In pediatrics, you will often see diseases that are basically difficult to see in adult departments. For students who have rotated in the adult general surgery department and then go to the pediatric surgery department, it will be like stepping into the door of a new world again.
Following the doctor's instructions, the mother placed the child on the examination bed.
Duan Sanbao walked over with two National League students, carrying a stethoscope in his hand.
As usual, Xie picked up his notebook and pen and helped the attending teacher ask about the patient's medical history. Since the child was unable to speak, the person to be questioned was changed to the child's family.
"How old is he?"
"I was just eight months old and was born in the Maternal and Child Health Hospital."
"When did you notice he was vomiting? What did he vomit?" As she said this, Xie Wanying looked over and visually inspected the child's condition with other doctors.
Wearing gloves, Duan Sanbao and Wei Shangquan carefully opened the child's pacifier, checked whether there was any vomit inside that had blocked the child's trachea and esophagus, and then dug out the remaining vomit in the child's mouth to avoid suffocation.
The nature of the vomitus will help doctors make a differential diagnosis.
After taking it out, there seemed to be some "small pieces" left in the child's mouth.
The food menu for an eight-month-old baby is generally like this. Before quitting breastfeeding, it is still mainly milk, and the baby is fed several times a day. In addition to breastfeeding, the complementary food added in the middle is first of all the same as the complementary food menu in the previous months, including various liquids and
Semi-liquid. Liquid is juice, rice soup and the like. If it is semi-liquid, parents need to spend more time making various hand-processed pastes, which can be rice flour, lotus root powder, egg custard, fruit puree, etc.
It takes about six months for a child's first deciduous tooth to appear. Some children may see the tip of the tooth as early as three months, and some may see it later. Generally speaking, there are very few children over one year old who have a complete first tooth.
The eruption of deciduous teeth occurs between six months and nine months. It can be said that an eight-month-old child is normally in a relatively strong teething period and can increase solid food to exercise the child's chewing ability. At this time, do not beat fruits into juice or
It can also be made into a puree, or you can directly break the fruit into small pieces and feed it to your child.
Some elderly people will break bananas and other soft foods for their children to eat based on their life experience.
The "small pieces" in the child's mouth are solid food. Is the child vomiting because the solid food is difficult to digest after entering the child's digestive tract? Wipe the child's small mouth, and the doctor will check carefully and see that the child has vomited "food lumps".
"Spitting up milk too.
"I asked his grandma. His grandma said she fed him some bananas, but nothing else." The child's mother told the doctor, "He has eaten bananas. He ate them last month and he didn't vomit. I don't know if he has eaten them."
Did grandma lie? In fact, this is not what she was feeding."
The child's grandmother was waiting outside and didn't dare to come in. She was afraid that the doctor would say that the child's problems were because she, the grandmother, had not fed her the child properly, and she would be held responsible.
It is said that the possibility of the old man lying is very small. At the age of the child, the grandma is destined to be young, sane and intelligent. The old man loves children, and it is unlikely to say that they intentionally put things in their mouths to harm the children. It is said that the old man does not understand modern medicine.
Science has led to a low incidence of feeding errors. This point must be realistic. Some media love to publish eye-catching news, and cannot represent the entire elder group by taking the case of a very small number of ignorant and superstitious old people.
