The case isn't long.
Just a few sentences.
But they reveal a lot of information.
Doctors, when reviewing a medical case, generally focus on a few aspects.
First, deducing the cause from symptoms; second, predicting symptoms based on the cause.
At this moment, the patient's symptoms don't seem too hard to infer.
Regarding symptoms, the patient experienced sudden dizziness and weakness, likely indicative of hypovolemia, along with acute abdominal pain and bloating, which are suggestive of abdominal cavity bleeding!
Regarding signs: rapid pulse, low blood pressure, and obvious peritoneal irritation. This clearly suggests an intra-abdominal condition.
Routine blood tests indicated progressive decline in hemoglobin during the early onset, with no significant changes in MCV or MCH, but persistent low-level Fib and elevated D-dimer. These seemingly disorganized report results obviously lead to one conclusion: it perfectly aligns with symptoms of acute bleeding!
