In pediatrics, you will often see diseases that are rarely seen in adult departments. For students who have rotated in adult general surgery and then go to pediatric surgery, it will be like stepping into a new world again.
Following the doctor's instructions, the child's mother placed the child on the examination table.
Duan Sanbao walked over with two students from the National Association for the Advancement of Chinese Medicine, holding a stethoscope in his hand.
As usual, Xie picked up a notebook and pen to help the teacher ask about the patient's medical history. Because the child was unable to speak, the interview was conducted with the child's family.
"How many months old is he?"
"Just turned eight months old, born in the Maternal and Child Health Hospital."
"When did you find out that he was vomiting? What did he vomit?" As Xie Wanying spoke, she looked over and observed the child's condition with other doctors.
Duan Sanbao and Wei Shangquan, wearing gloves, carefully pried open the child's pacifier to check whether there was any vomit blocking the child's trachea and esophagus. They then dug out the remaining vomit in the child's mouth to avoid suffocation.
The nature of the vomitus can help doctors make a differential diagnosis.
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After digging around, there seemed to be some "small pieces" of residue in the child's mouth.
The diet menu for an eight-month-old baby is generally like this. Before weaning off milk, the baby is still mainly milk-based, and is fed several times a day. In addition to feeding, the complementary foods added in the middle are first of all various liquid and semi-liquid foods, which are the same as the complementary food menu of the previous few months. Liquid foods are things like fruit juice and rice soup. For semi-liquid foods, parents need to spend more time to make various hand-processed pastes, which can be rice flour, lotus root starch, egg custard, fruit puree, etc.
The first deciduous tooth of a child erupts at about six months. Some children may see the tip of the tooth at three months earlier, while others may see it later. Generally speaking, it is rare for a child to be over one year old. The first complete deciduous tooth erupts between six and nine months. It can be said that an eight-month-old child is in a relatively vigorous teething period if it is normal. You can increase solid food to exercise the child's chewing ability. At this time, you don't need to beat the fruit into juice or puree it. It is also OK to feed the child with small pieces of fruit directly.
Some elderly people, based on their life experience, will break bananas and other softer foods for their children to eat.
The "little pieces" in the child's mouth are solid food. Is the child's vomiting due to the difficulty of digesting the solid food after entering the child's digestive tract? Wipe the child's mouth, and the doctor can see that the child vomits milk in addition to the "food pieces".
"I asked his grandmother. She said she fed him some bananas, nothing else." The child's mother told the doctor, "He has eaten bananas before. He ate them last month and didn't vomit. I don't know if his grandmother lied and didn't feed him that."
The child's grandmother was waiting outside, not daring to come in. She was afraid that the doctor would say that the child's problems were caused by her not feeding properly, and she would be held responsible then.
It is unlikely that the elderly lied. The grandmother is not old at this age, and she is conscious and intelligent. The elderly love children, so it is unlikely that they deliberately put things in the mouth of children to harm them. It is said that the elderly do not understand modern medical science, which leads to a low incidence of feeding errors. This should be based on facts. Some media like to publish eye-catching news and use a few ignorant and superstitious elderly people as an example to represent the entire group of elders.
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