Maybe I saved her life? *glee*
I'm feeling happy today because I spotted something which the doc missed, and I had to go running after the patient to get her to go back to the Consultation Room because we needed to question her further.
It was a female patient complaining of left iliac fossa pain (the area directly opposite that u get for appendicitis on the right). She had her right ovary removed 3 months ago because of a large cyst, and everything was ok post surgically. But for the last 2 days, she got an excruciating pain on the left side and it felt like the pain she had on the right last time. It was extremely debilitating, and she managed to seek help only today after it went away with some strong painkillers. In the history, she also mentioned that she hasn't had a period for 2 months, and from looking at her, I knew she wasn't menopausal yet.
She wasn't given a diagnosis, but blood forms, referral to gynae, urine sample which she can bring in whenever she likes etc. Apparently, the system here in UK is different from sg whereby u can get basic tests like bloods and urine all done at the GP's. Here, u have to go to the hospital, and u can choose when u wanna do it..just bring the form will do.
A middle aged lady with abdo pain....I remember being told umpteen times that I should always query pregnancy in any female coming in with lower abdo pain who hasn't gone through menopause and it sticks in my head since I used to forget about it quite often before, and was told how dangerous it is if I miss an ectopic pregnancy.
No periods for 2 mths sounds dodgy, so when she left, I asked the doc "Do you think she could be pregnant? 2 mths without period...". The doc got speechless for a moment. "She could well be. Oh dear, can u please get her back in here? She'll need to go to the hospital immediately then."
When she came back to the room..
Doc: I got you back because of an important point made to me by this medical student, which I definitely have to ask you about. Do u think there's a possibility that u could be pregnant?
Patient: Yes..there could be a possibility even though I did have sterilisation because I haven't had a period for 2 months after sterilisation..
Doc: Hmm..well..I think we shall not delay the referral. It's best if u head to the hospital now and get all your urine tests, and bloods done.
Seems unlikely that she might be pregnant since she was sterilised, but sterilisation isn't 100% too. I heard from docs before that there are some women who have Filshie clips put in, and end up having ectopic pregnancies....even though it's rare.
I'm not sure what her pregnancy test results will be, but if she was indeed having an ectopic preg, then I would have saved her life. :) Of course...I hope it's nothing lah...but it's always better to be safe than sorry..
It was a female patient complaining of left iliac fossa pain (the area directly opposite that u get for appendicitis on the right). She had her right ovary removed 3 months ago because of a large cyst, and everything was ok post surgically. But for the last 2 days, she got an excruciating pain on the left side and it felt like the pain she had on the right last time. It was extremely debilitating, and she managed to seek help only today after it went away with some strong painkillers. In the history, she also mentioned that she hasn't had a period for 2 months, and from looking at her, I knew she wasn't menopausal yet.
She wasn't given a diagnosis, but blood forms, referral to gynae, urine sample which she can bring in whenever she likes etc. Apparently, the system here in UK is different from sg whereby u can get basic tests like bloods and urine all done at the GP's. Here, u have to go to the hospital, and u can choose when u wanna do it..just bring the form will do.
A middle aged lady with abdo pain....I remember being told umpteen times that I should always query pregnancy in any female coming in with lower abdo pain who hasn't gone through menopause and it sticks in my head since I used to forget about it quite often before, and was told how dangerous it is if I miss an ectopic pregnancy.
No periods for 2 mths sounds dodgy, so when she left, I asked the doc "Do you think she could be pregnant? 2 mths without period...". The doc got speechless for a moment. "She could well be. Oh dear, can u please get her back in here? She'll need to go to the hospital immediately then."
When she came back to the room..
Doc: I got you back because of an important point made to me by this medical student, which I definitely have to ask you about. Do u think there's a possibility that u could be pregnant?
Patient: Yes..there could be a possibility even though I did have sterilisation because I haven't had a period for 2 months after sterilisation..
Doc: Hmm..well..I think we shall not delay the referral. It's best if u head to the hospital now and get all your urine tests, and bloods done.
Seems unlikely that she might be pregnant since she was sterilised, but sterilisation isn't 100% too. I heard from docs before that there are some women who have Filshie clips put in, and end up having ectopic pregnancies....even though it's rare.
I'm not sure what her pregnancy test results will be, but if she was indeed having an ectopic preg, then I would have saved her life. :) Of course...I hope it's nothing lah...but it's always better to be safe than sorry..
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