Chang Jiawei initially judged that it might be cellulitis.
Cellulitis is not uncommon in clinical practice. Once an exposed wound is not properly treated, bacteria can easily continue to invade the skin, causing massive infection or even necrosis of the subcutaneous fat tissue. The subcutaneous fat tissue is shaped like a honeycomb, so the name cellulitis can be simply understood as an adjective for inflammation of the subcutaneous fat tissue.
Wearing sterile gloves, Nie Jiamin gently pressed the boy's wound with her fingers and confirmed that it was pitting edema with pus in the epidermis, which required surgical incision and cleaning and drainage with saline.
Turning around, Nie Jiamin said to the nurse who was preparing the supplies, "We are going to do an abscess incision, please prepare saline solution."
When the time came, Xie Wanying pulled out the thermometer from the child's armpit, looked at the scale in the sunlight, frowned, and reported to the teacher: "Teacher Nie, the patient's temperature is now 39.1 degrees. I expect his temperature to rise again."
"Yeah." Nie Jiamin was still not in a hurry.
Doctors with rich medical experience, who have seen a variety of patients and large situations, rarely get anxious. In addition, Xie Wanying discovered that Teacher Nie seemed dissatisfied with the family members of the children.
The child should not have waited to come to the free clinic for treatment, which means that the family does not really take the child seriously. If the doctors here help to treat the child, once the free clinic doctor leaves, will the family just abandon the child at home again? Therefore, it is best to let the family take the child to the hospital responsibly after the initial treatment.
Look at this child's grandfather trying to shirk his responsibility: "Hey, he runs every day and often falls. This time the fall was not as serious as the last time. How did it become like this? His grandmother and I have no idea."
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In short, the family should reflect on themselves. How can they just ignore the child's wound when he falls down like usual?
Xie Wanying did not object to the teacher's idea and said, "Teacher Nie, I think you may need to check his oral cavity first. The facial and maxillary conditions are just as serious."
"Oral?" Nie Jiamin was alert to her new suggestion.
Chang Jiawei was also stunned. What oral cavity?
"I noticed that the left side of his face and jaw were a little swollen. I guess his bacterial infection progressed so rapidly because he already had an oral infection and then infections in other parts of his body," said Xie Wanying.
Chang Jiawei came to the bedside, and together with Nie Jiamin, they pried open the child's mouth and looked inside, clearly seeing that the back teeth on the lower left side were particularly swollen. The worst thing was that it had also become festered, and as Xie Wanying said, it caused the face to swell, and in the future it would spread to the brain.
The child must have a toothache, but the family members didn't care at all.
The child's grandfather was shocked after hearing what the doctor said: "Can this toothache be more serious than the inflammation of my grandson's leg?"
"Yes." The doctor answered him affirmatively.
"I have a toothache too." The child's grandfather opened his mouth and showed the doctor his cavities as he said this.
Doctors can only remain speechless when they see the family members of such children.
"Doctor, please prescribe some medicine for him." The boy's grandfather said the same thing as Lulu's mother before, only urging the doctor to prescribe medicine.
In this case, it is best for the patient to go to the hospital and get an IV drip to avoid intracranial and systemic infection. Antibiotics should be used to suppress the infection. The oral incision and drainage should be handled by a dentist. If necessary, a neurosurgeon should be consulted to see if there is an intracranial infection.
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