"Go. When the fever began, the child's mother bought antipyretic medicine, and ate it at home, but the fever did not go away, so I went to the hospital, and was hospitalized in the hospital for a week. ”

"Later, I heard that the doctors in your hospital are very skilled, so I thought I would come and have a look." The child's grandmother said.

"Didn't get well in the hospital for a week?" Guo Xiang was surprised, "Do you have any previous medical records?" ”

"Yes." The child's grandmother took out the medical records she had seen in the last hospital.

Guo Xiang took it and looked at it, and the diagnosis was an upper respiratory tract infection and antibiotics.

To put it bluntly, upper respiratory tract infections are colds and fevers, but most colds and fevers are viral infections, which are not effective with antibiotics, and are generally self-limiting diseases, which means that they will generally get better in a week.

Of course, taking antibiotics is not bad, at most it is useless and suffering in vain, but it is impossible to keep the fever from going away.

However, if it is a bacterial infection, then antibiotics should be more effective.

Seeing that the time was up, Guo Xiang took the thermometer out of the child and looked at it, 38.5 degrees, which is not particularly high, but the child coughed a few times from time to time, which still showed that there was a problem with the upper respiratory tract.

However, Guo Xiang still felt that there was something wrong with her eyes, "Let's do a B-ultrasound." ”

"What is the reason for doing ultrasound?" The child's grandfather asked, I always feel that there is no need to do B ultrasound for cold and fever, even if I do X-ray lung examination, he can understand, what is the purpose of doing B ultrasound?

"I suspect there is something wrong with the child's liver." Guo Xiang said, "Look at the child's eyes, are they a little yellow? ”

The two old men looked at the child's eyes, maybe it wasn't very obvious every day, and the child's grandmother frowned, "It seems to be a little more yellow than before?" ”

"But how can a cold and fever be a liver problem?"

Guo Xiang shook his head, "I don't know yet, I only know if I do an examination." ”

After opening the order, the two of them took the child to pay for B ultrasound, and it didn't take long for B ultrasound to come back, and the liver and spleen were enlarged.

"Hepatosplenomegaly." Guo Xiang frowned, "If you want to draw blood for a liver work, have you eaten in the morning?" ”

"Eat." The child's grandmother said, "Is it okay to have blood drawn in the afternoon?" ”

"Let's come tomorrow morning, don't eat in the morning, come on an empty stomach to draw blood." Guo Xiang said that generally speaking, it is only allowed to do liver work on an empty stomach for eight to twelve hours, so it is generally done in the morning, because if you don't eat after dinner, it will take about ten hours to sleep again, which is just right.

If it is done in the afternoon, it will be five or six o'clock in the afternoon to start fasting now, not to mention whether the child can stand it or not, and the hospital will be off work at that time, and it will be too late.

"What if the kid is still burning?" The child's grandmother said.

"Let's be hospitalized, give her a fever injection first." Guo Xiang said, "Let's check what caused the fever." ”

Guo Xiang said while writing the medical record, "What else is wrong with the child or what is uncomfortable?" ”

"Something is wrong?" The child's grandmother thought for a while, "It's just that I don't have energy, I don't have a good appetite, I have been like this since the fever, the fever seems to be a little lower during the day, and the fever is more severe at night." I sweat a lot, but the burn is repeated. ”

Guo Xiang nodded, wrote down the symptoms, and looked at the child again, "Baby, tell Auntie if you feel uncomfortable." ”

After all, the old man only sees what they can see, and they don't know how the child feels.

"My knee hurts." The child touched his leg and said.

"Knees?" The child's grandmother was stunned for a moment, "Did the baby wrestle?" ”

"Nope!" The child shook his head.

Guo Xiang put the child's quilt up and looked at it, there were no external injuries, no bruises, etc., and asked, "Baby, how does it hurt?" ”

The child can't say, "It just hurts, it hurts inside......"

Hurt inside? Guo Xiang touched the child's knee and pressed it, "Does it hurt like this?" ”

"It doesn't hurt." The child shook his head.

Guo Xiang frowned, does that mean that the joints hurt? It's not a trauma.

But the child is so young, it shouldn't be rheumatism.

"Let's be hospitalized first, pay more attention to the child's condition, as well as urine and urine, and see if the urine is yellow." Guo Xiang said: "By the way, how is the child eating?" ”

"I don't have a good appetite, I've been eating less recently, and you see I'm so thin now." The child's grandmother said distressedly.

Guo Xiang nodded, people must have a bad appetite if they are uncomfortable, and they don't want to eat.

"Baby, do you have a headache? Or dizzy? Guo Xiang asked the child again.

The child shook his head, probably not knowing the difference between a headache and dizziness.

It's okay for a child of her age, some of them can still understand, but if the baby can't listen or speak at all, it's even more difficult to see a doctor.

Therefore, pediatrics is dumb, and it is the most difficult to see a child, because you don't know where he is uncomfortable.

Guo Xiang let the child be hospitalized first, but he was still given antipyretics, and he must still have inflammation when he had a fever, and he still used a little antibiotic.

The next morning, the child's grandmother took the child to have blood drawn, and then showed Guo Xiang the test sheet.

Guo Xiang saw that there was no problem with liver function, although the liver was a little enlarged, it was not a typical liver disease, but it was caused by other diseases.

"I still had a bad fever last night, and I sweated a lot, but it didn't go away." The child's grandmother said, "I also looked at the child's pee yesterday, and the urine was relatively yellow, and the child still said that his knee hurt......"

Guo Xiang looked at the medical records and various laboratory test sheets, long-term fever, high and low body temperature, hepatosplenomegaly, joint pain, and respiratory tract infection, all of which should be caused by bacterial infection.

But how can antibiotics not work?

"Has the child ever done this before?" Guo Xiang asked.

"No, I used to have a fever, and I got an injection and took medicine in two or three days, but it wasn't so serious this time." The child's grandmother shook her head.

"So what is the difference between before and before this fever? Is there anything special to visit? Guo Xiang asked.

Just like the previous scrub typhus patient, he went to the south and was bitten by scrub worms in the grass before he became ill.

"Nope." The child's grandmother shook her head, "The children have always been brought by me, and they are all at home, or they will go to kindergarten, and they will not go anywhere, and the other children in the kindergarten will have no problem." ”

"And has she ever eaten anything special before?" Guo Xiang asked again.

"Not either." The child's grandmother still shook her head, "The child has been eating with us, nothing special." ”

"Yes......" the child's grandfather said suddenly, "didn't you buy goat's milk for her two days before the child had a fever?" ”

"Goat's milk isn't anything special, is it?" The child's grandmother said: "I just saw that the child was too thin, and I wanted to supplement her with some nutrition, and I saw someone pulling a goat to sell fresh goat milk at the corner of the street, so I bought some for the child to eat." ”

"Freshly milked goat's milk, you say?" Guo Xiang frowned.

"Yes, I see that the milk is fresh, they all said that this milk is nutritious, so I bought two catties of ......" The child's grandmother was a little uneasy, could it be that she ate this badly?