"He is my grandson." The sick boy's grandmother reported the incident to the doctor. "The school teacher said 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 sent him to school in the morning. Yes, he doesn¡¯t have a fever. I don¡¯t know what happened to him at school. It¡¯s not convenient for his parents to go to work, so I asked me to take him to the hospital to prescribe medicine first.¡±
Listening to the family members¡¯ description of the situation, Xie Wanying squatted down and was level with the child¡¯s head so that she could easily observe the child¡¯s face and breathing.
The boy had some runny nose coming out of his nostrils, as if he was sneezing, his eyes were red, his voice was hoarse, he had a fever and had no strength, it was like a cold.
For patients with fever, the triage nurse must first take a temperature stick to measure the temperature. Xie Wanying turned around and asked the old man: "Have you taken out the thermometer?"
"Thermometer? Oops, I forgot." The patient's grandmother slapped her forehead with her hand.
Elderly people who accompany their children to see a doctor tend to forget things as they get older and cannot remember the details given by doctors and nurses. The thermometer under the child's arm was estimated to have exceeded the ten-minute limit given by the nurse.
You can¡¯t complain about this to the nurse. Emergency nurses in tertiary hospitals are very busy. The nurse in charge of sitting at the triage table needs to help other colleagues give injections to patients whenever they have time. 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 his temperature and will not completely forget about it.
"It's okay." Xie Wanying comforted her grandma. She reached out and gently touched the thermometer from the child's armpit. She took it out and read the mercury degree on it under the fluorescent lamp: thirty-nine degrees six.
You can re-measure again, but the value should not deviate much. In short, never burn above 40 degrees.
Thirty-nine degrees six is ??close to forty degrees, which has an impact on human brain activity. As a result, the boy suffered from headaches and dizziness, and was unable to answer the doctor's questions.
Without asking the child to 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 you stay in does not necessarily mean you go to pediatrics. Because the National Association does not have a pediatric internal medicine department, it is possible that it will be admitted to their respiratory internal medicine department. For example, when she was in the second year of general surgery, if there was no transfer to pediatric treatment, these departments would admit some children to the hospital based on the scope of specialist disease treatment.
After listening to the boy¡¯s lungs, he found that his lungs were in good condition. The child has no serious cough, no wheezing, and no chest pain.
Xie Wanying took out two magic weapons for doctors to treat patients from the pocket of her white coat: cotton swabs and flashlights.
"Classmate Wei Wei, come on, open your mouth."
Hearing someone calling his name, the boy raised his head and saw the smiling and beautiful eyes of the doctor sister in front of him. He seemed to be mentally comforted.
A ten-year-old child can cooperate with the doctor. The boy opened his mouth wide.
There is no tongue depressor, so Xie Wanying uses two cotton swabs instead of the tongue depressor to press the child's tongue. The area pressed by one cotton swab is not enough, so two cotton swabs are needed.
With the other hand, raise the flashlight and use the light of the flashlight to look inside the child's mouth.
Don¡¯t think that the doctor only looks at the throat. A good doctor will focus on observing the patient¡¯s oral mucosa and other conditions. Fever caused by acute pharyngitis is much less common in children than in adults. Acute tonsillitis in children is common among children and needs to be ruled out. Others, some diseases that may appear relatively rarely in today¡¯s society, also require doctors¡¯ vigilance and attention, such as measles. (Remember the website address: www.hlnovel.com