Before taking any action, it is best to give the child another physical examination to verify.
Dr. Song is too lazy to do it himself.
After King Xie Juan said those words, he made his attitude clear.
Dr. Bao gave the patient another physical examination on the spot and asked the two expert teachers to check the condition.
Regardless of whether the child had been examined before, Dr. Bao once again performed an abdominal examination on the child in accordance with the standard examination procedures.
As for whether the two experts from the capital city could see anything from his physical examination of the child, Dr. Bao had no idea for the time being, because these two experts had never shown their skills in front of him.
The other doctors stood further away to avoid scaring the family members and also looked around.
"It can be seen, but there are really no symptoms for the time being." Doctor Xiao Yang said with a frown.
The most typical symptom of inguinal hernia is a swelling in the groin area.
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When there is no incarceration, the "tumor" can be retracted. A person outside can push the "tumor" back with a light push of their fingers, or when the patient's own abdominal cavity pressure and other pushing forces on the "tumor" are reduced, the "tumor" can be retracted by itself.
In the latter case, the examiner can try to push down to see if there is a "swelling" that is about to enter the groin area.
This "experimental push" is undoubtedly risky, especially as the doctors discussed earlier, there is a high risk of incarceration.
Dr. Bao certainly wouldn't dare to do that.
The doctors were all holding their breath. Next they would need to rely on what Dr. Xie and Dr. Song could see to make the X-ray a success.
Dr. Bao finished the physical examination and just looked up, he heard Dr. Xie say to him: Please first describe and record the results of your physical examination.
The physical examination is recorded in the patient's medical record.
Dr. Xie’s request is not excessive, it is just a reasonable reminder.
Everyone can tell from the question that this is a test question from Xie Juanwang.
Doctor Bao's forehead was sweating, but what he never expected was:
As soon as Xie Juanwang asked the questions, many people wanted to answer them and rushed in.
For example, Doctor Fan Yunyun took the lead, picked up the pen and wrote on the notebook, fully demonstrating that the test questions raised by Senior Sister Xie must be meaningful and it would be stupid not to answer them.
The others were not far behind. When they saw someone start to draw, they immediately reacted and looked for paper and pens to start drawing.
Yes, you have to draw it. Only when you can draw the approximate positions of the organs in the abdominal cavity of the child, you will know how to place them. Medicine is always a down-to-earth science that must be approached step by step.
According to the previous case discussion, if partial intestinal obstruction and indirect hernia are suspected, we need to know where the intestinal tubes are located in the abdominal cavity. We need to know that the organs that usually cause indirect hernia in female babies can be the intestines, or the uterus, ovaries, fallopian tubes and other accessories. We need to know where these organs are.
In the area where indirect hernia occurs, the inguinal canal should be clearly pointed out and a circle should be drawn.
After finishing the painting, everyone's ideas became clear.
Doctor Bao sighed: The experts in the capital are really great. They are very capable in giving guidance to people. They never try to be mysterious. On the contrary, they will clear away the fog and show you a path that you can achieve. They are true scientific masters.
It was precisely because of this painting that the doctors had a deeper understanding: the initial speculation that Dr. Fan wanted to make was not logically rigorous.
If only partial intestinal obstruction leads to indirect hernia, it is sufficient to relieve the partial intestinal obstruction. Dr. Xie Wanying directly pointed out that surgery is necessary, which means that the partial intestinal obstruction cannot be relieved, that is, it is possible that the indirect hernia reacts to the partial intestinal obstruction, causing the two forces to collide in the middle and cannot be relieved.
"In fact, there may be a place in the middle that is stuck, so every time the child has intestinal peristalsis to push the intestinal obstruction away, the result is that the oblique hernia is further deepened." When Dr. Xiao Yang said this, he once again admired Xie Juanwang's medical speculation, which was far ahead of everyone else.
Doctor Jiang is older and has more medical experience than Doctor Xiao Yang. His expression is more serious. He is thinking of another sentence that Doctor Xie said earlier. He said, "Maybe this operation cannot be performed locally. We have to send it to the provincial capital."
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