Chang Jiawei initially judged that it might be cellulitis.
Cellulitis is not uncommon clinically. Once an exposed wound is not treated properly, bacteria can easily continue to invade under the skin, causing massive infection or even necrosis of subcutaneous adipose tissue. The subcutaneous adipose tissue is shaped like a honeycomb, hence the name cellulitis
To understand it simply, it can be imagined as an adjective for inflammation of subcutaneous adipose tissue.
Wearing sterile gloves, Nie Jiamin gently pressed the boy's wound with his fingers and determined that it was pitting edema and there were pustules in the epidermis. It required surgical incision, cleaning with saline and draining the pus.
Turning around, Nie Jiamin said to the nurse who was preparing the supplies: "If you want to incise the abscess, please prepare saline solution."
When the time came, Xie Wanying took out the thermometer from the child's armpit, looked at the scale towards the sunlight, frowned and reported to the teacher: "Teacher Nie, the patient's temperature is now 39 degrees. I expect his temperature will go up again."
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"Yeah." Nie Jiamin was still in no hurry.
Doctors with rich medical experience rarely become anxious after seeing many kinds of patients and big scenes. Furthermore, Xie Wanying discovered that Teacher Nie seemed to be dissatisfied with the families of the children.
The child with this kind of situation should not be delayed to come to the free clinic. It shows that the family does not seem to take the child seriously. Now if the doctors here are helping to deal with it, will the family of the child take care of it once the free clinic doctor leaves?
The child was just thrown away at home again. Therefore, it is best to let the family members of the child responsibly send the child to the hospital for treatment after initial treatment.
Look at the child's grandfather who continues to evade his responsibilities: "Hey, he runs every day and often falls. This fall is not as bad as last time. How did it become like this? His grandma and I can't figure it out."
In short, this family member should need to reflect and reflect. How can we say that the child can ignore the child's wounds just like a normal fall.
Regarding this point, Xie Wanying did not object to what the teacher thought and said: "Teacher Nie, I think you may need to check his mouth first. The condition of the face and jaw is equally serious."
"Oral?" Nie Jiamin was alert to her new proposal.
Chang Jiawei was also stunned for a moment, what kind of oral cavity?
"I saw that his jaw on the left side of his face was a little swollen. I guess the rapid development of his bacterial infection was due to an oral infection that was already present and an infection in other parts of the body." Xie Wanying said.
Chang Jiawei came to the head of the bed, and together with Nie Jiamin, they looked inside the child's mouth. They clearly saw that the lower left back tooth was particularly swollen. The worst part was that it was also purulent, and as Xie Wanying said
, resulting in a swollen face, which may spread to intracranial infection in the future.
This child must have toothache, but the family members didn't care at all.
The child's grandfather was surprised after hearing what the doctor said: "Can this toothache be worse than the inflammation of my grandson's leg?"
"Yeah." The doctor answered him affirmatively.
"I have toothache too," the child's grandfather said as he opened his mouth to show the doctor his cavities.
Doctors and family members of such children are speechless when they see them.
"Your doctor should prescribe him medicine." The boy's grandfather said the same thing as Lulu's mother before, urging the doctor to prescribe medicine.
It is generally best for problem patients to go to the hospital and put bottles in place to avoid intracranial and systemic infections. Antibiotics should be used to suppress them as soon as possible. Incision and drainage of pus in the mouth should be handled by a dentist.
, if necessary, a neurosurgeon should be consulted to see if there is intracranial infection.
