Chapter 555: Rash
After half an hour of checking, I returned to the outpatient clinic, and there were already several parents waiting outside with their children in their arms.
"Let them go in one by one." Dr. Choi said to the nurse at the door.
"Yes!" The nurse nodded and took the medical records to Dr. Choi.
Dr. Cui put the medical records on the table and asked Guo Xiang to call the patients one by one in order from top to bottom.
"Wang Chunni!" Guo Xiang shouted.
"Hey, it's us!" Parents outside answered and walked in with a three- or four-year-old child in their arms.
Dr. Cui took the medical record and wrote, "What is wrong with the child?" ”
"Fever, fever for several days, in the small clinic in our street to see, the doctor prescribed antipyretics, but it was useless, and then I played a few days of hanging bottles, just after the fight was fine, but not long after the fever again, I am really worried that the baby will burn out." The mother of the child said.
"Did the street clinic doctor say what caused the fever?" Dr. Choi asked as he took out the thermometer inserted in the alcohol, shook it and handed it over.
Guo Xiang hurriedly helped the child's mother lift the child's clothes and insert the thermometer into the child's armpit.
"The doctor said it was a fever caused by a cold, but why did it keep hurt?" The mother of the child said.
"Don't blindly reduce your child's fever, there must be a reason for repeated fevers, if it's just an ordinary fever, you can generally take a fever or an injection of antipyretics." Dr. Choi said.
"There should be inflammation!" Guo Xiang added, "Does the child cough?" Do you have a runny nose? Is snot yellow or white? ”
"The child doesn't cough, and he doesn't have a runny nose, and I think it's strange, it's just a dry burn." The parents of the children said.
Dr. Cui nodded and took a small flashlight, "Baby, come, be good, open your mouth, and say-"
The three- and four-year-old baby can already speak and understand, and he opened his mouth very obediently, and Dr. Cui pressed it with a tongue depressor to shine a flashlight into it.
"Throat inflamed?" An Zehan said, seeing that his pharynx was a little red.
"Take a closer look!" Dr. Choi glanced at him.
"And grayish-white herpes, it's herpangina!" Guo Xiang said.
Doctor Cui nodded, Guo Xiang was still better.
"Herpangina is caused by an enterovirus, and generally the needle is an antibiotic, which is useless against the virus, so it has no effect." Guo Xiang said.
"What then?" The mother asked.
At this time, Dr. Cui asked Guo Xiang to take out the body temperature, which was 38.9 degrees, and the fever was quite severe.
"I'll prescribe some medicine for you, this is caused by a virus, prescribe a little antiviral oral liquid and go back to eat." Dr. Cui said as he wrote the medical record, "What other medicine can you use for one of you?" ”
"In fact, there is no specific drug for enterovirus, it is mainly symptomatic, in addition to antiviral oral liquid, ribavirin can also be used." Guo Xiang said: "The child may have a high fever after going back, and if it exceeds 38.5 degrees, he must take antipyretic medicine to avoid causing febrile convulsions." ”
"Be sure to drink plenty of water, rehydrate more fluids can also prevent febrile seizures, once a convulsion occurs, press the child's acupoint, or send it to the hospital immediately." Guo Xiang said.
"Huh?" The mother was terrified.
"It doesn't have to happen, just be careful." Guo Xiang said, "And this disease is contagious, there are other children in the family must pay attention, eat and drink separately, use the bowls separately, and boil water to sterilize." ”
"Oooh!" The mother nodded her head in response.
Dr. Cui also issued a bill, "After paying the fee, I went directly to the pharmacy to get the medicine, I wrote how to take it on it, according to the doctor's instructions!" ”
"Okay, thank you, doctor!" The mother of the child thanked her again and again.
She walked out, and Guo Xiang went to the door to call the next patient.
I suddenly found that several children outside were about the same age, and they all had a fever when I asked, so I simply asked the nurse to take a thermometer and measure their temperature one by one and record it.
The second child came in and made a lot of noise, crying breathlessly, and kept struggling in his mother's arms, his face flushed.
"The children outside all seem to have a fever." Guo Xiang said.
Dr. Cui frowned slightly, "This spring came early and the weather is warmer, is the rash disease ahead of schedule?" ”
Generally, the turn of spring and summer is the period of high incidence of rash disease in young children, and it is contagious, and it is easy to get it in a swarm.
Before the second child came in and had time to take his temperature, Dr. Cui handed the thermometer over to the child to take it, but the child struggled so much that the child's mother could not do anything alone.
Guo Xiang had no choice but to go over to help, just unbuttoned the child's first button, the child struggled desperately, the whole person leaned back, kicked on Guo Xiang's stomach one by one, and she took a step back with a white face.
"Are you alright?" An Zehan hurriedly supported her.
"It's okay!" Guo Xiang shook his head and rubbed his stomach, a little faintly painful.
The five-year-old child has a lot of strength, and besides, he is struggling again, and all the strength of his body is used.
"I'll do it!" An Zehan stepped forward and grabbed the child's hand, but the child still struggled hard, crying and howling, crying Guo Xiang's headache.
"Forget it, don't measure it!" Dr. Cui said a word, and touched the child's forehead with his hand, it is so hot, according to experience, it may be more than 39 degrees.
"The child also has a fever?" Dr. Choi asked.
"Yes, the fever is very bad, this morning the measurement was 39 degrees, we were frightened, and the injection did not get better, what can we do if it continues like this, the child will not burn out, right?" The child's mother said worriedly.
"Open the child's mouth!" Dr. Choi said.
The child just refused to open his mouth when he hid, Guo Xiang was kicked just now and his stomach hurt a little, and he didn't have the heart to coax the child.
"If you don't open your mouth, call the police uncle to arrest you!" An Zehan roared.
The child was frightened and burst into tears.
The crying mouth opened, An Zehan took the opportunity to pinch the child's chin, and Dr. Cui took a small flashlight, and his mouth was full of herpes, which was more serious than the one just now.
"Herpetic angina again?" An Zehan said.
Guo Xiang looked at the child, when the child cried, there were faint red spots on his face, she stepped forward and grabbed the child's hand, there were also red spots on the hand, it should be a rash, but it has not come out yet.
"Look at the feet!" Guo Xiang said again.
The child's mother hurriedly took off the child's shoes and socks, and saw that there was already a rash on her feet, and when she took off her pants, she also had a rash on her buttocks.
"It's hand, foot and mouth!" Guo Xiang frowned.
Hand, foot and mouth are generally high in April and May, and children aged 0~5 years old are more common, and this year's warm spring seems to be in advance.
Hand, foot and mouth have a rapid onset, generally fever, mouth pain, anorexia, ulceration or herpes of the oral mucosa, which is very similar to herpangina, but children with hand, foot and mouth have maculopapular rash on the hands, feet, buttocks, legs and other parts, and then turn into herpes, and a few diseases can develop rapidly into meningitis, encephalitis, pulmonary edema and other diseases.
It may be fatal, and those who recover from the disease may also have sequelae, of course, this is a serious disease, and there are many mild cases that can be cured by taking medicine.
Guo Xiang remembers that in later generations, there was a large-scale epidemic of hand, foot and mouth, and children in many parts of the country suffered from hand, foot and mouth, and kindergartens were also transmitted from person to person, and the situation was very serious.
It seems that many of the children were infected this time.