Chapter 540 Clues! Sick children!

The hair was sparse, and the skin tone of the exposed arms also showed signs of slight yellowness. A piece of the calf was slightly swollen. She didn't cry or make a fuss, and let Yuan Yu hold it and tease it.

"Look, is my baby very obedient? The nanny said before that she had never seen such a good baby." Yuan Yu raised her head, and only when talking about the child did her dim eyes glow.

Xu Qiu didn't say anything, he looked at the child who was only one year old.

The smile on Yuan Yu's face disappeared instantly. She looked panicked and hugged the child tightly: "Doctor, what are you...what are you doing?!"

Xu Qiu retracted his gaze.

The diagnosis of a disease that has fallen into a dead end has finally come to a clear direction.

Hereditary liver disease!

Xu Qiu could not determine whether this was the ultimate cause, but from Yuan Yu's child, he saw the same yellow skin, and there were symptoms such as not crying or making a fuss, weak limbs, etc. These are all symptoms that may occur when liver function damage...

Of course, mother and son have to rely on the genetic direction.

"Hepato-like nuclear degeneration."

“Hepatic glycogen accumulation.”

"And familial hyperbilirubinemia..."

First of all, degeneration of liver bean-like nuclei can be ruled out.

This is an autosomal recessive copper metabolism disorder. Simply put, it is a brain degeneration disease that causes cirrhosis and damage to the basal ganglia.

If it is a liver-like nucleus degeneration, it is a good thing. This is one of the few curable neurogenetic diseases.

But Yuan Yu's son is obviously not.

In addition to liver abnormalities, the degeneration of the liver is also a disease that affects the brain and the center. Therefore, patients often have symptoms of damage to the extraconital system, such as dance-like movements, slight movements of the hands and feet, or dystonia.

This type of patient is easy to distinguish. They often show salivation and have extremely strange facial expressions.

In addition to this, the more important and more typical sign is the cornea k-f ring.

Its essence is that copper ions are deposited within the posterior elastic membrane of the cornea, forming a green-brown, golden-brown band located at the junction of the sclera and the cornea.

But Xu Qiu didn't see it.

"Doctor, I'm scared when you say something!" Yuan Yu almost cried.

The flat nose, flat head relatives and others were also attracted by the movements here, and temporarily gave up the confrontation and stared at Xu Qiu.

Xu Qiu asked: "You said before that the child was hospitalized when he was mid-month? What diagnosis did the doctor give at that time?"

"Branchitis...bronchiolitis." Yuan Yu's voice trembled.

She has also been ill several times and has seen all kinds of conditions in the emergency department.

Doctors ignore it often have no illness or minor illnesses that are not worth taking a look at.

And it wouldn't be great if Xu Qiu came to ask specifically.

Yuan Yu would rather not have a doctor to pay attention to him.

"bronchitis?"

Young children have poor immunity. If the bronchial is infected, they are indeed prone to bronchitis.

“Look at the legs.”

After Xu Qiu finished speaking, he lifted up the child's trouser legs, pinched and pressed, and there was really edema.

“There are liver damage too.”

If liver cells are damaged, the human body cannot produce enough protein. In this case, in order to balance the protein content inside and outside the blood vessels, the fluid in the blood will flow into the tissue cells, causing swelling.

Of course, there are many clinical causes of edema.

The most common ones include cardioedema, hepatogenic edema, and nephrogenic edema.

Each of these three has its own differences.

For example, cardioedema usually starts from the lower position of the body, such as the feet and ankles, and then spreads throughout the body as the degree of heart failure increases.

Although hepatogenic edema can also cause systemic edema, the head, face and upper limbs will not swell.

The nephrogenicity is just the opposite. Its swollen area is precisely the eyelids and other parts. In addition, there is the perineum. The more distinctive feature is that its edema has a regular distribution of time, which is more severe in the morning and can quickly develop into systemic edema.

However, the real clinical practice is not so old-fashioned, and it is impossible to judge the source based on the nature of edema. We still need to look at the overall situation.

For example, cardiogenic edema also has palpitations, asthma, pleural effusion, ascites, etc.; hepatogenic edema is accompanied by jaundice, liver enlargement, spider nevus, varicose veins, etc.

Judging from the situation of the child, he was undoubtedly hepatic edema.

...

At first, the degeneration of the liver bean-like nucleus was ruled out, and Xu Qiu continued to brainstorm.

"Is bronchitis related to this?"

After thinking for a moment, he shook his head.

Neither hepatic glycogen accumulation nor hyperbilirubinemia will affect the respiratory system.

Or in other words, as long as the liver is damaged, the patient's immune function will inevitably decline, and the probability of suffering from infectious diseases such as bronchitis will naturally increase exponentially.

Therefore, Xu Qiu directly rejected this direction.

Bronchitis should have no direct connection with the origin of liver disease.

Hepatic glycogen accumulation?

Xu Qiu conducted a detailed examination of the child.

"The development seems to be a little slow..." Xu Qiu raised his eyebrows.

He rarely engages in infant and young children's surgery, and he mostly spends theoretical knowledge on this aspect, and only one craniocerebral separation surgery can be used.

"Go and call Li Xue to come." Xu Qiu said.

Li Xue is from the obstetrics and gynecology department, and the obstetrics department of the doctor who works in the clinic is not divided.

After saying that, Xu Qiu continued to check.

If there is developmental delay, it is consistent with the symptoms of hepatic glycogen accumulation.

However, after careful examination, Xu Qiu did not find the common subcutaneous xenotomy of the disease in the child.

"Have you tested blood sugar?" Xu Qiu asked.

Yuan Yu was so nervous that her palms were sweating, "No, no..."

"Test one." Xu Qiu said.

Liu Susu hurried over and got an injection, and the result came out after a moment, "5.7mmol/l."

“No hypoglycemia…”

Xu Qiu turned around and asked, "Do you have diarrhea?"

"Or, not, my baby's bowel movements are quite regular."

Seeing that Xu Qiu had not solved Yuan Yu's problem, he was touched by his son again. His flat nose became angry again. He snatched the child and said, "You are here to ask, but you can't see any results after a long time. You are simply a quack doctor!"

Seeing this, the flat-headed relative, who was suppressed, also had a teasing look on his face and said, "Your hospital is not good, our Jing'an First Hospital... The doctors in our hospital are much better than you!"

Although he changed his words quickly, everyone still captured the name of the hospital.

"Jing'an First Hospital?" Liu Susu narrowed her eyes.

There was quite a lot of cooperation and exchanges with Linhai First Hospital. In order to send doctors to study here, many directors in the hospital wanted to establish a good relationship with Wang Ping, Wang Shengde and others. They brought their director team to observe Xu Qiu's surgery several times...

It can be said that most of the directors of Jing'an First Hospital were familiar with Liu Susu.
Chapter completed!