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【2329】identification

When parents answer doctors’ questions, the doctors conduct their child’s physical examinations without stopping.

After removing foreign objects in the child's mouth, keep the child's airway unobstructed. The nurse took the child's temperature and blood pressure and reported it to the doctor. The body temperature was not high and the blood pressure was low.

Since the main symptoms of the child are in the digestive tract, the doctor wearing stethoscope earplugs is not in a hurry to listen to the heart and lungs, and quickly listen to the intestinal condition. Then touch and press the child's abdomen for palpation.

The child's mother stood behind the doctor with her toes looking nervously.

"Did the child get a feces?"

The mother of the child who was pulled back by the doctor and asked about his medical history, answered: "No today." Then she asked the doctor: "What disease is my son?"

Acute abdominal symptoms in infants and young children are the same as those in adults, and they need to be carefully identified. Acute abdominal symptoms are the most difficult to identify because the human body has the most organs in the abdominal cavity.

At present, the child's main symptoms include vomiting, no stool, no fever, not very similar to acute food poisoning, normal breathing, and not like foreign body aspiration. The symptoms of crying in the child are not obvious, indicating that the child's mental state is deteriorating and the disease progresses to a relatively serious level. According to the information provided by the family, the preliminary judgment is within 48 hours.

What are the results of the doctor's abdominal examination?

Xie Wanying and Wei looked at Duan Sanbao's hand pressing on the child's abdomen.

A good doctor will never press hard when palpating. Duan Sanbao's fingers are gently pressed on the child's abdomen. This press is actually because the organs in the human abdominal cavity are soft and located deep. It is necessary to test the doctor's hands in the deep area before they can be touched. The purpose is to touch abnormal signs.

In order to avoid hurting human organs, some doctors' techniques have changed in various ways. Like the current student Duan Sanbao's gestures, it is a bit like pushing. The organs in the abdominal cavity are indeed fixed with ligaments. At the same time, when pushed by the doctor, it is like a ship anchored on the bottom of the sea. When pushed, it is conducive to making the doctor's hands feel the objects in the abdominal cavity that are touched. Is it space, skin, peritoneal ligaments, or organs moving?

Push and touch, touch, touch, and find an abnormal object. Then touch, touch and find out the range of the abnormal object, like a sausage.

A sausage-like mass located in the lower right abdomen?

"It's intussusception." Wei Shangquan said first.

"What was he talking about?" The child's mother heard this and was extremely nervous, and asked in Xie Wanying's white coat.

Acute intussusception is a very common acute abdominal disease in infancy. The onset age is generally within one year, and the most common age range is four to ten months, and it is rare for over two years old. It is mainly related to the infancy's inadequate development of the infant's digestive tract system. In addition, children over four months happen to add various complementary foods to the infant. Some babies have poor digestive tract adaptability and become sick as a result.

"That's what his grandmother is causing him to feed him randomly, right?" the child's mother said unhappily, looking like she knew it would be like this.

The child's grandmother, who was sitting outside the clinic, stood up, her face full of anxiety.

"It's not like this." 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, you must first explain what intussusception is.

Instussusception refers to the intestine being inserted into another lumen.

Image description can be used to connect several rubber tubes of different diameters and sizes.
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