Chapter 1215 [1215] Common Diseases Must Be Ruled Out One by One

"He is my grandson." The grandmother of the sick child reported the incident to the doctor," the school teacher said that he had a cold and a fever. I only found out from the teacher when I went to pick him up. He was fine when we sent him to school in the morning. Yes, no fever. I don’t know what happened to him at school. It’s not convenient for his parents to go to work, so let me take him to the hospital to prescribe medicine first.”

Listening to the family members' description of the situation, Xie Wanying squatted down to be at the same level as the child's head, so as to observe the child's complexion and breathing.

There was some mucus coming out of the boy's nostrils, as if he was sneezing, his eyes were red, his voice was hoarse, he had a fever and had no strength, like a cold.

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

"Thermometer? Oh, I forgot." Grandma Zhutong slapped her forehead with her hand.

Elderly people 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 estimated time of the thermometer clipped under the child's armpit exceeded the ten-minute time limit given by the nurse.

You can't blame the nurse for this. 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 patients injections when they are free. The latter's situation is more urgent than staring at the patient's temperature. Anyway, when the doctor sees the child, he will ask about his temperature, and he will not completely forget about it.

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

It can be measured again, but the value should not deviate much. In short, don't burn it above 40 degrees.

Thirty-nine degrees six is ​​close to forty degrees, which affects the activities of the human brain. As a result, the boy suffered from headaches, dizziness, and was unable to answer the doctor's questions.

Without asking the child, let the child rest more, Xie Wanying took out a stethoscope from her pocket, listened to the child's lungs, and ruled out pneumonia.

The most feared complication of viral influenza is pneumonia. Once pneumonia is diagnosed, needless to say, hospitalization is definitely required. Which department to live in does not necessarily mean going to the pediatrics department. Because the National Association does not have a pediatric internal medicine department, it is possible to be admitted to their respiratory internal medicine department. For example, when she was in the second general surgery department, under the condition that she could not be transferred to the pediatric department for treatment, these departments would admit some children's cases according to the scope of treatment 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, and no chest pain.

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

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

Hearing someone calling his name, the boy raised his head and saw the beautiful big eyes of the doctor's sister in front of him, as if his spirit had been comforted a lot.

A ten-year-old child is able to cooperate with the doctor, and the boy opened his mouth wide.

Without a tongue depressor, Xie Wanying used two cotton swabs instead of the tongue depressor to press the child's tongue. One cotton swab does not cover enough area, so two cotton swabs are needed.

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

Don't think that doctors only take pictures of the throat. Excellent doctors will focus on observing the patient's oral mucosa and other conditions by the way. For children, fever caused by acute pharyngitis is much less common than for adults. Acute tonsillitis in children is common in children and needs to be ruled out. In addition, some diseases that may appear relatively rare in today's society also require the vigilance and attention of doctors, such as measles.