After checking the room for half an hour and returning to the outpatient clinic, several parents were already waiting outside with their children in their arms.

"Let them come 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 called out.

"Hey, it's us!" The parent outside responded and walked in with a three- or four-year-old child.

Dr. Cui took the medical record and asked and wrote, "What's wrong with the child?"

"Fever, it has been burning for several days. I saw it in the small clinic in our street. The doctor prescribed antipyretic medicine, but it was of no use. Later, I took a hanging bottle for a few days. It burns again, and I'm really worried that the baby is going to burn out," said the mother of the child.

"Did the street clinic doctor say what caused the fever?" Dr. Cui asked as he took out the thermometer inserted in the alcohol, and handed it over.

Guo Xiang hurriedly helped the mother of the child to remove the child's clothes and inserted the thermometer into the child's armpit. The child could easily crush the thermometer in his mouth, which would be dangerous.

"The doctor said it was a fever caused by a cold, but how could it have been bad?" said the mother of the child.

"Don't blindly reduce fever in children. There must be a reason for repeated fever. If it is just a common fever, it will be cured by taking antipyretics or an injection of antipyretic." Dr. Cui said.

"It should be inflammation!" Guo Xiang added, "Is the child coughing? Is there snot? Is the snot yellow or white?"

"The child doesn't cough or runny nose. I also think it's strange. It's just a dry fever," said the parent of the child.

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 already speak and understand. He opened his mouth obediently. Dr. Cui pressed it with the tongue depressor, and the flashlight came in.

"The throat is inflamed?" An Zehan said, seeing that the throat was a little red.

"Look again!" Dr. Cui squinted.

"And the grayish-white herpes,

It's herpetic angina! "Guo Xiang said.

Dr. Cui nodded, and Guo Xiang was more powerful.

"Herpetic angina is caused by enteroviruses. Generally, sling needles are antibiotics, which are useless against viruses, so they have no effect if they are shot." Guo Xiang said.

"What then?" the child's mother asked.

At this time, Dr. Cui asked Guo Xiang to take out the body temperature. It was 38.9 degrees, and it was very hot.

"I'll give you some medicine. It's caused by a virus. I'll prescribe some antiviral oral liquid to take it back." Dr. Cui said while writing the medical records, "Do you two say what other medicines can be used?"

"In fact, there is no specific medicine for enteroviruses, it is mainly symptomatic. In addition to the antiviral oral liquid, ribavirin can also be used." Guo Xiang said: "The child may still have a high fever after returning, and if it exceeds 38.5 degrees, take antipyretics. to avoid febrile convulsions.”

"Be sure to drink plenty of water and fluids to prevent febrile convulsions. Once a convulsion occurs, press the Renzhong acupoint of the child, or send him to the hospital immediately." Guo Xiang said.

"Huh?" The child's mother was horrified.

"It doesn't have to happen, just pay attention." Guo Xiang said, "And this disease is contagious, there are other children in the family who must pay attention, separate food and drink, separate bowls, boiled water to sterilize ."

"Oh!" The patient's mother nodded and responded.

Dr. Cui also prepared the order, "Go directly to the pharmacy to get the medicine after paying the fee. I have written on it how to take it, follow the doctor's advice!"

"Okay, thank you doctor!" The mother of the child thanked him again and again.

She went out, and Guo Xiang went to the door to call the next patient.

Suddenly I found out that several children outside were all about the same age, and they all had a fever when I asked, so I simply asked the nurse to come over with a thermometer to measure the temperature one by one and record it.

The second child came in and made a lot of noise, crying out of breath, struggling in his mother's arms all the time, his face flushed.

"The children outside seem to have a fever." Guo Xiang said.

Dr. Cui frowned slightly, "This spring comes early this year, and the weather is warm. Is the rash earlier?"

Generally, the turn of spring and summer is a period of high incidence of infantile rash, and it will be contagious, and it is easy to get it in a swarm.

Before the second child came in, Dr. Cui handed the thermometer over to let the child take it, but the child struggled so badly that the child's mother couldn't do anything by herself.

Guo Xiang had no choice but to go over to help. As soon as the child's first button was unbuttoned, the child struggled desperately, leaned back, kicked Guo Xiang's stomach with one foot, and took a step back with a pale face.

"Are you okay?" An Zehan hurriedly supported her.

"It's okay!" Guo Xiang shook his head and rubbed his stomach, feeling a little bit of pain.

The five-year-old child is not weak, and he is struggling again, and all his strength is used up.

"I'll do it!" An Zehan stepped forward and grabbed the child's hand, but the child was still struggling, crying and howling, making Guo Xiang a headache.

"Forget it, no more!" Dr. Cui said, touching the child's forehead with his hand. It was so hot that it might have been over 39 degrees based on experience.

"The child also has a fever?" Dr. Cui asked.

"Yes, the burn is very bad. It was 39 degrees this morning, which scared us. Even if we got an injection, it didn't help. What should we do if it goes on like this, the child won't burn out, right?" the child's mother said worriedly. .

"Open the child's mouth!" Dr. Cui said.

The child hides and hides but refuses to open his mouth. Guo Xiang was kicked just now and his stomach hurts a little, so he has no intention of coaxing the child.

"If you don't open your mouth, call the police uncle to arrest you!" An Zehan roared.

The child was frightened and burst into tears.

As soon as he cried, his mouth opened, and An Zehan took the opportunity to squeeze the child's chin. Dr. Cui took a picture with a small flashlight, and his mouth was full of herpes, which was more serious than the one just now.

"Another herpetic angina?" An Zehan said.

Guo Xiang looked at the child. When the child cried, some red spots appeared on his face. She stepped forward and grabbed the child's hand.

"Look at the feet!" Guo Xiang said again.

The child's mother hurriedly took off the child's shoes and socks. Seeing that there was a rash on her feet, she took off her pants again, and there were also rashes on her buttocks.

"It's hand, foot and mouth!" Guo Xiang frowned.

Hand, foot and mouth are generally high in April and May, and are more common in children aged 0 to 5. This year's warm spring seems to be ahead of schedule.

The onset of hand, foot and mouth is acute, usually fever, mouth pain, anorexia, ulceration or herpes on the oral mucosa, very similar to herpetic angina, but children with hand, foot, and mouth have maculopapular rashes on the hands, feet, buttocks, legs, etc. , and later turned into herpes, and a few diseases can develop rapidly into 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 case, and many mild cases can be cured by taking medicine.

Guo Xiang remembered that there was a large-scale epidemic of hand, foot and mouth in the later generations. Children in many parts of the country suffered from hand, foot and mouth, and the kindergarten was also transmitted from person to person, and the situation was very serious.

It seems that many children are infected this time.

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