I can see the status bar

Chapter 800 Simple and clear

Recurrent fever without obvious incentives is basically a synonym for "trouble" in clinical practice.

From the perspective of causes, fever is mainly divided into two types: infectious fever and non-infectious fever.

Infectious fever is essentially one of the self-defense mechanisms adopted by the human body to eliminate pathogenic factors.By increasing the temperature, the human body limits the reproduction rate of various pathogenic factors including viruses and bacteria, and at the same time increases the speed at which the immune system clears the pathogenic factors.

There are many reasons for non-infectious fever. In addition to the abnormality of the body's own body temperature control system, it may also be that the immune system is misled, resulting in fever, or because the body has a problem with heat dissipation, and the body temperature cannot be dissipated to the environment in time. The resulting passive heating.

There are various causes of fever, but non-infectious fever is relatively easy to differential diagnosis.Just check and rule out causes including tumors and hyperthyroidism, and make sure the patient has no allergies.

The real trouble is infectious fever.

While thinking about how to prepare for the examination, Sun Lien began to arrange the negative pressure ward.Compared with ordinary wards, the negative pressure wards for children may need to be more cautious.

Thinking of this, Sun Lien contacted his father again.This time, he made some suggestions, "If possible, let people who have close contact with the child come to the hospital together. In case of an infectious disease, it is easier for us to control the scope of transmission."

After half an hour, Sun Hongbin called back and gave the quarantine list.In addition to the staff and driver who pick up the car, the child's grandmother and sister-in-law also need to be quarantined.But being the father of a child who is about to be honored is not part of the quarantine.

"The child came to Changning three days ago and went directly to the hospital. The child's father has never been to the hospital." Sun Hongbin's tone sounded a bit strange, as if he was a little dissatisfied with the employee's "obsession with work". "I don't know what the hell he's thinking."

Although the father was a little dissatisfied, Sun Li'en was quite happy.This also means that fewer people need to be quarantined.If the participants in the entire annual meeting need to be quarantined, it may not be enough to include the entire Fourth Court.

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The four-year-old patient was sent to the Fourth Central Hospital at three o'clock in the afternoon.Sun Li'en greeted him at the door with Yuan Ping'an and Brunn in full gear.There were two ambulances coming from Changning. Besides the kid, there were his grandmother and two staff members of Zhongfu Group.

The first moment he saw this little boy, Sun Lien felt that he seemed a little malnourished.Taking a closer look, Sun Li'en immediately discovered the problem - his face was a little pale, and there was no blood on his lips.It looks... like an anemic appearance.

As a four-year-old child, the little boy's height and intellectual development did not seem to have any major problems.It's just that although he was wearing a new suit, he was obviously not used to the feeling of wearing the new clothes.Whether walking or standing still, there is a feeling of being at a loss.

The little boy's grandmother also got out of the car with the help of medical staff.She held the child's hand, and then showed Sun Li'en a shy smile typical of residents in rural areas, "Please doc."

Sun Li'en nodded quickly, "It's okay, this is what we should do." Except for some senile diseases, there was nothing worth noting on the old lady's status bar.This reassured Sun Li'en a lot - it seemed that there was no need to be careful about severe infectious diseases.

Since the little boy had been hiding behind the old lady, it was difficult for Sun Lien to track the status bar above his head.But looking at him like this, even if there is any disease, it probably hasn't progressed to the point where it is life-threatening and needs to be diagnosed immediately.Sun Li'en winked at Brunn who was at the side, and Old Bu nodded knowingly. He led the old lady and the little boy into the gate of the diagnostic center first.And Sun Li'en walked aside, and joined the other two staff members of Zhongfu Group who were talking nervously.

"Sun... Dr. Sun." The two staff members obviously knew who Sun Lien was, and they greeted Sun Lien with some embarrassment.What should the boss' son be called?You can't call him "Sun Shao", can you?That's too stupid... And there is always an illusion that Sun Lien will be pretended to be slapped in the face after barking.

Sun Li'en smiled kindly at the two of them, "I asked you to come together, mainly for the sake of caution. But I don't think the kid's problem is too big. Um... you should just come here for a vacation. Stay two Tianyuan, check your body by the way."

It is a good thing for every migrant worker to get two days off at the end of the year when the work is the busiest.While not affecting their income, they can also get a free medical examination... Although this kind of thing is not within their expectations, it is not bad.

The two nodded with a smile, and jokingly echoed, "I'm really tired from work recently, so I should check it out."

Then, the only thing left to pay attention to is the anemic kid.Sun Li'en looked at the status bar of the two staff members again, and after confirming that there was nothing wrong, he was relieved to let them go for a "health check".And he trotted back to the diagnostic center in a hurry, and began to carry out various inspection items.

What items should be checked for a child who has recurrent fever without cause and anemia?Of course, the routine blood test comes first.

In fact...no matter what kind of patient it is, blood routine is always done.The hospital in Changning seemed to have done some physical examinations for him, but the relevant reports were not attached with the car.Sun Li'en didn't bother to go through the previous inspection report - just let them prepare it if necessary.

What kind of "excuse" the nurses used to get the four and a half-year-old boy to cooperate with blood drawing is still unknown.However, Sun Lien was still sitting in the office, drinking tea while reading the blood routine report.

白细胞29*10^9/L，血红蛋白107g/L，血小板652*10^9/L。嗜酸粒细胞50%，C反应蛋白（CRP）34.75mg/L。

This value...except for the hemoglobin, it is quite high.Sun Li'en frowned, and he looked at the report again. After making sure that he hadn't accidentally misread a certain unit, he put down the checklist and became confused.

The main reason for the confusion is not that these numbers are too difficult to understand, quite the opposite.In Sun Lien's view, this blood routine report simply threw the answer in his face.

The increase of white blood cells and platelets and the increase of C-reactive protein can be directly regarded as the result of infection.And eosinophils rose to 50%, which is a hint that this is likely to be some kind of parasitic infection.

As for the drop in hemoglobin, it is very easy to understand in the context of parasitic infection-either the parasite causes hemolysis, or the parasite uses red blood cells as the main source of nutrition.

What puzzled Sun Li'en the most was that this was a diagnosis that could be confirmed by a routine blood test.Even if the child is not good at the home hospital, it is impossible for Changning's hospital to judge through mNGS, right?
"Do a feces test to see if there are any bug eggs or anything like that." Sun Lien thought for a while, then said to Xiao Guo, a nurse beside him, "Don't worry about other questions...how is he now? Does he have a fever? "

"No." Xiao Guo shook his head and said with certainty, "I just measured it just now, and my body temperature is 36.4°C."

(End of this chapter)