Chapter 879 【879】Don't Miss the Diagnosis

Chang Jiawei preliminarily judged that it might be cellulitis.

Cellulitis is not uncommon in clinical practice. Once the exposed wound is not properly treated, bacteria can easily continue to invade under the skin, causing a large number of infections and even necrosis of the subcutaneous fat tissue. Subcutaneous fat tissue looks like a honeycomb, so if the name cellulitis is simple to understand, it can be imagined as an adjective for inflammation of subcutaneous fat tissue.

Through sterile gloves, Nie Jiamin gently pressed the boy's wound with his fingers. It was confirmed that it was pitting edema, and there were pustules inside the epidermis. Surgical incision was needed, and the boy was washed with normal saline and drained of pus.

Turning his head, Nie Jiamin said to the nurse who was preparing the items: "To incision the abscess, please prepare saline."

When the time came, Xie Wanying took out the thermometer from the child's armpit, looked at the scale in the sunlight, frowned and reported to the teacher: "Mr. Nie, the patient's temperature is now 39 degrees, and I expect his temperature to rise again." .”

"Yeah." Nie Jiamin was still not in a hurry.

Doctors with rich experience in medical practice are seldom anxious after seeing many kinds of patients and big scenes. Furthermore, Xie Wanying discovered that Teacher Nie seemed to be dissatisfied with the child's family.

A child with such a situation should not be dragged to see the free clinic at all, which shows that the family does not seem to take the child seriously. Now if the doctors here are helping to deal with it almost, once the free clinic doctor leaves, will the family members of the child just throw the child home again? Therefore, it is best to let the family members of the child responsibly send the child to the hospital for treatment after the initial treatment.

Look at the child's grandfather continuing to clarify his responsibilities: "Hey, he runs every day and often falls. This time the fall is not as bad as the last time. How did it become like this? His grandma and I can't figure it out."

In short, the family members should need to reflect on themselves. How can it be said that the child can not pay attention to the child's wounds like the usual falls.

Regarding this point, Xie Wanying did not object to what the teacher thought, and said: "Mr. Nie, I think you may need to check his mouth first, the facial and jaw are just as serious."

"Mouth?" Nie Jiamin was alarmed by her new proposal.

Chang Jiawei was also taken aback, what mouth?

"I saw that his jaw on the left side of his face was a bit swollen. It is estimated that his bacterial infection developed rapidly because of oral infection and other parts of the infection." Xie Wanying said.

Chang Jiawei leaned over to the head of the bed, and together with Nie Jiamin looked around in the child's open mouth, and clearly saw that the lower left back teeth were particularly swollen. Worst of all, it also suppurated, and as Xie Wanying said, it caused her face to swell, and it would spread to intracranial infection in the future.

The child must have had a toothache, but the family didn't care at all.

The grandfather of the child was surprised after hearing what the doctor said: "Can this toothache be worse than my grandson's leg inflammation?"

"Yes." The doctor answered him in the affirmative.

"I also have a toothache." When the child's grandfather said, he opened his mouth to show the doctor his tooth decay.

The family doctors of this kind of children can only be speechless when they see each other.

"Your doctor prescribed medicine for him." The boy's grandfather said the same thing as Lulu's mother before, and only urged the doctor to prescribe medicine.

It is generally best for patients with problems to go to the hospital in this situation, and to hang the bottle, so as to avoid intracranial and systemic infection, and quickly suppress it with antibiotics. The incision and drainage of the oral cavity should be handled by a stomatologist. If necessary, a neurosurgeon should be consulted to see if there is an intracranial infection.