While the parents were answering the doctor's questions, the doctor was conducting a non-stop physical examination of the child.
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 requires careful identification, just like acute abdomen in adults. 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 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 detect abnormal signs.
In order to avoid painful pressing of 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 at the bottom of the sea. 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 felt an abnormal object. I touched again and found out the scope of this anomaly, which looked like a sausage.
A sausage-like mass in the right lower quadrant?
"It must be intussusception." Classmate Wei Shangquan said first.
"What was he talking about?" 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 was caused by his grandma feeding him random things, right?" the child's mother said unhappily, as if she had known this would happen.
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 talks about scientific things.
If it is really intussusception, first explain clearly what intussusception is.
Intussusception is when one section of intestine becomes inserted into the lumen of another section.
To describe the image, you can connect several rubber tubes with different diameters and sizes.
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