Chang Jiawei initially judged that it might be cellulitis.
Cellulitis is not uncommon clinically. Once an exposed wound is not treated properly, bacteria can easily continue to invade under the skin and cause massive infection or even necrosis of subcutaneous fat tissue. Subcutaneous adipose tissue is shaped like a honeycomb, so if the name cellulitis is simply understood, it can be imagined as an adjective for inflammation of subcutaneous adipose tissue.
Wearing sterile gloves, Nie Jiamin gently pressed his fingers on the boy's wound. It was determined that it was pitting edema and there were pustules in the epidermis. It required surgical incision, cleaning and draining the pus with saline.
Turning his head, Nie Jiamin said to the nurse who was preparing the items: "If you want to incise the abscess, please prepare saline solution."
When the time came, Xie Wanying took out the thermometer from the child's armpit, looked at the scale towards the daylight, frowned and reported to the teacher: "Teacher Nie, the patient's temperature is now 39 degrees one. I predict that his temperature will go up again." .”
"Yeah." Nie Jiamin was still in no hurry.
Doctors with rich medical experience rarely become anxious after seeing many different kinds of patients and big scenes. Furthermore, Xie Wanying discovered that Teacher Nie seemed to be dissatisfied with the families of the children.
Children with this kind of situation should not be delayed to come to the free clinic, which shows that the family does not seem to take the child seriously. Now, if the doctors here are helping to deal with the problem, once the free clinic doctors leave, will the family members of the child just throw the child home again? Therefore, it is best to let the family of the child responsibly send the child to the hospital for treatment after the initial treatment.
Look at the child's grandfather who continues to evade his responsibilities: "Hey, he runs every day and often falls. This fall is not as bad as last time. His grandma and I can't figure out why it happened like this."
In short, this family should need to reflect and reflect. How can it be said that the child's wounds can be ignored as usual.
Regarding this point, Xie Wanying did not object to what the teacher thought and said, "Teacher Nie, I think you may need to check his mouth first. The condition of the face and jaw is equally serious."
"Oral cavity?" Nie Jiamin was alert to her new proposal.
Chang Jiawei was also stunned for a moment, what mouth?
"I saw that his jaw on the left side of his face was a bit swollen. I guess the rapid development of his bacterial infection was due to an oral infection that was already present and an infection in other parts of the body." Xie Wanying said.
Chang Jiawei moved closer to the bedside, and together with Nie Jiamin, they opened the child's mouth and looked inside. They clearly saw that the lower left back tooth was particularly swollen. The worst thing is that it also suppurated, and as Xie Wanying said, the face became swollen, which could spread to intracranial infection in the future.
The child must have toothache, but the family members didn't care at all.
The child's grandfather was surprised after hearing what the doctor said: "Can this toothache be worse than the inflammation of my grandson's leg?"
"Yes." The doctor answered him affirmatively.
"I have toothache too." The child's grandfather said as he opened his mouth to show the doctor his cavities.
Doctors and family members of such children are speechless when they see them.
"Your doctor should prescribe medicine for him." The boy's grandfather said the same thing as Lulu's mother before, urging the doctor to prescribe medicine.
For problem patients, it is usually best to go to the hospital under such circumstances and have a bottle hung up to avoid intracranial and systemic infection, which must be suppressed with antibiotics as soon as possible. Incision and drainage of pus in the oral cavity should be handled by a dental surgeon. If necessary, a neurosurgeon should be consulted to see if there is an intracranial infection.
