While the parents were answering the doctor's questions, the doctor was conducting a non-stop physical examination of the child.
After clearing the foreign matter in the child's mouth, the nurse kept the child's airway open. After taking the child's temperature and blood pressure, the nurse reported it to the doctor. The temperature was not high and the blood pressure was low.
Since the child's main symptoms are in the digestive tract, the doctor who puts on the stethoscope and earplugs is not in a hurry to listen to the heart and lungs, but listens to the intestinal condition first. Then he feels and presses the child's abdomen with his hands for palpation.
The child's mother stood on tiptoes behind the doctor and looked nervously.
"Did the child have a bowel movement?"
The child's mother, who was pulled back by the doctor to ask about his medical history, replied: "Not today." Then asked the doctor: "What disease does my son have?"
Acute abdomen in infants and young children requires careful identification just like acute abdomen in adults. Acute abdomen is the most difficult to identify because there are the most organs in the human abdominal cavity.
At present, the child's symptoms mainly include vomiting, no stool, and no fever. It does not look like acute food poisoning. His breathing is normal and does not look like aspiration of foreign bodies. The symptoms of the child's crying have progressed to the point where they are not obvious, indicating that the child's mental state has deteriorated and the disease
It has progressed to a more serious stage. According to the information provided by the family, the initial judgment is that the onset time is within 48 hours.
What were the results of the doctor's abdominal examination?
Xie Wanying and classmate Wei watched the movements of classmate Duan Sanbao's hands pressing on the child's abdomen.
A good doctor will never press hard during palpation. Duan Sanbao’s fingers gently press on the child’s abdomen. This pressing is actually because the organs in the human abdominal cavity are soft and located deep, and the doctor’s hands need to be probed deep.
It can only be touched, and the purpose is to feel abnormal signs.
In order to avoid pressing painful human organs, some doctors have developed various techniques. For example, Duan Sanbao's gesture is a bit like pushing. The organs in the abdominal cavity are indeed fixed by ligaments, and they are also fixed by ligaments.
When the doctor pushes with his hands, it is like a ship anchored on the seabed. When pushing, it is helpful for the doctor's hands to feel the objects in the abdominal cavity. Is it space? Is it skin? Is it peritoneal ligament? Or is it a moving organ?
I pushed and pushed, and I felt an abnormal object. Then I touched and touched again, and I felt out the scope of this abnormal object, which looked like a sausage.
A sausage-like mass located in the right lower quadrant?
"It's intussusception," classmate Wei Shangquan said first.
"What was he talking about?" The child's mother was listening and became very nervous. She pulled Xie Wanying's white coat and asked.
Acute intussusception is a very common acute abdominal disease in infancy. The age of onset is generally within one year old, most commonly between four months and ten months, and rarely over two years old. It is mainly related to the digestion of infants.
It is related to the imperfect development of the gastrointestinal system. In addition, for children over four months old, it is the period when various complementary foods are added to the baby. Some babies have poor digestive tract adaptability and become sick as a result.
"So, it's because his grandma fed him random things, isn't it?" the child's mother said unhappily, as if she had known this would happen.
The child's grandmother who was sitting outside the clinic stood up, her face full of uneasiness.
"That's not the case." Xie Wanying denied.
This is not specifically speaking for the child’s grandmother, the doctor only said scientific things.
If it is really intussusception, first explain clearly what intussusception is.
Intussusception is when one section of intestine is inserted into the lumen of another section.
To describe it vividly, you can connect several rubber tubes with different diameters and sizes.