After checking the room for half an hour and returning to the clinic, several parents have been waiting outside with their children.
"Let them in one by one." Dr. Cui said to the nurse by the door.
"Yes!" The nurse nodded and took the collected medical records to Dr. Cui.
Dr. Cui put the medical records on the table and asked Guo Xiang to call the patients one by one from top to bottom.
"Wang Chunni!" Guo Xiang shouted.
"Hey, it's us!" The parents outside answered and came in with a three - or four-year-old child.
Dr. Cui took the medical record and wrote, "what's wrong with the child?"
"I've had a fever for several days. I've seen it in the small outpatient clinic in our street. The doctor prescribed antipyretic medicine, but it's useless. Later, I played a hanging bottle for a few days. It was OK just after playing, but it burned up again soon. I'm really worried that the baby will burn out." The mother said.
"Did the street outpatient doctor say what caused the fever?" Dr. Cui took out the thermometer inserted in the alcohol, shook it and handed it over.
Guo Xiang quickly helped the child's mother lift the child's clothes and insert the thermometer into the child's armpit. When the child puts it in his mouth, it's easy to bite the thermometer. It's dangerous to bite it.
"The doctor said it was a fever caused by a cold, but how could it be bad all the time?" The mother said.
"Don't reduce the fever blindly. There must be a reason for repeated fever. If it's just an ordinary fever, it can be cured by taking antipyretic fever or taking an injection of antipyretic." Dr. Cui said.
"There should be inflammation!" Guo Xiang added, "does the child cough? Do you have a runny nose? Is the runny nose yellow or white? "
"The child doesn't cough and doesn't have a runny nose. I'm also surprised. It's dry burning." The parents of the children said.
Dr. Cui nodded and took a small flashlight. "Baby, come on, be good, open your mouth and say --"
The three or four year old baby can speak and understand. He opened his mouth very obediently. Dr. Cui pressed with a tongue depressor and shone in with a flashlight.
"Sore throat?" Anzehan said and saw some red in his throat.
"Take a closer look!" Dr. Cui glanced sideways.
"And gray white herpes, herpetic angina!" Guo Xiang said.
Dr. Cui nodded. Guo Xiang was better.
"Herpetic angina is caused by enterovirus. Generally, the hanging needle is antibiotic, which is useless to the virus, so it has no effect." Guo Xiang said.
"What about that?" Asked the mother.
At this time, Dr. Cui asked Guo Xiang to take out his temperature, 38.9 degrees, which was very hot.
"I'll prescribe some medicine for you. This is caused by a virus. Prescribe some antiviral oral liquid to eat." Dr. Cui wrote the medical record as he said, "what else can you use for one of you?"
"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 when he goes back. If he exceeds 38.5 degrees, he should take antipyretic drugs to avoid high fever convulsion."
"Be sure to drink more water and rehydration can also prevent febrile convulsion. Once convulsion occurs, press the child's middle point, or send him to the hospital immediately." Guo Xiang said.
"Ah?" The baby's mother was frightened.
"It doesn't necessarily happen, just pay attention." Guo Xiang said, "and the disease is infectious. Other children at home must pay attention to eating and drinking separately, and bowls should be used separately. They should be boiled and sterilized."
"Oh, oh!" The mother nodded and answered.
Dr. Cui also wrote a bill, "after paying the fee, I went directly to the pharmacy to get the medicine. I wrote how to take it and follow the doctor's advice!"
"OK, thank you, doctor!" The mother of the child thanked again and again.
She went out and Guo Xiang went to the door to call the next patient.
Suddenly, I found that several children outside were about the same age. When I asked, they all had a fever. I simply asked the nurse to take a thermometer and record their temperature one by one.
The second child came in and was very noisy. He was out of breath crying. He had been struggling in his mother's arms and his face was red.
"The children outside seem to have a fever." Guo Xiang said.
Dr. Cui frowned. "Spring came early this year and the weather is warm. Is the rash ahead of time?"
Generally, the turn of spring and summer is a high incidence period of infantile rash disease, which will be infected again, and it is easy to get a swarm of bees.
Before the second child came in, Dr. Cui handed the thermometer to the child to take his temperature, but the child struggled so badly that the child's mother couldn't help it alone.
Guo Xiang had to go over to help. She just untied the child's first button. The child struggled desperately. She leaned back and kicked her feet on Guo Xiang's stomach. Her face turned white and took a step back.
"Are you okay?" Anzehan hurried to hold her.
"It's all right!" Guo Xiang shook his head and rubbed his stomach. It hurt a little.
The five-year-old child's strength is not small. Moreover, he is struggling again, and all his strength is used.
"I'll come!" An Zehan came forward and grabbed the child's hand, but the child still struggled hard. He cried and howled, causing Guo Xiang a headache.
"Forget it, don't measure it!" Dr. Cui said, touching the child's forehead with his hand. It's so hot. According to experience, it may be more than 39 degrees.
"The child also has a fever?" Dr. Cui asked.
"Yes, it's burning badly. It's 39 degrees this morning. We're scared. We can't get a needle. What can we do if it goes on like this? Won't the child burn?" The child's mother said anxiously.
"Open the child's mouth!" Dr. Cui said.
The child hid around but refused to open his mouth. Guo Xianggang was kicked and his stomach still hurt. He didn't have the heart to coax the child.
"If you don't open your mouth, call the police uncle to catch you!" Anzehan roared.
The child was frightened and burst into tears.
The crying mouth opened. Anzehan took the opportunity to hold the child's chin. Dr. Cui took a small electric light. It was also full of herpes, which was more serious than that just now.
"Herpetic arthritis again?" Said anzehan.
Guo Xiang looked at the child. When the child cried, some red spots appeared on her face. She came forward and grabbed the child's hand. There were red spots on her hand. It should be a rash, but it hasn't come out yet.
"Look at your feet!" Guo Xiang said again.
The child's mother quickly took off her children's shoes and socks. When she saw that there was a rash on her feet, she took off her pants and there was also a rash on her ass.
"It's hand, foot and mouth!" Guo Xiang frowned.
The incidence of hand, foot and mouth is generally high in April and may, and more children aged 0 ~ 5. It seems that the warm spring this year is ahead of schedule.
Hand, foot and mouth disease is acute, usually fever, mouth pain, anorexia, ulceration or herpes of oral mucosa, which is very similar to herpetic angina. However, children with hand, foot and mouth have maculopapular rashes on hands, feet, hips and legs, and then turn to herpes. A few diseases develop rapidly and can turn to meningitis, encephalitis, pulmonary edema and other diseases.
It may cause death, and those who recover may also have sequelae. Of course, this is a severe disease, and many mild diseases can be cured by taking medicine.
Guo Xiang remembers that there was a large-scale epidemic of hand, foot and mouth in later generations. Children in many parts of the country suffered from hand, foot and mouth, and kindergartens were also from person to person. The situation was very serious.
It seems that many children are infected this time.