While the parents were answering the doctor¡¯s questions, the doctor was conducting non-stop physical examinations of the children.
After removing foreign matter from the child¡¯s mouth, keep the child¡¯s airway open. The nurse took the child's temperature and blood pressure and reported it to the doctor. The body temperature is not high and the blood pressure is low.
Since the main symptoms of the child are in the digestive tract, the doctor who puts on the stethoscope and earplugs is not in a hurry to listen to the heart and lungs, but to listen to the intestinal condition first. Then touch and press the child's abdomen with your hands for palpation.
The child¡¯s mother stood on tiptoes behind the doctor and looked nervously.
"Did the child have a bowel movement?"
The child¡¯s mother, who was pulled back by the doctor to ask about his medical history, replied: ¡°Not today.¡± Then asked the doctor: ¡°What disease does my son have?¡±
Acute abdomen in infants and young children is the same as acute abdomen in adults and requires careful identification. Acute abdomen is the most difficult to identify because there are the most organs in the human abdominal cavity.
At present, the child¡¯s main symptoms include vomiting, no stool, and no fever. It does not look like acute food poisoning. His breathing is normal and does not look like aspiration of foreign bodies. If the child's crying symptoms are no longer obvious, it means that the child's mental state has deteriorated and the disease has progressed to a more serious stage. According to the information provided by the family members, the initial judgment of the onset time is within 48 hours.
What were the results of the doctor¡¯s abdominal examination?
Xie Wanying and classmate Wei watched the movement of classmate Duan Sanbao's hand pressing on the child's abdomen.
A good doctor will never press hard during palpation. Duan Sanbao's fingers were gently pressing on the child's abdomen. This pressing was actually because the organs in the human body's abdominal cavity were soft and located deep, and the doctor's hands needed to probe deep to touch them, in order to feel for abnormal signs.
In order to avoid pressing painful human organs, some doctors have developed various techniques. Student Duan Sanbao's gesture now looks a bit like pushing. The organs in the abdominal cavity are indeed fixed by ligaments. At the same time, when pushed by the doctor's hands, they look like a ship anchored on the seabed. When pushing, it is helpful for the doctor's hands to feel the objects in the abdominal cavity. Is it space? Is it skin? Is it the peritoneal ligament? Or a moving organ?
?? After pushing and pushing, I touched an abnormal object. I touched again and found out the scope of this anomaly, which looked like a sausage.
?A sausage-like mass located in the right lower abdomen?
¡°It¡¯s probably intussusception,¡± classmate Wei Shangquan said first.
"What did he say?" The child's mother was listening and became very nervous. She pulled Xie Wanying's white coat and asked.
Acute intussusception is a very common acute abdominal disease in infancy. The age of onset is generally within one year old, most commonly in the age group of four months to ten months, and it is rare in those over two years old. It is mainly related to the immature development of the baby's digestive tract system. In addition, for children over four months old, it is the time when various complementary foods are added to the baby. Some babies have poor digestive tract adaptability and end up getting sick.
¡°So, it¡¯s because his grandma fed him random things, isn¡¯t it?¡± The child¡¯s mother said unhappily, as if she had known this was the case.
The child¡¯s grandmother sitting outside the clinic stood up, her face full of uneasiness.
"That's not the case." Xie Wanying denied.
This is not specifically speaking for the child¡¯s grandmother. The doctor only said scientific things.
If it is really intussusception, first explain clearly what intussusception is.
Intussusception is when one section of intestine is inserted into the lumen of another section.
To describe the image point, you can connect several rubber tubes with different diameters and sizes.