We have repeatedly mentioned in obstetrics that the key element that depends on whether a child can give birth naturally is the child's head. For this reason, the doctor's hands in a natural birth should especially protect the baby's brain and have standardized delivery gestures.
When the doctor checks the fontanelle, in addition to checking whether the fontanelle is closed normally or not, like a child with fever today, touch the anterior fontanelle to see if there is bulging and tightness. If there is, it may mean that the child has intracranial high pressure. If the fontanelle is too large and the head circumference is too large, you should doubt whether it is congenital hydrocephalus. If the fontanelle is too small or premature closure, it is necessary to check whether the child has brain dysplasia. The above reasons represent central nervous system lesions, which may cause horseshoe feet.
When Student Xie checked the fontanelle, Student Wei took a soft ruler to help measure the child's head circumference.
Student Duan checked the medical record and recorded the temperature and blood pressure that the nurse had taken to the child before.
After a series of neurosurgery examinations, the child's consciousness is still OK, and it does not show abnormalities such as drowsiness. The posterior fontanelle is closed, which is normal. The head circumference is 42cm, within the normal range. The anterior fontanelle does not show any bulge or depression, and there is no abnormality intracranial pressure. The pupil is 3mm, normal. The child's spine is not deformed or abnormally curved. The weight is 81kg and the body length is 60cm, which means that the child is nutritious and is normal development. Only the left foot is deformed. You need to take a picture of the bones to see if there are any bone deformities.
But horses’ feet generally do not cause children’s fever. Doctors need to continue to check on the child’s fever. Student Xie and students Duan wear stethoscopes to their children for their heart and lungs.
Student Wei picked up a ballpoint pen and notes, asked his family members and recorded the child's medical history.
"When did you find that your child has a fever?" Student Wei asked with his pen tip on his notebook.
The child's mother replied: "It should be yesterday. We thought of a way to apply alcohol to him and wanted to reduce his fever. But we brought him to the hospital for a check-up."
People know that seeing a doctor is troublesome. Some parents will think at home that their children are not in serious condition and find a way to reduce their fever. If they can get rid of it, they don’t have to go to the hospital if they don’t have to go to the hospital.
"Do you know when his foot was like this?"
After receiving this question from the doctor, the child's mother seemed to find that her son's left foot was abnormal and said in surprise: "When I took him to have a physical examination before, the doctor never said there was something wrong with his feet."
This shows that the child's horse hoof foot is now discovered. It is not surprising that many children have no significant symptoms of congenital disease, and they have to wait until the later symptoms become more and more prominent before they can be noticed.
"Did he vomit or have diarrhea?" Student Wei asked again.
The child's mother shook her head.
"Do you have any cough?"
"It seems." said the child's mother, "and she cried, and she cried hoarsely, and we felt like he felt uncomfortable in his throat."
The child was crying hoarsely, his throat was uncomfortable, and his vocal cords and glottis problems? Is it acute laryngitis in the children? Several young doctors were shocked.
Chapter completed!