Chapter 1215: 【1215】Common diseases should be excluded one by one

   Chapter 1215 [1215] Common diseases should be excluded one by one

"He's my grandson. The sick boy's grandmother reported the incident to the doctor." The school teacher said that he had a cold and fever. I only found out from the teacher when I went to pick him up. He was fine when we took him to school in the morning. Yes, no fever. I don't know what happened to him at school. His parents are inconvenient to go to work, so let me take him to the hospital to prescribe medicine first."

   Listening to the family's description of the situation, Xie Wanying squatted down and was flush with the child's head, which was convenient for observing the child's complexion and breathing.

   The boy had a little mucus from his nostrils, as if he was sneezing, his eyes were red, his voice was hoarse, he had a fever and had little energy, like a cold.

   For patients with fever, the triage nurse must first give a thermometer to measure the temperature. Xie Wanying turned her head and asked the old man, "Have you taken out the thermometer?"

   "The thermometer? Oops, I forgot." The sick child's grandmother hit her forehead with her hand.

  The elderly who accompany their children to see a doctor tend to forget things when they are old and cannot remember the details explained by doctors and nurses. The thermometer clipped under the child's armpit is expected to exceed the ten-minute time limit given by the nurse.

   Can't complain about the nurse. The emergency nurses in the tertiary hospitals are busy, and the nurses in charge of sitting at the triage desk need to help other colleagues to give injections to patients when they are free. The latter situation is more urgent than staring at the patient to take the temperature. Anyway, when the doctor sees the child, he will ask about the temperature, and he will not completely forget about it.

   "It's okay." Xie Wanying comforted her grandmother, reached out her hand and gently touched the thermometer under the child's armpit, took it out, and read the mercury reading on it against the fluorescent lamp: thirty-nine degrees six.

  You can re-measure again, but the value should not deviate much. In short, do not burn to more than 40 degrees.

   Thirty-nine degrees six are close to forty degrees, which has an impact on the activity of the human brain. As a result, the boy had headaches, dizziness, and was less able to answer the doctor's questions.

   did not ask the child to let the child rest more. Xie Wanying took out a stethoscope from her pocket and listened to the child's lungs to rule out pneumonia.

  The most feared complication of viral colds is pneumonia. Once pneumonia is diagnosed, it goes without saying that hospitalization is definitely required. Which department to live in, not necessarily to go to the pediatrics. Because the National Association does not have a pediatric internal medicine department, it is possible to be admitted to their respiratory medicine department. For example, when she was in the Second General School, under the condition that she could not be transferred to the pediatrics department, these departments would admit some children's cases to the hospital according to the scope of specialized diseases.

   After listening to the boy's lungs, the child's lungs are still in good condition. The child does not have a severe cough, no wheezing, no chest pain.

  Xie Wanying took out two more magic weapons for doctors to see a doctor from the pocket of her white coat: cotton swabs and flashlights.

   "Student Wei Wei, come, open your mouth."

   Hearing someone calling his name, the boy raised his head and saw the big, smiling eyes of the doctor and sister in front of him, as if he had received a lot of comfort.

  A ten-year-old child can cooperate with the doctor, the boy opened his mouth wide.

  There is no tongue depressor. Xie Wanying used two cotton swabs instead of the tongue depressor to press the child's tongue. One cotton swab is not enough, so two cotton swabs are needed.

   Raise the flashlight with the other hand and use the light of the flashlight to look inside the child's mouth.

   Don't think that the doctor is just looking at the throat. Excellent doctors will focus on observing the patient's oral mucosa by the way. Fever caused by acute pharyngitis is much less common in children than in adults. Acute tonsillitis in children is common in children and needs to be excluded. For the rest, some diseases that may appear relatively rare in today's society also require doctors' vigilance and attention, such as measles.

   (end of this chapter)