The seven-year-old child was pale, slightly short of breath, and had a temperature of 38.3 degrees Celsius.

The child's mother is not young and looks exhausted.

"My son has had a fever since the beginning of the school year, and his temperature has reached 39 degrees at the highest time. I thought it was a little cold, so I gave him Banlan root powder for a few days, but it didn't get better until now, and he always had a fever. ”

It has been half a month since the school started on September 1, and such a long fever is not a good sign.

The child's mother is also big enough, the child has been sick for so long, and she only came to the hospital today.

Tao Le frowned and asked some of the child's symptoms.

"Eating a little less than before, but it was ok. No nausea and vomiting, no diarrhea. I slept fine, and I didn't have any other symptoms except for my high temperature, so I thought it wasn't a big deal."

When she said this, the child sat honestly and slumped, not at all the lively appearance of a boy of this age.

Tao Le swallowed the accusatory words back into his stomach. If you don't tell you what happened, you don't blame the past, and it doesn't make any sense to say it.

She gave the child a serious physical examination. There is no rash and edema on the child's skin, and no superficial lymph nodes are palpable.

Blood pressure of 110/80 is normal, breath sounds are clear in both lungs, and the heart rhythm is uniform and strong.

However, between the third and fourth ribs at the left sternal border, a projectile murmur can be heard, transmitted to the anterior region, axilla, and back. Heart rate 155 beats per minute and breath 35 beats per minute. That's just so abnormal.

A normal person's heart rate is 60-100 beats per minute, and a child's faster heart rate will be around 100-120, and it may be higher when exercising, but the child sits here honestly and his heart rate is over 150 beats per minute.

The respiratory rate is the same, a normal person breathes 16-24 times per minute, and this child is also significantly exceeded.

"Has your child ever had a history of heart disease?" Tao Le asked the child's mother.

"Oh, when I was very young, I was diagnosed with a septal defect, it seemed to be a little less than 5 mm, and it was nothing wrong when I saw it later, we thought, probably because we had grown it ourselves, so we didn't look at it again."

Tao Le couldn't help but roll his eyes, and once again gasped for the mother's big heart.

Ventricular septal defect is a congenital heart disease! Even if the defective part is not large, but whether it is really good or not, you have to go to the hospital for a check-up, how can you be so self-righteous?

Patients with congenital heart disease are very likely to suffer from IE, i.e. infective endocarditis! The mortality rate of this disease is as high as 10% to 20%!

Tao Le opened the gold finger. Sure enough, as she expected, the child was indeed IE, and it was caused by Streptococcus viridans infection.

Because the infection has been so long, a complication has arisen: glomerulonephritis.

The hologram also shows the appearance of the child's heart and its surroundings, which is really shocking:

The defect in the ventricular septum not only did not heal, but also enlarged to 7 millimeters, causing blood to divert from the left ventricle to the right ventricle.

There are multiple infection-forming vegetations in the right ventricular outflow channel, pulmonary valve, and aortic artery, and the left and right ventricles of the heart are enlarged.

Tao Le immediately placed a checklist: blood routine, blood culture, urine routine, rheumatism, electrocardiogram, cardiac color ultrasound.

"Go for an examination immediately, except for blood culture and rheumatism, which can be slowed down, and you will come back as soon as the other results come out, and be ready to be hospitalized."

"Huh?" The mother looked surprised: "Doctor, just open a hanging bottle, why do you have to be hospitalized?" ”

Tao Le rubbed his eyebrows and expressed his suspicions: "Your son has a history of congenital heart disease and has not been treated, and now he is highly suspected of infective endocarditis." This disease, even if you are admitted to the hospital, has a high mortality rate, and if you don't go to the hospital."

She shook her head. Seeing this, the child's mother didn't say anything more, picked up the list and went out with the child.

Tao Le looked at it, and there were no new patients behind him for the time being, so he simply went out with him.

She still remembers the family members of the meningitis patients last time, and this time it is also a matter of life and death, and it cannot be taken lightly.

Fortunately, the mother hesitated outside for a while, but still went to the cash register to pay the money.

Tao Le put his heart in his stomach, returned to the clinic and found the hospitalization notice, contacted the inpatient department again, and learned that there was a bed, so he returned to the office and waited.

By noon, the patient did not reappear.

Tao Le calculated the time, and it had been an hour and a half since she made the order, which should be enough.

She turned on the computer, and the test results had been transmitted back synchronously, which was no different from the gold finger.

But where has the child gone now?

Tao Le came out and asked the nurse who was pre-checked. There weren't many people today, and the nurse remembered the mother and son very well.

"I came back just now, but it seems that I re-hung Director Sui's number and went to the No. 1 clinic."

"I see." Tao Le understood, it turned out that when the patient's family saw that the examination results were so serious, they immediately disliked her for being too young and wanted to be replaced by an expert for diagnosis and treatment.

Regarding this approach, Tao Le does not feel that there is anything wrong. All she cares about is whether the child has been treated in time, and as for which doctor sees it, can it make any difference?

At noon, there were fewer people in the dining hall than usual. When Tao Le was halfway through eating, Deputy Director Sui Jie sat down beside her with a plate.

"The patient just now, you took care of it before, and then went to my side." She spoke very directly:

"You have also seen the results of the test, in support of infective endocarditis, I have issued a hospitalization notice and sent the child to the hospital."

"That's good." Tao Le was very happy. Director Sui told her the follow-up openly and unfairly, and the child was successfully admitted to the hospital for treatment, and she was also relieved.

Sui Jie glanced at her, and saw that the smile on her face was sincere, and she was not dissatisfied because the patient was replaced halfway, and the corners of her eyes couldn't help but smile.

"No wonder everyone praises you, Liu Ping, Lao Cao, saying that your clinical experience doesn't look like a new person at all." She said:

"In this case just now, the clinical indications on the surface are not obvious, and not everyone can think of IE. I also asked the child's mother, and you took the initiative to ask if the child had congenital heart disease, or she forgot about it. ”

Tao Le was a little embarrassed. She has her own golden fingers, she can think as wildly as she wants, and then govern it down-to-earth.

However, other senior doctors are different, and they really rely on their rich experience and superb skills to diagnose and treat patients.

"I also thought of it suddenly, it was a coincidence." Tao Le said.

"There are no coincidences in medicine, only clinical intuition. You're going to be a good doctor. Sui Jie said with a smile:

"When the child is hospitalized and the inflammation has subsided, and he is eligible for surgery, he will ask the cardiac surgeon to do surgery to repair the ventricular septum."

"When the time comes, you're not interested, go on stage and take a look?"

This one must be there and must be!

Tao Le smiled with crooked eyebrows: "Okay, I want to go." Thank you, Director Sui! ”

Thank you to the Lone Guardian for the 100 starting coins!

(End of chapter)