Such an appearance indicates that the patient has been sick all year round and is malnourished.
At this stage, the diagnosis may not be clear, and the doctor dare not use medicine casually. He did not give a bottle, but only gave instructions for oxygen inhalation... A double-headed nasal cannula was hung on the patient's nostrils to connect the oxygen output from the wall oxygen channel.
I remember that it was written in the medical record that the patient had a problem with his leg.
Geng Yongzhe came over and lifted up the lower half of the quilt, exposing his younger brother's legs for classmate Xie to inspect.
Bending down, Xie Wanying carefully looked at the appearance of the patient's legs. Basically, there were no obvious signs of fracture in any of the legs. This was because the patient had no surgery, no incision, and no scars for the fracture at that time.
It's just a splint fixation. It won't be obvious if a mild fracture is healed, so it needs to be reviewed by taking a radiograph.
"Xiaohui, can you try to straighten your legs?" Xie Wanying asked the patient.
Someone is calling his name.
Geng Yonghui opened his eyelids with his eyes closed, and a long-haired girl appeared in his blurry vision. Under the fluorescent lamp in the ward, the girl's gentle eyes looked a bit like his mother. Turning his head, he asked his brother next to him: "
Did I dream?"
The younger brother felt that he was dreaming about an angel like their mother.
Knowing that his brother missed his mother, Geng Yongzhe smiled bitterly and told his brother: "She is my classmate Dr. Xie. I told you before that it was she who suggested that you go to the hospital here for examination."
It turned out to be his brother's classmate. Geng Yonghui nodded, with trust in his eyes, and turned back to the doctor sister: "My legs are straightened."
The patient said that his legs were straightened, but the actual situation is that the patient's legs on the bed were slightly externally rotated. It was not that the patient was acting against the doctor intentionally, but that the patient did not realize that he could not do it.
Seeing this situation, Geng Yongzhe turned his face and calmed his breathing. He had to control his emotions and not let his brother discover his illness in the slightest.
"Here, lift your legs." Xie Wanying said to the patient.
Geng Yonghui slowly and difficultly raised his right leg, and then his left leg. Due to lack of physical strength, it was very difficult for him to raise the leg. The height was less than a fist high, and the leg fell down on its own.
Clenching her fist into a fist, Xie Wanying placed her fist on the palm of the patient's foot, trying to get the patient to kick her legs to test the strength of the patient's lower limbs.
Geng Yonghui puffed out his cheeks as if he was holding back enough energy to feed himself, but it was useless, as if he couldn't kick his legs.
It can be seen that the patient is a good baby, and he cooperates with the doctor in everything. Why would a good boy have his legs broken? When Xie Wanying thought of this, she understood how classmate Geng cherished her younger brother.
Since the previous examination and test results could not distinguish the functional impairment of the patient's lower limbs, Xie Wanying walked around to the side of the bed, helped the patient to bend her knees, and then let go. She saw that the patient's lower limbs persisted in this position for less than a few seconds and then slowly fell to the bed. On the left side
The same goes for the lower limbs.
The last test she did was the paresis test barr6 lower limb first test knee drop test, which was a relatively obvious positive sign. In addition, the patient was asked to straighten the leg and rotate externally, which was Jackson's sign. These test results fully showed that the patient
There are signs of paresis.
Pick up a cotton swab and turn it over, use the tip of the bamboo stick to scratch the skin of the patient's limbs to check the patient's deep and shallow sensation.
Paresis has a word called "light", which means it is definitely good. The symptoms are discovered in the early stage, and as long as the cause of the disease is found out, it should be too late. Because the symptoms are mild and difficult to identify, doctors who do not suspect this point will not easily test the patient.