After raising a cat, the goddess doctor became popular in the interstellar

Chapter 207 Endocarditis
The child is seven years old, pale, slightly short of breath, pre-examination body temperature 38.3 degrees Celsius.

The child's mother was not young and looked tired.

"My son has had a fever since the beginning of school. At the highest point, his body temperature reached 39 degrees. I thought it was a cold, and gave him Banlangen Granules for a few days, but he still has a fever. "

It has been half a month since school started on September [-]st. Having a fever for such a long time is not a good sign.

The child's mother is also very big-hearted. The child has been ill for so long and only came to the hospital today.

Tao Le frowned, and asked some children about their symptoms.

"Eating a little less than before, but it's okay. No nausea, vomiting, or diarrhea. Sleeping is okay. Except for a high temperature, there are no other symptoms, so I thought it was nothing serious."

When she said these words, the child just sat aside obediently, with a wilted spirit, not at all the lively appearance of a boy of this age.

Tao Le swallowed back the words of accusation.It doesn't make any sense to say things without admonition, and to forget the past.

She gave the child a serious physical examination.There was no rash and edema around the child's skin, and no superficial lymph nodes were palpated.

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

However, between the third rib and the fourth rib on the left sternal border, a jet murmur can be heard, conducting to the precordial area, axilla, and back.Heart rate 155 beats/min, breathing 35 beats/min. This is too abnormal.

A normal person's heart rate is 60-100 beats per minute, and a faster child's heart rate will be around 100-120. It may be higher during exercise, but this child is sitting here honestly, and his heart rate is over 150 beats per minute.

The same is true for the breathing rate, which is 16-24 breaths per minute for normal people, and this child also obviously exceeded it.

"Has the child 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 as big as 5 mm missing. It was fine when we saw it later. We thought it might be because we had grown up, so we didn't see it again."

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

Ventricular septal defect is a congenital heart disease!Even if the defect is not too big, but whether it has really healed or not, you have to go to the hospital for an examination, how can you be so self-righteous?

Congenital heart patients are prone to IE, that is, infective endocarditis! The mortality rate of this disease is as high as 10% to 20%!

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

Because the infection lasted too long, a complication occurred: glomerulonephritis.

The holographic image also shows the appearance of the child's heart and its surroundings, which is really shocking:
The ventricular septal defect not only did not heal, but also expanded to 7 mm, causing blood to shunt from the left ventricle to the right ventricle.

There were multiple infected vegetations in the right ventricular outflow channel, pulmonary valve, and aortic artery, and the left and right ventricles of the heart were enlarged.
Tao Le immediately ordered the checklist: blood routine, blood culture, urine routine, rheumatism, electrocardiogram, and cardiac ultrasound.

"Go for an examination right away. Except for blood culture and rheumatism, you can wait a little longer. You will come back as soon as the other results come out, and prepare for hospitalization."

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

Tao Le rubbed his brows, and expressed his doubts: "Your son has a history of congenital heart disease and has never been treated. Now he is highly suspected to be infective endocarditis. Even if he is hospitalized for this disease, the mortality rate It's also very high, if you don't go to the hospital."

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

Tao Le took a look and saw that there were no new patients behind, so he simply went out with him.

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

Fortunately, the mother hesitated outside for a while, and went to the cashier to pay the money.

Tao Le put his heart into his stomach, went back to the consulting room and found the hospitalization notice, contacted the inpatient department again, and learned that there was a bed, so he went back to the office and waited.

Until noon, the patient did not appear again.

Tao Le counted the time, and it has been an hour and a half since she made the order, so it should be enough.

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

But where is the patient now?
Tao Le came out and asked the pre-examination nurse.There were not many people today, and the nurse remembered the mother and child very well.

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

"I see." Tao Le understood that the family members of the patient saw that the examination result was so serious, and immediately disliked her for being too young, and they wanted to switch to a specialist for diagnosis and treatment.

Tao Le didn't think there was anything wrong with this approach.What she cares about is whether the child has received timely treatment. As for which doctor sees it, does it make any difference?

There are fewer people in the dining hall than usual when we eat at noon.When Tao Le was halfway through eating, Deputy Director Sui Jie sat beside her with a plate.

"The patient just now was treated by you before, and then went to my side." She spoke directly:
"You have seen the results of the test, right? They support infective endocarditis. I have issued a hospitalization notice and sent my child to the hospital."

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

Sui Jie just glanced at her, seeing that the smile on her face was genuine, she was not dissatisfied at all because the patient changed halfway, and the corners of her eyes couldn't help but smile.

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

"For the child just now, the superficial clinical indications are actually not obvious. Not everyone can think of it on IE. I also asked the mother of the child. It was you who took the initiative to ask if the child had congenital heart disease. No, she forgot about it herself."

Tao Le was a little embarrassed.She herself has golden fingers in her pocket, so she can think wildly and then treat it down-to-earth.

But other senior doctors are different. They really rely on their rich experience and superb level 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 will definitely become a good doctor." Sui Jie said with a smile:

"When the child is hospitalized to eliminate the inflammation and meets the conditions for surgery, he will ask a cardiac surgeon to perform surgery to repair the interventricular septum."

"When the time comes, you are not interested, go to the stage to have a look?"

This is definitely there, there must be!

Tao Le smiled and said, "Okay, I want to go. Thank you Director Sui!"

　Thank you for the one hundred starting point coins rewarded by the guardians of Dugu!
　　
　
(End of this chapter)