Practicing Medical Skills in a Small Clinic novel Chapter 161

Learning knowledge and applying it are two different things.

As a junior resident, one can only begin to apply medical knowledge to clinical practice. At the senior resident level, knowledge learned can be applied more flexibly in practice.

Now it's even better.

One can start to systematically combine medical knowledge for analysis and diagnosis.

The most common cause of lower limb edema due to malnutrition is hypoproteinemia.

The blood routine results of this infant show anemia, as well as low hemoglobin levels.

In the situation where malnutrition is gradually worsening, the occurrence of lower limb edema is quite normal.

The doctors at the People's Hospital certainly identified the cause of the lower limb edema.

However, to treat the lower limb edema, the causes of anemia and hypoproteinemia must be identified.

Considering the infant's diarrhea has lasted for nearly a month, and occurs multiple times a day, with watery stools that contain mucus, this is one of the main reasons for malnutrition.

Furthermore, the infant's intake has continuously decreased, which is another major reason for malnutrition.

After going in circles, the real cause circles back to diarrhea and reduced intake.

Li Jingsheng finally understands why the attending doctors at the Children's Hospital and the People's Hospital can't escape the cycle of stool examination.

Because the final diagnostic direction points to diarrhea.

Diarrhea in infants under six months isn't a big deal; it's a common phenomenon. But normally, the loose stools of infants shouldn't contain mucus.

Moreover, this infant is over six months old, with diarrhea occurring five to six times per day, watery stools containing mucus, leading to suspicion of intestinal diseases.

Imaging examinations show that the liver, heart, and abdominal cavity are normal.

Then the only suspicions left are intestinal bacterial infection, flora imbalance, enteritis, physiological disorder, or problems with food.

Li Jingsheng forcibly grabs his hair, racking his brains to discern the real cause.

It's as if he's back in the university classroom studying medicine.

Whenever the teacher talked about disease symptoms, he always suspected whether he had that disease too.

At this moment, he feels all the listed causes are possible.

It's really perplexing.

Better start with the simplest elimination.

"May I ask what brand of milk powder you usually give to the child?"

"We're using... brand milk powder, a well-known domestic brand, certainly wouldn't have any problems because my nephew's child also eats this brand of milk powder. We buy it in bulk."

The child's grandmother answered.

Buying in bulk often allows for discounts due to large quantities.

The brand mentioned by the grandmother is indeed a well-known domestic milk powder brand, so the likelihood of problems is very small.

Li Jingsheng excludes food issues and begins checking for the possibility of enteritis.

Causing such prolonged diarrhea in a child, and having almost no effect after medication, makes one primarily suspect fungal enteritis.

For example, the most common Candida albicans.

However, the attending doctor at the People's Hospital has already conducted three stool cultures, all negative.

The possibility of fungal enteritis can basically be ruled out.

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