To a doctor’s ears, increased bowel sounds are always better than weakened or even absent ones. Because weakened or absent bowel sounds can indicate non-movent of the gastrointestinal tract, potentially signifying a major shutdown of the gastrointestinal system. It’s clear that a strike by the body’s tissues is far more terrifying than the outco when the body’s tissues work hard for self-rescue during critical tis, with the most frightening being gastrointestinal perforation peritonitis.
The child’s intestines are now desperately moving, like a wild horse trying to break free from so restraint.
"There probably hasn’t been any bowel movents in the past two days," said Nie Jiamin.
The pediatric expert’s judgnt is unsurprising, able to be precise and quick without needing to ask others.
After removing the earbuds and putting away the stethoscope, Tan Kelin glanced at the child’s face, which was pale with fear, without placing his hand on the small abdon to feel it.
There are two specialized experts present. Tao Zhijie would not be as confused as those young doctors below, first politely greeting Nie Jiamin: "Professor Nie is here." Then soliciting opinions from all sides: "What do you think of the child’s situation? How should we handle it?"
Calling in experts to see the patient first gives an initial assessnt to avoid panic once they arrive at the hospital. This child is relatively special, having a fear of hospital doctors. It’s essential to plan the diagnostic and treatnt strategy in advance to minimize examination and treatnt ti.
Tao Zhijie’s thinking is very clear, unlike the young doctors’ random guessing, thinking that calling experts before taking the child to the hospital ans no examination and withholding hospital treatnt—it’s impossible.
The earlier fuss made by those questioning over the phone should be ashad now.
Tao Zhijie glanced at Sun Rongfang sitting afar: To be honest, this group of young doctors isn’t as calm as Mother Xie.
In the early stage of appendicitis, there is hope for conservative treatnt. Unlike the common belief outside that appendicitis cannot be cured without surgery, early conservative treatnt has a high success rate. Calculated as a percentage, over a hundred cases with only a few instances of recurrence leading to conservative treatnt failure.
The most crucial thing is early detection, decisively diagnosing and differentiating whether it’s early stage, tily dication, and avoiding misdiagnosis at all costs. After treatnt, the patient’s condition needs to be monitored for a period.
While the experts further contemplate, others discuss: "Go to the hospital for an appendiceal ultrasound and a blood test. Just looking won’t yield much."
Hospital examination is imperative; specifically tailored tests that are feasible and fast are necessary.
Nie Jiamin reached out to touch the child’s palm. The child’s hand was slightly sweaty, not very hot, but caution should not be taken lightly. Appendicitis usually doesn’t cause a fever above thirty-eight degrees unless it leads to perforation peritonitis.
After pondering for a mont, this pediatric expert said, "Doing an ultrasound requires more effort from the child, opting for a CT for diagnosis would be quicker. If conditions allow, a bowel movent can be induced first."
The ultrasound probe needs to be pressed on the child’s abdon, sotis deep examination areas are difficult to probe, requiring the examining doctor to press the patient’s abdon hard, inevitably causing prolonged pain to the child, potentially aggravating the inflammation.
If this child only has a simple fear of hospital doctors, it could be rely autonomic nervous system disturbance; the body generally doesn’t have issues and doctors wouldn’t hesitate to perform any procedure. But this child doesn’t, clinical preliminary diagnosis shows the body itself is unhealthy. Mistreatnt by doctors could exacerbate autonomic nervous system disturbance, potentially triggering other health conditions, which could be life-threatening for the child.
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