In pediatrics, you will often see diseases that are basically difficult to see in adult departments. For students who have passed the adult general surgery department and come to the pediatric surgery department, it will be like stepping into the door of a new world again.
According to the doctor¡¯s instructions, the mother placed the child on the examination bed.
Duan Sanbao walked over with two National League students, carrying a stethoscope in his hand.
As usual, Xie picked up his notebook and pen and helped the attending teacher ask about the patient's medical history. Since the child was unable to speak, the interviewees were changed to the family members of the child.
"How old is he?"
"She was just eight months old and was born in the Maternal and Child Health Hospital."
"When did you notice he was vomiting? What did he vomit?" As she said this, Xie Wanying looked over and visually inspected the child's condition with other doctors.
Wearing gloves, Duan Sanbao and Wei Shangquan carefully opened the child's pacifier, checked whether there was any vomit inside that had blocked the child's trachea and esophagus, and then dug out the remaining vomit in the child's mouth to avoid suffocation.
The nature of the vomitus will help doctors in differential diagnosis.
After taking it out, there seemed to be some "small pieces" left in the child's mouth.
The diet menu for an eight-month-old baby is generally like this. Before quitting breastfeeding, it was still based on milk and was fed several times a day. In addition to breastfeeding, the complementary food added in the middle will first be the same as the complementary food menu in the previous months, which will be various liquids and semi-liquids. Liquids are things like juice, rice soup. If it is semi-liquid, parents will need to spend more time making various hand-processed pastes, which can be rice flour, lotus root flour, egg custard, fruit puree, etc.
It takes about six months for a child¡¯s first deciduous tooth to appear. Some children may see the tip of the tooth as early as three months, while some may see it later. Generally speaking, few children are older than one year old. The complete eruption of the first primary tooth occurs between six and nine months of age. It can be said that if an eight-month-old child is normally in a relatively strong teething period, solid food can be added to exercise the child's chewing ability. At this time, instead of pureeing the fruit into juice or puree, it is also possible to directly cut the fruit into small pieces and feed it to the child.
Some elderly people will break bananas and other soft foods for their children based on their life experience.
The "small pieces" in the child's mouth are complementary solid foods. Is the child's vomiting due to difficulty in digesting solid food after entering the child's digestive tract? Wipe the child's small mouth. After careful inspection, the doctor can see that the child has vomited milk in addition to "food chunks".
"I asked his grandma. His grandma said that she fed him some bananas, but nothing else." The child's mother told the doctor, "He has eaten bananas. He ate them last month and he didn't vomit. I don't know. Did grandma lie? In fact, this is not what she fed."
The child¡¯s grandma was waiting outside and didn¡¯t dare to come in. She was afraid that the doctor would say that the problem with the child was because she, the grandmother, had not fed her properly, and that she would be held responsible.
It is very unlikely that the old man is lying. At this age of the child, the grandma is destined to be immortal, with a clear mind and an above-average IQ. Old people love children, so it is unlikely that they would intentionally put things in their mouths and harm them. It is said that the incidence of feeding errors among the elderly is low because they do not understand modern medical science. We must seek truth from facts on this point, and we cannot represent the entire elder group just because some media love to publish eye-catching news.