Returning to ’90s, She Became Famous in Major Surgical Fields

  When the doctor examines the fontanelle, in addition to seeing whether the closing time of the fontanelle is normal or not, like a child with a fever today, touch the anterior fontanelle to see if there is any swelling or tension. Some words may represent the existence of intracranial hypertension in the child. If the fontanelle is too large and the head circumference is too large, it is necessary to suspect whether it is congenital hydrocephalus. If the fontanelle is too small or closes early, it is necessary to check whether the child\'s brain is underdeveloped. All of the above reasons represent lesions of the central nervous system, all of which may cause clubfoot.

   When Xie checked the fontanelle, Wei brought a soft ruler over to help measure the child\'s head circumference.

  Student Duan checked the medical records of the temperature and blood pressure recorded by the nurse before the child.

   A series of neurosurgical examinations came down. The child\'s state of consciousness is acceptable, and there is no abnormal state such as lethargy. The posterior fontanelle is closed, which is normal. The head circumference is 42cm, which is within the normal range. There was no bulge or depression in the anterior fontanelle, and no abnormal intracranial pressure. Pupil 3mm, normal. There was no deformity or abnormal curvature of the child\'s spine. The weight is 8kg and the body length is 60cm, indicating that the child is well nourished and is developing normally. Only the left foot is deformed. Need to take another film of the bone to see if there is any bone deformity.

   Just clubfoot generally does not cause fever in children. The doctor needs to continue to check around the child\'s fever. Xie and Duan put on stethoscopes to listen to the children\'s heart and lungs.

  Wei picked up a ballpoint pen and notes, asked the family and recorded the child\'s medical history.

   "When did you find out that your child had a fever?" Wei asked, dabbing on the notebook.

  The child\'s mother replied: "It should have been yesterday. We thought of rubbing alcohol on him, and we wanted to reduce his fever, but we took him to the hospital to see him if he couldn\'t."

  The common people know that seeing a doctor is troublesome. Some parents see that their child\'s condition is not serious, and they will think at home that they will first find a way to reduce the child\'s fever.

   "When did his foot look like this, do you know?"

   When I received the doctor\'s question, the child\'s mother seemed to find out that her son\'s left foot was abnormal, and said in surprise, "When I took him for a physical examination, the doctor didn\'t say that he had a problem with his foot."

   Explain that the child\'s clubfoot is now found. It is not surprising that many children have insignificant symptoms of congenital diseases, and they cannot be noticed until the symptoms become more and more prominent in the later stage.

   "Did he vomit or have diarrhea?" Wei asked again.

   The mother of the child shook her head.

   "Have you had a cough?"

   "It seems like there is," the child\'s mother said, "and crying, hoarse, and we feel like he has a sore throat."

  The child is crying hoarse, the throat is uncomfortable, and there is a problem with the vocal cords and glottis? Is it acute laryngitis in children? Several young doctors were taken aback.

   Pediatrics have acute onset and rapid progress, and pediatric laryngitis is most vividly reflected in this aspect. Because the child\'s throat cavity is small, laryngitis is prone to swelling, and the child\'s throat emission is worse than that of adults, and the airway secretions cannot be discharged on their own, which further aggravates the blockage and eventually causes laryngeal obstruction and suffocation. It is one of the most common and most vigilant emergencies in pediatrics.

   (end of this chapter)