151. Going further and further on gastroenteritis
Ji Qing, including Ji Qing, believed that Qi Jing's condition of gastroenteritis was almost overwhelmed, and he should ask about the convulsion. Unexpectedly, he just asked a question and pointed his finger at gastroenteritis.
"Does the child have stomachache when he has diarrhea?" Qi Jing's question was so detailed that it was outrageous, "especially the last two times, if it hurts..."
Everyone shook their heads, and even Ji Qing didn't expect this time.
Some people suffer from diarrhea and cause pain due to hyperactivity of intestinal peristalsis, but some people have excessive diarrhea and cannot stop the stomach and do not hurt. The two situations are different, but is this important? And now, except for Ji Qing, others feel that they are in power.
Who is present who graduated from a master's and doctoral degree? How come a long way to be led by an undergraduate? It’s not that they look down on the undergraduates, but they are a little sad about their self-esteem.
Seeing that they were not sounding, Qi Jing saw that the parents who were still resting, put down the question first and continued to ask: "Did the child vomit?"
"No."
Qi Jing felt a little strange when he heard this answer: "What about not before boarding the plane? There was no gastroenteritis during the entire period?"
Luo Yinan said: "I asked specifically, but there is really no."
"Wait." Ji Qing turned his notebook forward and found an irrelevant information, "When I came to the airport, the child fainted in the car, but he didn't vomit clearly."
The other three watched them get further and further away from the topic, and they don’t know how to get it back.
Since there was something I couldn't understand, Qi Jing still pushed the mother of the child around and asked the family directly: "Sorry."
The mother rubbed her eyes, her face full of sleepiness, but she still smiled and said, "Well, are you also a doctor? Thank you so much for your hard work."
"I want to ask some questions," Qi Jing asked, "The first one is whether the child has diarrhea or not, does his stomach hurt?"
"It hurts." Mother nodded, "Every time I cover my stomach and run into the toilet."
"So he vomited?"
"No, I've been having diarrhea three days ago. I went to the doctor and said it was mild gastroenteritis." My mother recalled, "I prescribed some medicine, but after I saw that he was much better, I didn't take it."
Qi Jing looked at the symptom paper of the medical treatment process and looked at the four people around him with interesting interest: "It turns out that the child has seen a doctor."
Obviously, there were some flaws in previous consultations.
All four of them knew that diarrhea was a very common self-limiting disease. As long as the symptoms were not serious, they did not need medical treatment at all, so they subconsciously believed that the parents did not take their children to see the doctor.
Their brain automatically skipped this part of the details, and it was not until now that their children had seen a pediatrician before.
"It's much easier now." Qi Jing asked, "The child should have had a blood test when he went to the hospital, right?"
The mother nodded: "Tested."
"Did the doctor say the diagnosis? Did you say there is a problem with the blood?" Qi Jing asked.
The mother shook her head in embarrassment: "The doctor said it was ordinary diarrhea and the symptoms were not serious, so she asked us to rest well. We should not eat on the first day, and then eat some easy-to-digest food when it improves the next day."
Qi Jing sighed.
Since there are many outpatient patients, there is not much time allocated to each patient. Over-interpreting the proper nouns will eventually lead to an embarrassing situation where both unclear explanations and waste time.
Moreover, if you visit a general outpatient clinic for a day, you may encounter more than a dozen or twenty diarrhea, and the doctor cannot explain it one by one.
So this diagnosis and treatment process occurs.
However, it is rare to obtain data from a laboratory examination report at an altitude of 10,000 meters. Even if it is just the simplest blood routine, he will not give up easily. Since the doctor on duty did not say it, he can only get information from his family as much as possible.
"Do you still have an impression of the blood report? Which hospital did it? Are there any arrows that are raised and lowered on the left side?"
"It's right in the center of the child, the arrow on the left..." The mother recalled the situation three days ago with difficulty and shook her head gently, "I really don't remember it."
At this time, the father, who was lying on the back of the chair, raised his head: "Didn't you say there was something wrong with the report that day? I remember there were many arrows on the left, all of which were raised and lowered."
"Remember what it is?"
Qi Jing thought about it and added: "No need to mention the detailed nouns inside, just talk about the order. Is the raised arrow the first, second, or third, and which one is lowered?"
The father frowned and thought for a while: "The ones that rose seemed to be the first and fourth, and the ones that fell seemed to be the third."
"Are you sure?" the mother glanced at him and reminded, "I didn't think clearly and don't talk nonsense. This is related to your son's health."
"Oh, I remember that the next day I went to the bookstore to read medical books for a long time." When he said this, the father scratched his head and smiled a few times, "It's just that those books are too difficult and he didn't find anything."
When the couple was talking, Qi Jing had reached a consensus with Luo Yinan.
Luo Yinan is the most familiar with the Children's Center. She knows how to issue the inspection sheet and how to list the inspection sheet.
If an infection is suspected during pediatric medical treatment, C-reactive protein is often added in addition to the most basic blood routine, which is an indicator that highly suggests infection and tissue damage.
On the test form, each hospital has different approaches. Danyang Hospital will routinely separate CRP and blood and slap them on two sheets of paper. However, they are combined in the child center, and CRP will be placed first on the left.
In order from top to bottom, it is CRP, white blood cell count, neutrophil ratio, lymphocyte ratio, monocyte ratio...
1, 4 increase and 3 decrease, which means that the lymphatic particles are low in medium and are obviously viral infection.
Combined with the weather approaching autumn at the end of August, the patient has symptoms of diarrhea and is very young. Several people have guessed the type of virus infected. It is highly likely that it is only infected with the Rotavirus of the infant and young children.
However, gastroenteritis infected by rotavirus has obvious characteristics, which is that it occurs rapidly but recovers quickly. It should not be that it will be a situation where it will be recovered for a while and then breaks out again.
Is there something wrong with the immune system?
But the patient did not have a fever, and he looked very good in all aspects. If it was a problem with the immune system, the patient would not be so comfortable. Qi Jing always felt that the current diarrhea may not be caused by deep infection, and there must be other reasons.
Since he found the target of suspicion, Qi Jing began to ask a targeted question: "Did you have any cold symptoms a few days ago?"
"Yes, yes, some." The mother nodded repeatedly.
Her answer also perfected the diagnosis of rotavirus infection. The child had diarrhea in autumn and had a cold first and then diarrhea.
"Then you vomit, right?"
Just when everyone felt that the truth had come to light and Qi Jing should return to the main line of convulsions, he didn't expect that he still chose the secondary line of gastroenteritis.
On this line, he went further and further and further away, and more happy.
Chapter completed!