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【1216】check carefully

The measles attenuated vaccine is a free mandatory vaccination program in the country, and most of the people have been vaccinated in the childhood stage.

The general vaccination has greatly reduced the number of people suffering from measles in China. Unfortunately, some people have individual differences. They will still get sick after being vaccinated, but the symptoms are relatively milder than those who have not been vaccinated, and are basically moderate and mild symptoms.

Even so, it is definitely best for patients to detect and accurately diagnose diseases early. Careful doctors will check all common key diseases for patients.

For patients with measles, there will be specific signs of measles mucosal plaques, so the doctor will check the buccal mucosa in the patient's mouth.

The so-called measles mucosal spots refer to the grayish-white spots that appear on the buccal mucosa in the patient's oral cavity one to two days before the rash. The diameter is about 0.5 to 1.0mm, and there will be some flushing around it. It is said that it is a specific sign of measles, which is because only measles has this symptom, which can be diagnosed with other diseases to a large extent. Once measles mucosal spots are found, the probability of measles is almost the same.

Xie Wanying looked at the cheek mucosa carefully and did not see measles mucosa spots. Then two cotton swabs continued to carefully press the child's tongue to check the throat. The cotton swabs used the patient to check the tongue instead of the tongue pressing plate. The precautions for the use of the tongue pressing plate are the same as those of the tongue pressing plate. The position should be placed at the anatomical position of the V-shaped groove at the junction of the front 1/3 and the middle 1/3 of the tongue. Too forward, the pressure on the back of the tongue is not in place and too high hinders the doctor's vision, and it is impossible to see clearly the situation of the tonsils and pharyngeal mucosa. Too far back will easily cause nausea and vomiting.

"Ah a minute."

The doctor's sister said this, and the boy obediently made a "ah" sound.

When the child opened his throat and combined with the effect of the tongue pressing plate, the doctor could soon see two small pink meat balls on both sides of the throat, which are palatal tonsils, commonly known as tonsils.

The light from the flashlight shone out the child's tonsillitis and was congested and edema. It seemed that there were white spots on the surface, which meant that acute tonsillitis had not escaped.

"My grandson has a cold, right? Doctor? You prescribe some cold medicine for him." The grandmother of the child anxiously urged the doctor to prescribe medicine and was about to take the medicine home to cook.

Xie Wanying was not in a hurry. She put down the cotton swab and asked the child about her diet, urination, whether there was any physical pain, etc., and then check if there were any signs of wounds or rashes on the child's skin.

"He can eat it. His stool has it and his urine is a little yellow."

Based on the information provided by the patient's family, the overall preliminary diagnosis tendency is acute tonsillitis in children. Xie Wanying told the child's grandmother: "In this case, he needs blood tests, intravenous infusion and some drip."

"Don't prescribe cold medicine for him?" Grandma of the child was shocked and asked.

"He is not catching a cold, but acute tonsillitis in children. There are signs of suppuration. You must get an injection. Just taking oral medicine is not enough." Xie Wanying emphasized that the child's condition is relatively serious.

"A shot? Oh, I didn't bring that much money, I need to call his parents." The grandmother of the child patted her thigh.

As a doctor, Xie Wanying didn't dare to say that the child might be hospitalized for treatment. The main reason is that the family's dress is probably not very good.
Chapter completed!
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