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【879】Don't Miss Diagnosis

Chang Jiawei initially judged that it might be cellulitis.

Cellulitis is not rare in clinical practice. Once exposed wounds are not treated well, bacteria can easily continue to invade under the skin, causing a large amount of subcutaneous adipose tissue to be infected or even necrotic. Subcutaneous adipose tissue looks like a honeycomb, so the name cellulitis

To be simply understood, you can imagine it as an adjective of inflammation of subcutaneous adipose tissue.

Through the sterile gloves, Nie Jiamin gently pressed the boy's wound with his fingers, and it was confirmed that it was concave edema and there was a pustules inside the epidermis. It needed surgical incision and was washed and discharged with normal saline.

Turning his head, Nie Jiamin said to the nurse who prepared the items: "If you want to do an abscess, please prepare normal saline."

It's time, Xie Wanying took out the thermometer from the child's armpit, observed the scale in the sunlight, frowned and reported to the teacher: "Teacher Nie, the patient's body temperature is now 39 degrees per day, I expect his body temperature to burn again

.”

"Yes." Nie Jiamin was still not in a hurry.

Doctors with rich medical experience rarely get anxious after seeing a variety of patients and big scenes. Moreover, Xie Wanying discovered that Teacher Nie seemed to be dissatisfied with the children's family.

The child should not be delayed to see a free medical consultation at all, which means that the family members do not really take the child seriously. If the doctor here helps to deal with it almost the same, the free medical consultation doctor will leave, will the child's family take it?

The child is thrown away at home. Therefore, it is best to let the child's family responsibly send the child to the hospital for treatment after the initial treatment.

Look at the child's grandfather continues to clear his responsibilities: "Hey, he runs every day and often falls. He doesn't fall this time so much, so why did he become like this? My grandmother and I can't figure it out."

In short, this family member should need to reflect on it. How can you say that the child can ignore the child's wounds just like the falls on weekdays?

Regarding this, Xie Wanying did not object to what the teacher thought, saying: "Teacher Nie, I think you may need to check his mouth first, and the condition on his face and jaw is as serious as it is."

"Dental?" Nie Jiamin was alert to her new proposal.

Chang Jiawei was also stunned. What kind of mouth?

"I saw that the lower jaw on his left face was a little swollen. I guess his bacterial infection developed rapidly because he had an oral infection and was infected in other parts of the body." Xie Wanying said.

Chang Jiawei approached the bedside and looked around with Nie Jiamin in the mouth where the child's mouth was opened. He clearly saw that the back teeth on the lower left were particularly swollen. The worst thing was that they were also suppurated, and as Xie Wanying said

, causing the face to swollen, and it will spread to intracranial infection in the future.

This child must have a toothache, but the family members didn't care at all.

The child's grandfather was shocked after hearing the doctor's words: "Can this toothache be more severe than the inflammation of my grandson's leg?"

"Yeah." The doctor answered him affirmatively.

"I have tooth pain, too." When the child's grandfather said that, he opened his mouth to show the doctor his tooth decay.

The doctors of this kind of child's family can only be speechless when they see each other.

"You doctor prescribes medicine for him." The boy's grandfather said the same thing as Lulu's mother before, and only urged the doctor to prescribe medicine.

Problem patients are usually best to go to the hospital in this case, and have to hang a bottle to avoid intracranial and systemic infections. They should be suppressed with antibiotics. Intraoral incision and discharge of pus should be handled by the stomatologist.
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