
18. cardiac and respiratory arrest but still lips and lips and face reddish color, should consider the cyanide Poisoning may be;
19. Nocturnal episodes of dyspnea, cardiac ultrasound is normal, should consider the possibility of reflux esophagitis;
20. Don't let other people sway your emotions, conscientious and meticulous work, sincere treatment of each patient can prevent doctor-patient disputes;
21. Falling from a height should be aware of the presence of cervical vertebrae fracture injuries, due to the body's other traumatic injuries can make the vertebrae pressure pain is reduced.
22. middle-aged and old people with acute abdomen, symptoms and signs and "four sides", abdominal distension is obvious, think of vascular factors.
23. Chest pain, back pain, as long as there is hip pain, must think of entrapment!
24. For abdominal pain in women, always check HCG as long as they are over 16 years of age;
25. Patients over 50 years of age presenting for the first time with dyspnea - think cardiogenic first!
26. For persistent cough, always ask if the patient is taking an angiotensin-converting enzyme inhibitor (ACEI) type of antihypertensive medication, captopril, etc.
27.
27. The edge of the nail bed must be scraped and destroyed during nail extraction for onychomycosis, otherwise it will recur.
28. Without certain conditions (C-arm machine, or several colleagues) do not easily remove the body surface foreign body, it is not as simple as you think.
29. Foreign body stabbing, must be photographed, there will be the possibility of foreign body residue in the body!
30. inexplicable vomiting to think of pregnancy, uremia.
31. Sudden unexplained low back pain with fever and jaundice is highly supportive of hemolytic crisis.
32. No matter how old the patient is, no matter whether the patient is hospitalized or the first patient in the emergency room, any sudden change of consciousness in any manifestation, an immediate blood glucose measurement is always correct.
33. You can't go wrong with establishing an immediate intravenous access to any patient who you think may be unstable.
34. "After an acute cardiogenic ischemic syndrome, the ECG may show huge inverted T waves with marked QT interval prolongation or huge biphasic T waves, which occurs for an unknown reason and may be related to extreme sympathetic arousal during the ischemic attack. If the electrocardiogram fails to record ventricular fibrillation at the time of its onset and there are only giant inverted T waves, and in combination with episodes of syncope or convulsions, it may also be inferred that a malignant arrhythmia triggered the cerebral ischemic syndrome."
35, trauma patients with a history of heart disease must do electrocardiogram, because trauma may induce infarction;
36, persistent abdominal pain, no fixed pressure points, routine auxiliary examination and no positive results, may be mesenteric vascular disease
37, aortic coarctation patients can have no obvious chest and back pain, manifested as abdominal pain, organ ischemia caused
38, after the trauma X-ray negative patients must be told to review, especially rib fractures ankle and wrist some may not be able to see the part, lest the patient said you did not diagnose it afterwards
39. row of cervical spine X-ray must not forget the opening position
40, any trauma that may result in abdominal injuries, no matter how normal ultrasound at the time the patient's condition is good! Be sure to stay for review, it is likely that the results of the review will surprise you, or out of a cold sweat
41, do not rely on the radiologist's report, they sometimes make mistakes, so no matter how busy, be sure to look at the film carefully
42, to paraphrase a Dr. House inside the classic line: "everybody
42, to quote a classic line from Dr. House: "everybody!" Sometimes patients provide a history or concealment or misleading, to believe what they see, find out
43, textbooks say what disease what age is good for the incidence of just a statistic, the actual clinic will come across a lot of strange cases that do not match, so the mind should be open, what is possible
44, acute Chest pain in patients considering acute inferior wall myocardial infarction, must be added to the right chest lead, because V3r-V5r diagnosis of right ventricular infarction sensitivity and specificity are high, but the duration is short, and a lot of time can only be seen in the emergency room electrocardiogram.
45, After operating tracheal intubation, the physician must make sure that the tracheal tube is accurately in place and that the patient is effectively ventilated before leaving or turning in.
46. After tracheal intubation, the physician must make sure that the endotracheal tube is accurately in place and that the patient is effectively ventilated before leaving or handing over the shift.
47, PCI postoperative patients out of bed activities suddenly appeared chest tightness and shortness of breath with sweating, blood pressure drop, etc., do not forget to consider pulmonary infarction;
48, acute onset of limb weakness, check the blood potassium electrocardiogram
49, consider spinal cord lesions must be checked for spinal column pressure pain
50, the old man abdominal pain should be wary of the bile origin of pancreatitis
51, penicillin allergy should pay attention to its incubation period
52, trauma patients complain of eye discomfort, or vision loss, routine craniocerebral CT, optic nerve tube CT, etc. at the same time, do not ignore the ophthalmology consultation, may be too much, retinal detachment, hemorrhage behind the ball, triggering glaucoma
53, trauma patients initial examination of abdominal no abnormality. Complaints of abdominal pain at night, in the consideration of common liver, gallbladder, spleen, kidney and other traumatic injuries at the same time, must be alert to traumatic aneurysm.
54, young children trauma, the first CT is not abnormal, or only skull fracture, the night, do not be afraid to wake up the children, do not be young children's family members to prevent, must regularly wake up the children, beware of intracranial delayed hematoma, because young children craniotomy mortality rate is very high.
55, adolescents sudden abdominal pain, vomiting, fatigue, to measure blood glucose, alert to diabetic ketoacidosis.
56, diabetic patients with a sudden loss of appetite, but also to guard against ketoacidosis.
57, respiratory arrest, pupil dilatation of young patients can not be premature conclusion, timely and effective respiratory support may be reversed.
58, organophosphorus pesticide poisoning of patients to carefully wash the hair, skin, to prevent the toxin again slowly absorbed.
59, ten possible causes of coma patients - interencephalic detoxification urine, drops heart, liver, lungs, brain - interencephalic - epileptic detoxification - electrolyte disorders poison - poisoning urine -Uremia drops - hypoglycemia drops - hypotension heart - heart disease liver - hepatic coma lung - pulmonary encephalopathy.
60, taking digoxin patients appear yellow-green vision, arrhythmia must check digoxin blood concentration, vigilant digoxin poisoning;
61, deep vein cannulation should be examined after chest X-ray to see the position of the head of the tube, except for the pneumothorax;
62, for the patient's physical examination of the traumatic injuries, try to do exposure to the full.
63, for drunken patients who may have traumatic consciousness disorder, do not think in terms of "he is just drunk". Because the history is not clear, many of the clinical manifestations of alcohol overdose, such as hypotension, confusion, pupillary reaction can be craniocerebral injury, organ hemorrhage at the same time, be cautious.
64, for patients with abdominal pain, under the initial diagnosis, but still to repeat the observation of the abdomen. Because according to statistics, only 30% of the initial diagnosis of abdominal pain is confirmed.
65, cerebral hemorrhage or traumatic brain injury patients with systolic blood pressure is not higher than 180mmHg, do not easily lower pressure ah!
66, for symptomatic epilepsy, especially epilepsy persistent state of patients, in the active application of AEDs effect is not good, should be considered whether the patient has the presence of hyperglycemia or hypoglycemia, timely examination and correction can often be rapid relief of symptoms.
67, for the elderly appear atypical dizziness, headache, mental symptoms, single limb weakness and memory loss should be thought of Chronic subdural hematoma may be, pay attention to ask whether in about half a month or more have a history of trauma, and routinely perform a cranial CT examination.
68, to rule out other causes of sudden hypotension, do not put too much faith in the seemingly "normal" cardiac monitoring, do a bedside electrocardiogram, there may be unexpected discoveries - - - ventricular tachycardia. -Ventricular tachycardia.
69, mild vertigo, mental atrophy, men should be more to consider small stroke, and vice versa, heavy vertigo, mental health, women, the possibility of peripheral vertigo.
70, if simple CK high, don't forget to check the thyroid function
71, summer fever patients, don't forget the B brain, toxic dysentery, heat stroke may
72, clear suture must be used to touch the hand to probe the wound inside the situation, so as to avoid transparent foreign body residue
73, long time dry cough patients, to consider the cough variant asthma may
74, face to face with the cough variant asthma may be
74, the cough variant asthma may be
75, the cough variant asthma may be
76, the cough variant asthma may be considered. p>
74, in the face of lifting or ambulance into or family members are very nervous about the emergency patients you have to do is: 1 oxygen (except paraquat) 2 physiological saline to establish intravenous access 3 cardiac monitoring waiting 4 assessment of vital signs, especially respiratory and circulatory; 5 if the vital signs of stability can be to pacify the family and the patient and ask for a history of the relevant examination to improve make a preliminary diagnosis and treatment; 6 if the signs of failure to give emergency treatment immediately Give emergency treatment, notify the nurse to prepare for resuscitation, the consultation immediately consultation, can bedside check the project as soon as possible check, and at the same time briefly explain the situation to the family to inform the critical rescue life-threatening. 7 taboos do not assess the vital signs of blindly go out to check the 8 in case of special circumstances (unaccompanied, no money, car accidents, the first signs of a dispute, suspected of being harmed, poisoning, etc.) must remember to report to the superior doctor or the medical office or the general duty 9 in case of an emergency, the patient should not be sent to the hospital. or the general duty report 9 in case of sudden chaos or out of control, as soon as possible to avoid, to prevent being hit, and at the same time cell phone to report to the relevant departments of the hospital.
75, the elderly sudden heart failure \ shock \ malignant arrhythmia, to exclude acute heart attack.
76, thigh small wound knife wound, conscious patients, to wear gloves with a finger to go in to explore whether there is injury to the femoral artery may be.
77, abdominal small wound stab wound, with low blood pressure, low pulse pressure, fast heart rate patients to consider whether there may be pericardial effusion
78, hospitalized bedridden patients get up and sudden dyspnea, chest pain, or respiratory cardiac arrest, need to be highly suspicious of pulmonary thromboembolism
79, mechanical ventilation patients with a sudden drop in oxygenation, dyspnea, especially after choking, sputum suction need to be highly suspicious of pneumothorax, due to the emergency situation. Highly suspicious of pneumothorax, because of the emergency situation, the feasibility of trial puncture suction
80, elderly patients with intestinal perforation, acute peritonitis may be completely without abdominal pain, abdominal muscle tension, abdominal pressure, elevated blood and other manifestations of diagnostic abdominal perforation is often able to find the cause of shock in such patients
81, middle-aged and elderly patients with a history of hypertension, dizziness worsened suddenly, the limbs of the muscle strength and muscle tone is normal, is not necessarily a purely elevated blood pressure, but also a high blood pressure. must be simply elevated blood pressure, but also may have a lacunar cerebral infarction, do not prescribe some antihypertensive drugs and let the patient go!
82, the localization of abdominal pain is not clear, even if there is no plate abdomen, such as accompanied by the disappearance of intestinal sounds, highly consider gastrointestinal perforation
83, where the age of 35 years old, the epigastric pain above the discomfort, should be done electrocardiogram (female post-menopausal), there has been a lesson in blood.
84, women of childbearing age must ask if they are pregnant before taking a picture! And it should be recorded in the medical record to avoid unnecessary trouble.
85, drug sensitivity history, menstrual history absolutely must be written clearly in the medical record; changes in the condition of the record at any time, the use of medication to check three times think twice, ask for more instructions, see the patient a few times; Professor often taught: can do the test, must be done; can not deal with, do not deal with it;
86, trauma patients in accordance with "CRASH PLAN "order of physical examination, not easy to miss items, physical examination before writing the physical examination, especially cardiopulmonary auscultation, do not do not make wild guesses; the three bases of the foundation must be solid!
87, more critical care scores, the severity of the disease in mind, but not absolutely blind faith in the guide;
88, must personally diagnose the patient, others may not be reliable, there are often unexpected gains;
89, colleagues, patients, the relationship should be done well, the strongest shield may be attacked from the inside, three points of the real disease, the heart of the seven points of the disease, recognizing considerate care of patients; protection of peers, protect themselves, and the protection of the patient, and the protection of the patient. Patients; to protect peers, to protect themselves, to protect the patient;
90, around the record book, digital camera, U disk, to stay around the important information, often organized, the harvest is not small;
91, after seeing the patient, more summaries, more books, more literature, set up a special topic, the establishment of the team, one by one to attack;
92, good treatment of internships, advanced training doctors and nurses, and the people may be your words of advice. Perhaps a word from others is your life-saving straw; think about how they came in the first place;
93, the treatment effect of hyperthyroidism must pay attention to exclude the merger of Hashimoto's thyroiditis.
94, preschool children paroxysmal periumbilical pain with fever to pay attention to intestinal parasitosis with infection
95, adolescents or school-age children abdominal pain to pay attention to allergic purpura (abdominal) attention to the body
96, the elderly abdominal pain if the symptoms of the heavier than the signs of ultrasound electrocardiogram is not abnormal to pay attention to the possibility of mesenteric embolism of the small intestinal necrosis. If there is atrial fibrillation, it is more important to pay attention to.
97, young women, coma, but the vital signs are stable, the examination is normal, the pupil is large. Occasional irritability should be noted ketamine or psychedelic (ketamine) poisoning.
98, for the generalized weakness of the patient, in addition to checking the blood potassium, blood glucose, but also should check the T3, T4, TSH, sometimes hyperthyroidism can also be low potassium.
99, young patients suddenly pale, low blood pressure, to consider acute gastrointestinal bleeding.
100, for dyspnea, not fast breathing, no lung rales, no prolongation of the expiratory phase, confusion of the patient, can not be excluded asthma, must ask their family members have no history of asthma, may be severe asthma.
101, abdominal pain patients, renal area buckle pain, ultrasound suggests that patients with stones, can not be taken for granted is renal colic, sometimes it is likely to be appendicitis, pancreatitis, or other diseases, we must pay attention to the observation of exclusion of other diseases, it is best to do more tests.
102, infants and young children shortness of breath, the first look is not boogers and stuffed.
103, the elderly patients with pneumonia, not necessarily have shortness of breath cough, sometimes only manifested in the poor, pay attention to lung auscultation.
104, epigastric pain is always in the lying position when the attack, stand up and get better, pay attention to the sliding esophageal hiatal hernia!
105, vertigo, dizziness, lightheadedness, syncope identification should be clear. Vertigo: the body for the spatial relationship between the orientation of the sensory impairment or balance sensory impairment. Expressed as a sudden self or external objects in a certain direction of the rotation, floating, drifting or tumbling feeling. Dizziness: a feeling of confusion and lack of clarity in the mind. Dizziness: intermittent or persistent light-headedness and shaking feeling of instability. Syncope: sudden onset, loss of consciousness for a period of time, inability to maintain a normal position or fall to the ground, and recover in a short period of time.
106, patients with acute abdomen, if the first fever or vomiting, and then abdominal pain, generally not consistent with acute appendicitis. Appendicitis symptoms tend to appear in the following order: periumbilical or mid-upper abdominal pain, nausea, vomiting, abdominal pain shifted or centralized in the right lower abdomen, right lower abdominal pain with marked pressure - elevated temperature - leukocytosis with the phenomenon of leftward nuclear shift.
107, female patients, such as the emergence of acute abdominal pain, in addition to a number of comrades mentioned earlier to test HCG, but also to ask to ask the leukorrhea If there is fever, leukorrhea, type of change in traits, odor, need to consider the possibility of acute pelvic inflammatory disease.
108, the emergence of 5P syndrome need to consider the abdominal aortic dissection riding across the common iliac artery
109, pay attention to the patient to routinely do fecal occult blood test, will reduce the leakage of the diagnosis and misdiagnosis
110, for the limbs of the patient, there is polydipsia, hypertension, think of the primary aldosteronism
111, coronary artery disease patient suddenly appeared Chest tightness and shortness of breath, can not just to the left heart failure aspect, to pay attention to the pneumothorax, pay attention to the changes in the breath sounds of both lungs, lessons learned.
112, severe headache patients who do head CT normal can not be excluded subarachnoid hemorrhage, may be a small amount of undeveloped.
113, convulsive grand mal seizures in patients with no previous history of epilepsy should be considered poisonous rat poisoning.
114, Hypokalemia should be thought of in the presence of barium poisoning.
115, abdominal pain patients routinely check urinalysis, to think of diabetic ketoacidosis due to abdominal pain may be.
116, in line with the symptoms of intestinal obstruction to think of whether the incarcerated hernia, the examination should be fully exposed inguinal area.
117, epigastric pain may also be the only symptom of pneumothorax.
118, hypertensive patients with recurrent rash, especially with tongue swelling, should pay attention to the angioneurotic edema of ACEI
119, abdominal pain emergency, to cover the abdomen with the hand to consider surgical abdominal pain; abdominal pain emergency, abdominal pain emergency, with the hand to press the abdomen to consider the internal medicine abdominal pain 120, there is a history of diabetes mellitus, unexplained coma, the urban patients to rule out hypoglycemia first, rural patients to first rule out hyperosmolar coma or ketogenic coma. Rule out hyperosmolar coma or ketoacidosis (the former economic conditions are better, more long-term medication; the latter economy is poor, often without medication)
121, unexplained unresponsiveness of elderly patients, the first to rule out cerebrovascular accidents, followed by exclusion of lung infections
122, young women call out loud dyspnea after the emotional changes, the first to rule out hyperventilation syndrome
123, view the electrocardiogram, first look at the heart rhythm rather than heart rate
124, chest pain in the differential diagnosis of "severity, urgency and prognosis" in the order of the first few diseases are: aortic coarctation aneurysm (rupture) - - acute massive infarction - - pulmonary embolism of the great vessels - - tension pneumothorax - - acute pericardial tamponade - - acute pericardial tamponade - - - acute pericardial tamponade - - - acute pericardial tamponade - - - acute pericardial infarction --- Acute pericardial tamponade --- Diaphragmatic hernia --- Chest tumor. Also note abdominal subdiaphragmatic lesions leading to chest pain.
125, trauma patients quickly determine the condition of the first disease to be excluded are: "spinal cord injury, craniocerebral injury, thoracic and abdominal closed injuries (heart, lungs, liver, spleen and kidneys), pelvic crush injuries (urethral injuries or iliac vascular injuries caused by hemorrhagic shock)".
126, patients with periumbilical pain and diarrhea must look for a rash, be alert for anaphylactic purpura, and be careful to differentiate from acute appendicitis.
127, clinically common women of childbearing age, sudden lower abdominal pain after urination, a sharp pain, ultrasound suggests that the ovarian cysts 楴torsion, of course, but also need to rule out stones
128, coma to check the cause; AEIOU low low sugar liver summer A - cerebral arteries. e - psychoneurological I infectious diseases O - poisoning U - uremia low low low glucose low low blood pressure bottom potassium sugar diabetes liver liver disease summer - Heatstroke
129, hemoptysis, vomiting blood, do not forget to check the oral cavity, not except oral bleeding
130, emergency hypertension, no past medical history, please observe for a moment, do not rush to decompression, that may just be a false impression
131, epigastric intense pain, please check the liver, gallbladder and spleen ultrasound: lumbar and abdominal pain stooped over to the clinic, please check the urological ultrasound; the pain comes and goes pain to the right
132, Miss model abdominal pain to the clinic, to check HCG, gynecological ultrasound; Miss model coma to the clinic, the first to consider drunkenness or psychedelic drug overdose treatment, but do not forget to go to the head to check a CT.
133, "once you have osteomyelitis, always have osteomyelitis": explore the the issue of disease prognosis; given the type and character of osteomyelitis infection, it can recur at any time. However, the exact recurrence rate of osteomyelitis is not 100%.
134. "The 3 nos of myeloma: no fever, no splenomegaly, and no elevated alkaline phosphatase": exploring disease diagnosis. Fever and splenomegaly are usually common symptoms in hematologic tumors, but not in uncomplicated myeloma. Tumors that destroy bone can cause elevated alkaline phosphatase, but alkaline phosphatase is not elevated in myeloma. If the patient has fever, an infection is present; if there is splenomegaly, amyloidosis or POEMS syndrome needs to be considered: alkaline phosphatase is elevated. Then consider a fracture.
135, ? If a patient with COPD has a pestle finger, CT should be examined; COPD without tumor rarely presents with a pestle finger
136,?Liver function should be checked in Parkinson's patients under 40 years of age, and the possibility of Wilson's disease needs to be considered
137, Chronic symmetric polyarticular arthritis that does not involve the hips and both shoulders may be gout
138, In an adult patient with iron deficiency, hemorrhage is present in that patient unless another disease can be confirmed
139, ? Only 10% of pulmonary embolisms originate in the upper extremities; this is because upper extremity veins have more tissue-type fibrinogen activator
140,? If a patient with chest pain has a "shock-like presentation" with elevated blood pressure, the diagnosis should be aortic coarctation
141,? If a patient without toothache develops a lung abscess, the diagnosis is lung cancer unless another disease can be proven.
142, In the treatment of a patient with tuberculous pleural fluid, delayed paralysis of both lower limbs occurs, and in addition to hypokalemia and peripheral neuritis due to isoniazid, Green-Barry syndrome and thoracic/lumbar vertebral tuberculosis should be considered. Although vertebral tuberculosis is rare, the lesson is profound.
143, coma beware of low: hypotension, hypoglycemia, hyponatremia, hypokalemia, hypoxemia, low PH
144, watery eyes, respiratory failure, CO2 retention
145, dizziness and headache of the patient, the mouth is a little crooked, except for hypoglycemia caused by the chorea
146, long-term use of hormones in the patient, the blood picture can be elevated
147, abdominal pain, grinding restlessness, frequent activities of the patient is not terrible, generally are not life-threatening diseases such as stones, appendicitis, etc., if it is quiet abdominal pain, and yellowish face may be critical, such as infarction or entrapment
148, the patient who coughs for a long time every time a cold, the mouth is a little crooked, except for chorea caused by hypoglycemia. Every time a cold cough for a long time the patient, may not be a cold cough, may be a cough variant asthma attack, be sure to ask the smoke stimulation situation.
149, a pair of embarrassed eyes looking at you, stretching out a pair of warm and moist hands --- hyperthyroidism,
150, feverish patients in the use of Lepidium before, be sure to ask whether there is allergic rhinitis, bronchitis, asthma, vigilance "aspirin asthma", very easy to cause respiratory arrest!
151, syncope patients do not forget to exclude the possibility of pulmonary embolism, check D-dimer to exclude.
152, abdominal pain, muscle tremor, pay attention to look at the pupil, check cholinesterase, to rule out organophosphorus pesticide poisoning.
153, hypoglycemic coma patients bilateral pupils will also be dilated.
153, on the fever with cervical lymph node enlargement of adolescent patients, such as antibiotic treatment is ineffective, to think of necrotizing proliferative lymphadenopathy may be.
154, middle-aged and elderly acute abdomen, symptoms and signs and "four sides", abdominal distension, think of vascular factors. Hemorrhagic shock- death!
155, fall from a height should pay attention to the presence of cervical spine fracture, due to other trauma on the body can make the vertebral body pressure pain relief.
156, sudden abdominal pain a few days after trauma, think of delayed splenic rupture.
157, post-PCI patient lying down sandbag pressure femoral artery puncture point suddenly appeared chest tightness and shortness of breath with generalized sweating, blood pressure drop, etc., need to consider the vagal reflex
158, usually have atrial fibrillation patients if the electrocardiogram suddenly regulated, then you have to be careful of electrolyte disorders, especially hyperkalemia occurs.
159, patients with acute abdomen, if the drum sound of percussion is obvious and mobile turbidity is positive, diagnostic abdominal puncture if the gas is extracted, must be highly suspicious of digestive tract perforation, do not think that they have penetrated into the intestine.
160, chest tightness in patients ---- unknown cause - be sure to check the blood gas, if the PH value is less than 7, the patient's mortality rate is close to 100%
161, fall injury hypotensive people do not miss the full pelvic film; tibiofibular fracture may also fat embolism; pediatric fall remember to touch the lower clavicle.