Chapter 2327 【2327】Don't Talk About Hearsay
In pediatrics, you will often see diseases that are basically difficult to see in adult departments. Students who go to adult general surgery for a round and then go to pediatric surgery will feel like stepping into the door of a new world again.
According to the doctor's instructions, the child's mother placed the child on the examination bed.
Duan Sanbao walked over with two students from the National Federation, carrying a stethoscope in his hand.
According to the usual practice, Xie picked up his notebook and pen, and asked the teacher about the patient's medical history. Because the child was unable to speak, the object of inquiry was changed to the family members of the child.
"How old is he?"
"Just eight months old, born in the Maternal and Child Health Hospital."
"When did he vomit? What did he vomit?" While talking, Xie Wanying looked over and watched the child's condition together with other doctors.
Duan Sanbao and Wei Shangquan, who were wearing gloves, carefully opened the child's pacifier to check whether there was any vomit in it that blocked the child's trachea and esophagus, and then took out the remaining vomit in the child's mouth to avoid suffocation.
The nature of the vomit is helpful for doctors to make a differential diagnosis.
After digging, there seemed to be some "small pieces" left in the child's mouth.
The diet menu of an eight-month-old baby is generally like this. Before we quit breastfeeding, it is also dominated by milk and fed several times a day. In addition to breastfeeding, the supplementary food added in the middle is first of all the same as the supplementary food menu in the previous months, which is a variety of liquid and semi-liquid. The liquid is something like juice rice soup. If it is semi-liquid, parents need to spend more effort to make a variety of hand-processed pastes, which can be rice flour, lotus root powder, egg custard, fruit puree, etc.
It takes about six months for a child to erupt the first deciduous tooth. Some children may be able to see the cusp of the small tooth three months earlier, and some are slower. Generally speaking, few children are more than one year old. The full first baby tooth erupts between six and nine months of age. It can be said that an eight-month-old child is normally in a relatively vigorous teething period, and solid food can be added to exercise the child's chewing ability. At this time, instead of making the fruit into juice or puree, it is also possible to directly break the fruit into small pieces to feed the children.
Some elderly people will break bananas and other soft foods for their children based on their life experience.
This "small piece" in the child's mouth is solid food. Is the child's vomiting due to the indigestion of solid food after entering the child's digestive tract? Wipe the child's small mouth, and the doctor will check carefully to see that the child is spitting up milk in addition to "food lumps".
"I asked his grandma. His grandma said that he fed him some bananas and nothing else." The child's mother told the doctor, "He has eaten bananas. He has eaten them last month and he has not vomited. I don't know if he Did grandma lie, but it’s not what she was feeding.”
The child's grandma is waiting outside and dare not come in. I am afraid that the doctor will say that the problem with the child is because her grandma did not feed her properly, and she will be held responsible at that time.
It is very unlikely that the old man is lying. The child is destined to be young at this age, and the grandmother is not old, and her mind is clear and her IQ is online. The old man loves children, saying that it is impossible for them to deliberately stuff things into the children's mouths to harm the children. It is said that the proportion of feeding mistakes caused by the elderly due to ignorance of modern medical science is low. This point must be based on facts. Because some media like to make eye-popping news, they should not use a very small number of ignorant and superstitious old people as examples to represent the entire elder group.