"Plain abdominal X-rays are difficult to do in pediatrics, and the younger the child, the more difficult it is." Dr. Jiang, a general surgeon who is very familiar with this situation, said.
As mentioned before, the General Surgery Department of the National Association occasionally admits pediatric patients.
There happens to be a pediatric general surgery intern here, Dr. Fan Yunyun. Dr. Fan Yunyun took out her notebook and continued to learn from the teachers on the spot.
Doctor Jiang thought about this and turned to ask the student, "What do you think we should do?"
Doctor Fan Yunyun knew that Senior Sister Xie was present, so she didn't dare to answer without thinking. She bit her lip and thought for a while: "Maybe it's not intestinal obstruction?"
oh. A group of teachers recalled and felt that Dr. Fan Yunyun's performance on this trip was different from her previous image of a poor student.
As long as Senior Sister Xie is around, Doctor Fan Yunyun feels that she has wings and must fly. She becomes bolder and bolder as she speaks: "Baby girl, gynecological problems should be considered."
As soon as she finished speaking, she immediately attracted surprised looks from the teachers.
Then, Dr. Jiang asked quickly, "Is this what Dr. Xie taught you?"
...
...
How could Dr. Fan Yunyun, a little fan, dare to put the blame on her senior sister?
Unexpectedly, Senior Sister Xie took the initiative to help her and said, “I have said something similar to her.”
Dr. Xie Wanying is not talking about this experience casually. When she was interning at the Capital Children's Hospital and saw a case of a baby girl, her pediatric teacher talked about the key points of gender considerations.
When male and female patients seek medical treatment, doctors must consider gender differences regardless of their age. The reason is that the most basic anatomy in medicine tells you that the biggest differences in human body structure are divided into two categories, male and female.
Doctors consider medical issues based on anatomy and are not allowed to differentiate between men and women? This has nothing to do with gender discrimination.
On the contrary, a doctor who does not pay attention to this consideration is unqualified and unscientific.
Ordinary people do not study medicine, and due to some unscientific traditional concepts, they always avoid talking about the differences in the anatomy of men and women, which is not a good thing from a medical point of view.
Children of different genders need to be treated differently. Fortunately, this kind of professional child-rearing awareness is rising in China, which is a good thing.
Looking back on this, all the doctors present suddenly understood.
"You are right." Dr. Bao said with a little excitement and regret, "I should have noticed it earlier."
Dr. Bao admitted that he might have almost neglected a certain disease like the pediatricians in the big hospitals.
This has to do with the fact that some diseases may seem uncommon in clinical practice, due to statistical biases in medical literature and other factors, which may lead to clinicians neglecting them.
What kind of "gynecological disease" of a baby girl may have been overlooked by the doctor?
Gynecological diseases are not that serious. Dr. Xie corrected Sister Fan’s answer and wrote “similar”.
Are certain differences in the anatomy of men and women the only cause of differences in gynecological and men's diseases? Not only that.
"What exactly is it?" Doctor Lai felt that his expertise was not high enough, so he asked without hesitation.
"It could also be an inguinal hernia in children," Dr. Bao replied.
ah? ! Dr. Lai turned around and gave Dr. Xie and Dr. Fan a thumbs up.
Dr. Fan waved his hands hurriedly: No, no, no, I answered wrongly and said it was a gynecological disease. Senior Sister Xie was right.
As for what is inguinal oblique hernia, we have talked about hernia in the previous article. There are many types of hernias, among which indirect hernia refers specifically to hernia that enters the inguinal canal.
Inguinal oblique hernia in children is a pediatric disease that is characterized by onset in children. This characteristic is that the child's body tissue foundation is weak when he is born, and this part is often not fully developed, which makes him different from adults.
Clinically, it can be seen that some children have this disease for a period of time after birth, and it will heal itself after this part of the child's body matures.
However, the prerequisite is that nothing else happens during this period or the disease can heal on its own. Otherwise, surgical intervention is required as mentioned earlier, which is called an indication for surgical intervention.
The indication for surgical intervention for this disease is whether incarceration occurs.
For this reason, when talking about this disease, most people think of baby boys rather than baby girls.
This is due to the fact that statistics from some countries show that the incidence of this disease in male babies is higher than that in female babies.
This is determined by the differences in the body structure of baby girls and baby boys.
The inguinal canal of female babies is much narrower than that of male babies, which makes the incidence and incarceration rate of inguinal hernia significantly lower than that of male babies. The latter represents whether the symptoms are mild or severe and the number of cases requiring surgery.
What no one may have expected is that this does not mean that the actual number of cases in baby girls is smaller. Statistics from other countries show that the incidence rate is actually similar between boys and girls.
It is a data bias that the majority of female baby cases have mild symptoms, leading to a significant underestimation of the number of female baby cases discovered.
Does this mean that the condition for baby girls is less serious than that for baby boys and does not require more attention?
On the contrary, because of the above problems, female babies are often diagnosed too late and their condition is more serious than that of male babies.
The popular translation of the above words is:
The "inguinal canal is small and the opening" of baby girls is narrow, so it is not easy for abdominal organs to pass through the "opening" and enter the inguinal canal to cause an oblique hernia. However, once it happens, the small opening and tube can easily get the organs stuck and strangle them (the corresponding professional term is incarceration).
"Yes." Dr. Jiang, a general surgeon, said seriously.
As Dr. Xie pointed out, this is a point that many clinicians need to reflect on.
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