Chapter 2329 [2329] Identification

While the parents were answering the doctor's questions, the doctor was conducting non-stop physical examinations on the child.

After removing foreign objects in the child's mouth, keep the child's airway open. The nurse took the child's temperature and blood pressure and reported it to the doctor. Body temperature is not high, blood pressure is low.

Since the main symptom of the child is in the digestive tract, the doctor wearing a stethoscope and earplugs is not in a hurry to listen to the heart and lungs, but to listen to the intestinal condition first. Then touch and press the child's abdomen for palpation.

The child's mother stands on tiptoe behind the doctor and looks nervously.

"Is the child having a bowel movement?"

The mother of the child who was asked by the doctor to ask about the medical history replied: "Not today." Then asked the doctor: "What is my son's disease?"

Acute abdomen in infants and young children, like acute abdomen in adults, requires careful identification. Acute abdomen is the most difficult to identify, because the human abdominal cavity has the most organs.

At present, the child's symptoms mainly include vomiting, no stool, no fever, not quite like acute food poisoning, normal breathing, not like foreign body aspiration. The symptoms of the child's crying have progressed to the point where it is not obvious, indicating that the child's spirit has deteriorated and the disease has progressed to a more serious level. According to the information provided by the family members, the onset time was initially judged to be within 48 hours.

What is the result of the doctor's abdominal examination?

Xie Wanying, together with Wei, watched Duan Sanbao's hand pressing on the child's abdomen.

A good doctor will never press hard for palpation. Duan Sanbao’s finger is gently pressing on the child’s abdomen. This pressing is actually because the organs in the abdominal cavity of the human body are soft and located deep in the body. The doctor’s hand needs to feel the depth to touch it. The purpose is to feel the abnormal signs.

In order to avoid pressing the painful human organs, some doctors' methods have come into being and changed in various ways. Duan Sanbao's gesture is a bit like a push. The organs in the abdominal cavity are indeed fixed by ligaments. At the same time, when pushed by the doctor's hand, it looks like a ship anchored on the bottom of the sea. When pushing, it is beneficial for the doctor's hand to feel the objects in the abdominal cavity. Is it space? Is it skin? Is it the peritoneal ligament? Or an organ in motion?

Pushed and pushed, and touched an abnormal object. Touch it again, and find out the scope of this abnormal object, like a sausage.

A sausage-like mass in the lower right quadrant?

"It's intussusception." Wei Shangquan said first.

"What was he talking about?" the child's mother listened, feeling extremely nervous, and asked while tugging at Xie Wanying's white coat.

Acute intussusception is a very common acute abdomen in infancy. The age of onset is generally within one year old, the most common age group is four months to ten months, and it is rare over two years old. It is mainly related to the immature development of the baby's digestive tract system. In addition, children over four months are just in the period of adding various complementary foods to babies. Some babies have poor digestive tract adaptability, and they get sick as a result.

"So, it's because his grandma fed him messy things, didn't it?" the child's mother said unhappily, as if she knew it earlier.

The child's grandma who was sitting outside the clinic stood up, her face full of uneasiness.

"It's not like this." Xie Wanying denied.

This is not specifically speaking for the grandma of the child, the doctor only speaks scientific stuff.

If it is really intussusception, we must first clarify what intussusception is.

Intussusception is when one piece of intestine gets inserted into the lumen of another.

The image description can take several rubber tubes with different diameters and sizes to connect them.