Chapter 879： 【879】Don’t miss the diagnosis

Chapter 879 [879] Don't miss the diagnosis

Chang Jiawei preliminarily judged that it may be cellulitis.

Cellulitis is not uncommon in clinical practice. Once the exposed wound is not treated properly, bacteria can easily continue to invade under the skin, causing massive infection or even necrosis of subcutaneous adipose tissue. Subcutaneous adipose tissue looks like a honeycomb, so the name cellulitis can be thought of as an adjective for inflammation of subcutaneous adipose tissue.

Using sterile gloves, Nie Jiamin gently pressed the boy's wound with his fingers, confirming that it was pitting edema, and there were pustules in the epidermis, which needed to be surgically incised, washed with saline and drained.

Turning his head, Nie Jiamin said to the nurse who was preparing the items: "To make an abscess incision, please prepare normal saline."

When it was time, Xie Wanying took out the thermometer from the child's armpit, observed the scale in the sunlight, frowned and reported to the teacher: "Mr. Nie, the patient's body temperature is now 39 degrees 1, and I expect his body temperature to burn up again. ."

"Well." Nie Jiamin was not in a hurry as usual.

A doctor with rich medical experience will rarely feel anxious after seeing a lot of patients and big scenes. Furthermore, Xie Wanying found out that Teacher Nie seemed to be dissatisfied with the family members of the patient.

The situation of the child should not be delayed to see the free clinic at all, which shows that the family does not seem to take the child seriously. Now, if the doctors here are doing the same thing with the help of the doctor, will the family of the patient leave the child at home once the free clinic doctor leaves. Therefore, it is best to let the family members of the children responsible for the children continue to send the children to the hospital for treatment after the initial treatment.

Look at this kid's grandfather who is continuing to clear his responsibilities: "Hey, he runs every day and often falls. This time he didn't fall as badly as last time. How it became like this, his grandma and I can't figure it out."

In short, the family should need to reflect on themselves, how can it be said that the child can not pay attention to the child's wounds just like the daily falls.

On this point, Xie Wanying did not object to what the teacher thought, saying: "Mr. Nie, I think you may need to check his mouth first. The condition of the face and jaw is just as serious."

"Oral?" Nie Jiamin was alert to her new proposal.

Chang Jiawei was also stunned, what mouth?

"I see that the lower jaw on the left side of his face is a little swollen. It is estimated that his bacterial infection is developing rapidly because he has already had oral infection and other parts of the infection." Xie Wanying said.

Chang Jiawei came to the head of the bed, and together with Nie Jiamin, looked in the mouth where the child's mouth was opened, and clearly saw that the lower back tooth on the left side was particularly swollen. The worst thing is that it is the same, and as Xie Wanying said, the face is swollen, and it will spread to the intracranial infection in the future.

This child must have a toothache, but the family doesn't care at all.

The child's grandfather was surprised after hearing the doctor's words: "Can this toothache be worse than the inflammation of my grandson's leg?"

"Yeah." The doctor answered him affirmatively.

"I also have a toothache." When the child's grandfather said that, he also opened his mouth to show the doctor his cavities.

This kind of child's family doctor can only be speechless when seeing one.

"Your doctor prescribes medicine for him." The boy's grandfather said the same thing as Lulu's mother before, and only urged the doctor to prescribe medicine.

Problem patients are generally better to go to the hospital in this situation, and the bottle is about to be hung up to avoid intracranial and systemic infection, and quickly suppress it with antibiotics. Intraoral incision and drainage of pus should be handled by a stomatologist, and if necessary, a neurosurgeon should be consulted to see if there is an intracranial infection.

(end of this chapter)