"He's my grandson." The sick boy's grandmother reported what happened to the doctor. "The teacher at school said he had a cold and a fever. I learned that from the teacher when I went to pick him up. He was fine when we sent him to school in the morning, without a fever. I don't know what happened to him at school. His parents couldn't work, so they asked me to bring him to the hospital to get some medicine."
After listening to the family's description of the situation, Xie Wanying squatted down so that her head was level with the child's so that she could observe the child's complexion and breathing.
The boy had some snot coming out of his nostrils, and he seemed to be sneezing. His eyes were red, his voice was hoarse, he had a fever and no strength, just like he had a cold.
For patients with fever, the triage nurse will definitely use a thermometer to measure the temperature first. Xie Wanying turned around and asked the old man: "Did you take out the thermometer?"
"Thermometer? Oops, I forgot." The sick child's grandmother hit her forehead with her hand.
The elderly who accompanied the child to see the doctor are easily forgetful and can't remember the details given by the doctors and nurses. The estimated time of the thermometer under the child's armpit has exceeded the ten-minute limit given by the nurse.
You can't blame the nurses for this. Emergency nurses in tertiary hospitals are so busy that the nurses who are responsible for sitting at the triage desk need to help other colleagues give injections to patients whenever they have time. The latter situation is more urgent than staring at the patient's temperature. Anyway, when the doctor sees the child, he will ask about the temperature and will not completely forget about it.
"It's okay." Xie Wanying comforted the grandmother, then reached out and gently touched the thermometer from the child's armpit, took it out, and read the mercury level on it under the fluorescent light: thirty-nine degrees six.
You can test it again, but the value should not deviate much. In short, never burn it above 40 degrees.
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Thirty-nine and six degrees is close to forty degrees, which has an impact on brain activity. The boy had a headache and felt dizzy, and was unable to answer the doctor's questions.
Without asking the child or letting him 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 cold is pneumonia. Once pneumonia is diagnosed, it goes without saying that the patient will need to be hospitalized. The hospitalization department may not necessarily be the pediatric department. Because the National Association does not have a pediatric department, the patient may be admitted to their respiratory department. For example, when she was in the second general surgery department, if there was no pediatric department to transfer to, these departments would admit some children according to the scope of treatment of specialized diseases.
After listening to the boy's lungs, the child's lungs were in good condition. The child's cough was not severe, he had no wheezing, and no chest pain.
Xie Wanying took out two magic tools that doctors use to treat patients from the pocket of her white coat: a cotton swab and a flashlight.
"Student Wei Wei, come on, open your mouth."
Hearing someone calling his name, the boy looked up and saw the doctor's beautiful big smiling eyes. He seemed to be comforted a lot.
A ten-year-old child is able to cooperate with the doctor, and the boy opened his mouth wide.
Since there was no tongue depressor, Xie Wanying used two cotton swabs instead to press the child's tongue. One cotton swab could not cover a large enough area, so two cotton swabs were needed.
Hold up a flashlight with your other hand and use the light to look inside the child's mouth.
Don't think that doctors only check the throat. Good doctors will also pay attention to the patient's oral mucosa and other conditions. For children, fever caused by acute pharyngitis is much less common than that of adults. Acute tonsillitis in children is common among children and needs to be excluded. In addition, some diseases that are relatively rare in today's society may also require doctors to be vigilant and pay attention, such as measles.
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