sinovels Chapter 260 What Is The Disease?
Chapter 260 What Is The Disease?
At two o'clock in the afternoon, summer finally had lunch.
Just after taking two bites, a young man hurried in with a girl in his arms, shouting as soon as he entered the door.
"Doctor, my daughter has a fever."
Immediate admission in summer.
"How old is the child? Did you take the temperature at home? Is there any trauma?"
The man wiped the sweat from his forehead.
replied.
"Four years old, measured 39 degrees at home, no trauma."
Xia Tian: "Did the child say where the pain is?"
The man shook his head: "No."
No trauma, no pain, maybe just a common fever, I took out a thermometer and handed it to the man in summer.
"Take another temperature measurement."
"it is good."
The man went out with the child in his arms and a thermometer.
Fever in children is very common in emergency department.
There are hundreds of cases every day. The common disease is common fever, and some severe cases are pneumonia. In autumn and winter, pneumonia is a common disease in children.
After the two went out, Xia finished the takeaway.
"This takeaway is good and delicious."
“Chopped pepper fish head is very fresh.”
Xia Xia threw the garbage in the trash can and asked Han Mi Ji.
"Which takeaway is it?"
"I'll eat here in the future."
Han Meiji didn't answer him directly, but replied: "When you want to eat, tell me, I'll give you some."
Yo Yo Yo!
Finally took the initiative.
Both Wang Xiaobei and Wang Boyi looked sideways.
This atmosphere... is not right!
Wang Xiaobei blinked: Brother Tian, something is wrong with Doctor Han.
Summer: She is very wrong.
Wang Boyi: ? ? ?
At this time, Han Meiji opened her mouth and said to Xia Xia with a smile.
"Will you be free tonight?"
Are you asking me out?
Sure enough, this woman still likes me.
"available."
"I don't have any shows after get off work. Is there anything wrong with Dr. Han?"
hum!
The cartoon girl is arrogant and arrogant, and she is still very cute.
Looking forward to meeting her.
Xia Tian was so happy in her heart, at this time, Han Meiji spoke up.
"I'm Xiao Ye tonight, but today a best friend of mine came back from abroad and I haven't seen you for a long time, so..."
...
"You want me to help you on duty?"
summer asked.
Han Meiji nodded, her cartoon-like eyes filled with pleading, and asked weakly, "Is it okay, Brother Tian?"
! ! ! !
no love anymore...
Summer nodded: "Okay."
Everyone is called Brother Tian. As Brother Tian, how could he be so embarrassed to refuse such a small request from a girl?
At this time.
The man went to the emergency room with the child in his arms and gave the thermometer to Xia Xia.
"Doctor, take a look."
"The body temperature is 39.2 degrees, isn't it too high?"
Check it in summer, and sure enough, it is 39.2 degrees, which is a high fever, and a common cold will not cause such a high fever.
"Put the baby on the bed and I'll take a look."
Listen to your child's lungs with a stethoscope.
In the days when there was no color Doppler ultrasound, doctors used a stethoscope to diagnose the disease.
As pneumonia spreads to pleurisy, a rubbing noise can be heard in the chest.
Bronchitis, moist rales can be heard.
What is moist rales, which is the sound produced by the rapid bursting of blisters when air flows through the trachea containing thin secretions.
Blister sounds are divided into large, medium and small.
Large blister sounds are more common in bronchiectasis, tuberculosis, and pulmonary edema.
Pneumonia is a small and medium blister sound.
Um?
Summer frowned.
Bubble sound.
There is inflammation in the child's body, large bubbles, medium bubbles, small bubbles, and even fricatives can be heard, and various sounds are mixed together.
This situation...
Bronchitis, pleurisy, pneumonia...all infected?
"Do a lung CT first, and a blood test."
The man held his daughter tightly in his arms, and when he heard the CT scan, he frowned and asked Xia Xia.
"Is the radiation from CT big?"
"My daughter is only 4 years old."
Xia Xia said to the man while billing: "CT radiation has very, very little impact on the human body. It is not even as big as a takeout threat to the body. The impact of X-rays and MRIs will be greater."
"Let's do a CT first."
"The child has inflammation in the lungs."
The man nodded again and again.
Take the list, take the child to draw blood, and shoot.
After the two went out, Xia Xia said to several people in the office.
"In the girl's chest cavity, there are sounds of large, medium and small bubbles, as well as fricatives. The lungs, bronchi, and pleura are all infected?"
So many illnesses at once?
too exaggerated……
I have been working in the emergency department for five or six months in the summer, and I see one or two children with pneumonia every day, usually common pneumonia, or bronchitis, a single disease of some kind, all infections, and I have never seen it before.
Wang Xiaobei said: "Could it be that the pneumonia is too serious, delaying the disease and infecting other locations?"
Wang Boyi said: "No way."
"If it delays the disease, it will take at least a whole month to infect other locations. The father who sees the child seems very nervous, and even asks about CT radiation. He should be a more careful person."
"If pneumonia lasts for a month, the child will have a high fever for a long time."
"How could a parent not bring it to the hospital?"
Wang Xiaobei: "Then why are all positions inflamed at the same time?"
The office fell silent...
Xia Tian glanced at Han Meiji and asked.
"What do you think of Dr. Han?"
Han Meiji said lightly: "Inflammation cannot occur at the same time. If inflammation occurs in various parts at the same time, it must be caused by other diseases."
"Let's see when CT comes out."
No amount of analysis is useless, you still have to wait for the results of the inspection.
after an hour.
The man returned to the emergency room with the child in his arms.
"Doctor, the results are out, take a look."
Summer quickly glanced at the report.
Body temperature 39.8 ℃, pulse 158/min, respiration 43/min, weight 10.5kg.
Submandibular, armpit, and inguinal lymph nodes enlarged, throat congestion, and 1st degree enlargement of tonsils.
The breath sounds of both lungs are thickened, the markings of the lungs are increased and disordered, and patchy increased density shadows can be seen.
Red blood cells, white blood cells, lymphocytes, and neutrophils are elevated at the same time.
Seeing this report, several diseases popped into Xia's mind.
Intestinal infection, lung infection, tuberculous meningitis? ? ?
"Look at it."
Summer gave the report a glance to the three of them.
For a moment.
The four were silent at the same time.
finally.
Xia Tian set his eyes on Han Meiji.
"What disease causes so much inflammation?"
In the body of a normal person, a kind of inflammation will suddenly occur. If so much inflammation occurs at the same time, it must be caused by other diseases.