Chapter 1226: Need to know which department the disease belongs to
Nosebleeds generally involve capillaries; the bleeding stops quickly but can also be quickly controlled as long as the method is correct.
In addition to icing, Xie Wanying, wearing gloves, took the cotton balls handed over by the nurse and stuffed them into the patient’s bleeding nasal cavity to stop the bleeding.
Before the bleeding is completely stopped, the blood in the patient’s nasal cavity will definitely continue to flow.
“Hey, hey, hey, don’t tilt your head back,” the nurse steadied the patient’s head.
Some people have the habitual reaction that when they have a nosebleed, they think tilting their head back might make the blood flow back into the body. This idea is absurd. Blood that has flowed out of the vessels cannot flow back into them unless through transfusion.
On the contrary, tilting the head back will make the blood flow into the esophagus, stomach, trachea, and lungs. Because the organs below the nasal passage are these.
If blood flows to the esophagus and stomach, it can cause nausea and vomiting.
If it flows into the trachea and lungs, the situation is more serious and can instantly cause patient suffocation.
If it weren’t for the patient coming in with excessive blood loss, looking pale, dizzy, unable to stand, the doctor would let her sit up and lean slightly forward, which would be better for the blood to flow out of the body.
Now medical staff let the patient’s head tilt to the side, anyway, the blood must not flow back into the trachea and lungs.
As time passed second by second, the atmosphere on site was a bit tense.
Whether this bleeding can be stopped requires the doctor to quickly determine why the patient had a massive nosebleed.
Only by finding the cause can the right treatment eliminate the disease.
The doctor first asks about the patient’s medical history and then conducts a targeted examination based on it.
“Has her nose been injured before?” Xin Yanjun asked the patient’s friend who accompanied her.
The first step is to rule out trauma. Although the doctor temporarily does not see any signs of trauma on the patient. For safety’s sake, asking again won’t hurt.
“No. She suddenly started bleeding from the nose while having dinner. We tried to stop it by pressing, but it didn’t work, so we had to rush to the hospital,” the patient’s friend said.
“Are you talking about today’s situation? What about before? I mean, before today, try to recall if she had any car accidents or accidental falls?” The doctor thoroughly inquired about the trauma history.
“No. I’ve never heard of her having a car accident.” The patient’s friend shook her head.
Trauma seems to be temporarily ruled out, so the doctor needs to consider if the patient has any systemic diseases leading to nosebleeds. For example, Coagulation Function disorders causing nosebleeds, like the commonly known leukemia, can have similar symptoms, such as anemia and bleeding.
“Draw some blood,” Xin Yanjun gave a verbal order to the nurse.
Draw blood to test if there are any issues with the cells in the blood.
The nurse went to get the blood drawing tools.
The doctor then asked the patient’s friend, “Did she ever mention having any disease?”
“No, she’s so young, what kind of disease could she have,” the patient’s friend said, “You can ask her yourself.”
After experiencing the icing and lying flat, the female patient seemed to improve a bit, being able to hear the conversation between the doctor and her friend, she nodded to confirm her friend’s words were correct.
This implies that even if this patient is sick herself, she is unaware of it and cannot answer the doctor’s question.
“Should we call ENT down for a look?” The nurse asked beside, suggesting whether to call for help from the doctors in the inpatient department.
It is necessary to find a specialist from the inpatient department. The question is, which department’s doctor should be called must be right. Otherwise, it’s a waste of time for the patient and the colleague. Emergency doctors have this technical responsibility.