Chapter 896

"Yes. At the beginning of the fever, her mother bought antipyretic medicine for the child and ate it at home, but the fever did not subside. She went to the hospital and stayed in the hospital for a week. The fever did not subside at all, but the child became more and more listless. Yesterday, she had a high fever convulsion, which scared us half to death. "

"Later, I heard that the doctors in your hospital were skilled, so I wanted to come and have a look." Said the child's grandmother.

"I haven't been well in the hospital for a week?" Guo Xiang was surprised, "do you have any previous medical records?"

"Yes." The child's grandmother took out the medical records from the last hospital.

Guo Xiang took it over and looked. It was diagnosed as upper respiratory tract infection and used antibiotics.

Upper respiratory tract infection is a cold and fever, but most of the cold and fever are viral infections. The effect of antibiotics is not good, and it is generally a self limiting disease, that is to say, you will get better once a week.

Of course, antibiotics don't break it. It's useless at most, but it's impossible to have a fever all the time.

But if it's a bacterial infection, antibiotics should work.

When it was time, Guo Xiang took the thermometer out of the child and looked at it. It was 38.5 degrees, which was not particularly high. However, the child coughed a few times from time to time, which still showed that there was a problem with the upper respiratory tract.

But her eyes, Guo Xiang still feel a problem, "do a B-ultrasound."

"What is the reason for doing B-ultrasound?" The child's grandfather asked that he always felt that there was no need to do B-ultrasound for a cold and fever. He could understand that he did X-ray lung examination. What was the purpose of doing B-ultrasound?

"I suspect there is something wrong with the child's liver." Guo Xiang said, "look at the child's eyes. Is it a little yellow?"

The two old men looked into the child's eyes. It may not be obvious every day. The child's grandmother frowned, "it seems a little yellow than before?"

"But how can a cold and fever be a liver problem?"

Guo Xiang shook his head. "I don't know yet. I only know after checking."

After the bill was issued, they took the child to pay for B-ultrasound. Soon after B-ultrasound came back, they had hepatosplenomegaly,

"Hepatosplenomegaly." Guo Xiang frowned, "have you had dinner in the morning?"

"Yes." The child's grandmother said, "can I draw blood in the afternoon?"

"You'd better come tomorrow morning. Don't eat in the morning and draw blood on an empty stomach." Guo Xiang said that generally speaking, it takes eight to twelve hours on an empty stomach to do liver function, so it is usually done in the morning, because if you don't eat after dinner and sleep for about ten hours, it's just right.

If it's done in the afternoon, it's five or six o'clock in the afternoon from now on. Let alone whether the children can stand it or not, the hospital will have to get off work at that time, and it's too late.

"What if the child is still burning?" Said the child's grandmother.

"Let's go to the hospital and give her an injection to reduce her fever first." Guo Xiang said, "check again what caused the fever."

While writing the medical record, Guo Xiang said, "what's wrong with the child or what's wrong?"

"What's wrong?" The child's grandmother thought, "I just have no spirit and poor appetite. It has been like this since the fever. The fever seems to be lower during the day and worse at night. A lot of sweat, but burning is repeated. "

Guo Xiang nodded, wrote down the symptoms and looked at the child, "baby, tell your aunt what's wrong."

After all, the old people only see what they can see, and they don't know how the children feel.

"My knee hurts." The child touched his leg and said.

"Knee?" The child's grandmother was stunned. "Did baby wrestle?"

"No!" The child shook his head.

Guo Xiang rolled up the child's quilt and looked at it. There was no trauma or bruise. He asked, "baby, how does it hurt?"

The child couldn't say, "it hurts, it hurts inside..."

Does it hurt inside? Guo Xiang touched the child's knee and pressed it, "does it hurt like this?"

"No pain." The child shook his head.

Guo Xiang frowns. Does that mean joint pain? It's not trauma.

But the child is so young, it should not be rheumatism.

"Let's go to the hospital first. Pay more attention to the child's condition and urinate. See if the urine is yellow." Guo Xiang said, "by the way, how's the child eating?"

"I have a bad appetite. I've been eating less recently. You see, I'm so thin now." The child's grandmother said painfully.

Guo Xiang nodded. He was uncomfortable. He must have a bad appetite and didn't want to eat.

"Baby, do you have a headache? Or dizzy? " Guo Xiang asked the child again.

The child shook his head. He may not know the difference between headache and dizziness.

It's OK for a child as old as her. Some can understand. If the baby can't listen or speak at all, it's more difficult to see a doctor.

So pediatrics is a dumb department. It's the most difficult to see a child, because you don't know what's wrong with him.

Guo Xiang asked the child to be hospitalized first, but he still gave antipyretic drugs. He had a fever and must still have inflammation. He still used some antibiotics.

The next morning, the child's grandmother took the child to take blood, and then showed Guo Xiang the test sheet.

Guo Xiang saw that there was no problem with liver function. Although the liver was a little swollen, it was not a typical liver disease, but it was caused by other diseases.

"I still had a bad fever last night. I sweated a lot, but my fever didn't subside." The child's grandmother said, "I also saw the child pee yesterday. The urine was yellow. The child still said that his knee hurts..."

Guo Xiang looked at the medical records and various test sheets. He had a long-term fever, high and low body temperature, hepatosplenomegaly, joint pain and respiratory tract infection. These symptoms should be caused by bacterial infection.

But how can antibiotics not work?

"Has the child ever been like this before?" Asked Guo Xiang.

"No, I used to have a fever. I just had an injection and took medicine in two or three days. It's not as serious as this time." The child's grandmother shook her head.

"What's the difference between before this fever and before? Did you go to any special place? " Asked Guo Xiang.

Just like the tsutsugamushi patient before, he got sick after being bitten by tsutsugamushi in the grass in the south.

"No." The child's grandmother shook her head, "I always take the children at home, or go to kindergarten. There's no problem with other children in the kindergarten."

"Has she eaten anything special before?" Guo Xiang asked again.

"Neither." The child's grandmother still shook her head. "The child has been eating with us. It's nothing special."

"Yes..." the child's grandfather suddenly said, "didn't you buy sheep's milk for her two days before the child had a fever?"

"Goat's milk is not anything special, is it?" The child's grandmother said, "I just saw that the child was too thin. I wanted to supplement her with nutrition. When I saw someone pulling a milk sheep to sell fresh sheep's milk at the corner of the street, I bought some for the child."

"You say the milk is now squeezed?" Guo Xiang frowned.

"Yes, I think it's fresh now. They all say that the milk is nutritious, so I bought two kilograms..." the child's grandmother is a little uneasy. Did she eat it bad?