The attenuated measles vaccine is a free and compulsory vaccination program in China, and most citizens have been vaccinated in childhood.
Universal vaccination has significantly reduced the number of people suffering from measles in the country. Unfortunately, some groups of people have individual differences. They will still get sick after being vaccinated, but the symptoms are milder than those who have not been vaccinated. They are basically moderate to mild symptoms.
????????????? Even so, it¡¯s certainly best for patients to catch the disease early and diagnose it accurately. A prudent doctor will check the patient for all common key diseases.
Measles patients will have specific signs of measles mucosal plaques, so doctors will check the buccal mucosa in the patient's mouth.
The so-called measles mucosal spots are small gray-white spots that appear on the buccal mucosa in the patient's mouth 1 to 2 days before the rash. The diameter is about 0.5 to 1.0 mm, and there will be some redness around it. It is said to be a measles-specific sign because this symptom is unique to measles and can be widely distinguished from other diseases to make a diagnosis. Once measles mucosal spots are detected, the probability of measles is almost certain.
Xie Wanying carefully looked at the buccal mucosa and found no measles mucosal spots. Then the two cotton swabs continue to carefully press the child's tongue to check the throat. Cotton swabs are used instead of tongue depressors to examine patients. The precautions for using tongue depressors are the same. They should be placed at the anatomical position of the V-shaped groove at the junction of the front 1/3 and middle 1/3 of the tongue, called the boundary sulcus. superior. If it is too far forward, the pressure on the base of the tongue and the back of the tongue is not in place. It is too high and blocks the doctor's view, making it impossible to see the tonsils and pharyngeal mucosa clearly. Too far back can easily cause nausea and vomiting in the patient.
"Ah, just for a moment."
The doctor's sister said this, and the boy said "ah" obediently.
The child opened his throat wide, and with the use of the tongue depressor, the doctor soon saw two small pink masses on both sides of the throat, which are palatine tonsils, commonly known as tonsils.
The flashlight¡¯s light revealed that the child¡¯s tonsils were congested and edematous. It seemed that there were thick white spots on the surface, indicating that the acute tonsillitis had not gone away.
"My grandson has a cold, right, doctor? Give him some cold medicine." The grandmother of the patient was beside her anxiously urging the doctor to prescribe medicine, and she had to rush to get the medicine and go home to cook.
Xie Wanying was not in a hurry, put down the cotton swab, and then asked about the child's diet, stool and urine, whether there was any body pain, etc., and then looked at the child's skin for any traces of wounds or rashes.
"He can eat it. He has stool, but his urine is a little yellow."
Based on the information provided by the patient¡¯s family, the overall initial diagnosis trend is acute tonsillitis in children. Xie Wanying said to the child's grandmother: "His condition requires blood tests, intravenous infusions, and intravenous drips."
"Aren't you going to give him some cold medicine?" the child's grandmother was surprised and asked.
"It's not a cold, it's acute tonsillitis in children. There are signs of suppuration. He must get an injection, not just taking oral medicine." Xie Wanying emphasized that the child's condition is relatively serious.
"Injection? Oops, I don't have that much money with me. I need to call his parents." The patient's grandmother patted her thigh.
As a doctor, Xie Wanying did not dare to say that the child might be hospitalized. The main reason was that the family's financial situation was probably not very good based on their dress.
In clinical practice, most doctors will try their best to consider the patients and their families, and will consider their financial situation. If the economy really does not allow it, the patient can be treated in the outpatient and emergency department without being hospitalized as much as possible. (Remember the website address: www.hlnovel.com