256. Chapter 255 The mother who cries urgently at night, ITP disease(1/2)
Chapter 255 A mother crying in the middle of the night, ITP disease
Li Jingsheng quickly opened the retractable door outside, and saw a young mother in her twenties and nineties walking in quickly with a little boy in her arms.
The child's father or other family members were not seen.
The woman was in a hurry when she was walking, maybe she was holding someone in her arms, and she stumbled and almost fell.
Fortunately, Li Jingsheng had quick eyes and quick hands to help him quickly.
"Slow down, slow down!"
Li Jingsheng comforted her.
When I touched her just now, I could feel her hands trembling.
The little boy he was holding opened his eyes in fear, looking at his mother with tears in her eyes.
"Today my sister-in-law came to visit with her two children. While they were playing, her eldest son pushed my son, causing him to fall and hit the TV cabinet. I got a nosebleed on the spot. I thought it was the child.
My aunt said it was caused by children playing, so she didn’t say anything. I thought it would be easy to stop the bleeding, but it didn’t stop after more than half an hour, so I got a little scared.
Hurry up and bring your child to your clinic for treatment.
Later, the bleeding was successfully stopped at your place. My sister-in-law also left with the child.
Who would have thought that he just sneezed and started bleeding again, and he couldn't stop it at all. I have no choice but to take care of my child at home, so I can only trouble you."
It was indeed not easy for her.
As I talked, I might feel aggrieved and scared, my nose felt sore, and I started to shed tears.
Li Jingsheng quickly reassured her, "It's okay, it's okay. Let's put the baby on the bed and let him lie down." He looked very tired from holding her.
The child was lying in a reclining position reading a book and did not dare to move while lying there.
Look at how honest this little guy is now. Why doesn't he think about being afraid when he is playing around?
Li Jingsheng observed it and found that the amount of bleeding was not large, but it kept bleeding out.
In this case, it is best not to lie flat, otherwise the blood will flow back into the deep nasal cavity and it is easy to choke.
Ou Qinglan also came over to help.
"Qinglan, take a small flashlight and help me shine a light on his nasal cavity."
"Where is the little flashlight?"
She was not familiar with the items in the clinic.
Li Jingsheng had no choice but to go over and take out a small flashlight from the drawer and take a look at the child's nasal cavity.
There was already blood scab inside, and there was still a lot of blood dirt.
But you can still see fresh blood flowing out.
After repeated inspections, he was basically sure that it was just superficial bleeding.
Try to press the side of the child's nose to slowly stop the bleeding.
But after I let go of my hand, it started bleeding again.
Li Jingsheng asked Ou Qinglan to bring an ice pack and try to apply ice to the child's nose.
This is done to constrict blood vessels and help stop bleeding.
Some effects.
"Kid, hold it down with your hands."
Li Jingsheng said to the child.
The little boy obediently held the ice pack with his right hand.
At this time, Li Jingsheng saw a pale purple bruise on the back of the child's hand.
His eyes narrowed slightly, and he pointed at the bruise and asked, "Did you get it when you fell?"
"No! It was there two days ago."
The little boy said timidly.
"My cub is usually a bit naughty, so it's common for me to get bruises like this accidentally."
The child's mother felt distressed and said helplessly.
Children are bound to be naughty, and bruises and falls are unavoidable.
But Li Jingsheng felt that things were not that simple.
"Kid, do you have bruises like this anywhere else on your body?"
"Yes! It's on my feet!"
Children don't know how to lie. Li Jingsheng took off his shoes and socks, and sure enough he saw bruises on the insteps.
If it is a bruise or bruise, it will normally appear blue and purple.
But the bruises on this child's body were all lavender.
Li Jingsheng looked at his family members.
"I, I have never punished him corporally!"
The child's mother obviously misunderstood.
Li Jingsheng did not suspect that the child was harmed.
Seeing the child's nose bleeding, the young mother cried anxiously. How could she be willing to abuse her child?
Li Jingsheng has relatively rich experience in treating children. He can basically easily tell whether parents really love their children.
"That's not what I meant. I want to ask, how long has this kind of ecchymosis been present on his body?"
"It seems like it just appeared recently! Sometimes it suddenly pops up. I always criticize him for becoming more and more naughty."
"Did he get injured or bleed during this period?"
"I bit my tongue once while eating, and it bled for a long time. I recovered later. I haven't had any other injuries or bleeding."
After listening to the child's mother's description, Li Jingsheng became more certain that the little boy's situation was not simple.
There are ecchymoses on the limbs, and they are all purple, and the areas where they appear are not easily injured.
Both injuries caused bleeding that was difficult to stop.
The tongue is also rich in blood vessels.
Any bite will bleed.
"Kid, open your mouth and let me see your mouth!"
Li Jingsheng already had a certain diagnosis direction in his mind, but he was still not sure.
The little boy opened his mouth and you could see blood blisters on his tongue.
There are also blood blisters on the oral mucosa.
After seeing this, there is almost no need to check further.
"After your child broke his nose, the bleeding may not be caused by a serious injury. Instead, he may have a disease called ITP. If he has never had difficulty stopping bleeding before, it should be acute ITP.
.In children, it is generally related to viral infection.”
Li Jingsheng explained his diagnosis opinions to his family members.
"Is it the virus that caused the cold a month ago?"
This is all the family can think about.
"What kind of disease is ITP? I don't understand this. Can you please explain it in more detail?"
"Whether it is related to a cold, it's hard to say. Because my clinic has limited conditions, I can only make a preliminary diagnosis based on his symptoms, medical history and other information. I just suspect that it may be this disease. Because ITP disease is prone to mucous membranes, limbs, etc.
Extensive subcutaneous bleeding in distal and other parts of the body.
The full name of this disease is primary immune thrombocytopenia, which is an acquired autoimmune disease.
It mainly causes thrombocytopenia.
Because he has never had this disease before, the possibility of abnormal T cells and anti-platelet autoantibodies is low. I suspect it may be related to viral infection."
Li Jingsheng made it more clear this time.
But I still haven't finished talking.
"Then can you treat me here? The child's father is studying and training in other places and is in an important period of promotion. I don't want to worry him because of this matter. I haven't told him about the child's injury until now."
The child's mother is a very good wife.
She works full-time at home to take care of her children, and devotes herself wholeheartedly to her husband's career and future.
This requires sacrificing one's personal future.
A selfish woman generally cannot do this.
To be continued...