Practicing Medical Skills in a Small Clinic novel Chapter 331

Chapter 331: Chapter 177: Diagnosis of Bronchiolitis, Instantly Settled (Part 2)

The lung texture is noticeably thickened and the edges are blurry.

This indicates widespread alveolar inflammation that obscures some thickened lung texture.

The X-ray shows two lung lobes have atelectasis.

Combining the patient’s multiple symptoms, Li Jingsheng’s final diagnosis is lobar pneumonia.

Initially, during the physical examination, it was suspected to be lobar pneumonia, but with the X-ray as an auxiliary diagnosis, the results are clearer now.

It’s undoubtedly lobar pneumonia.

Because lobar pneumonia usually results when bacteria invade the alveoli directly after entering via the airways, centering around a single alveolus, and then spreading extensively to adjacent alveoli through Kohn’s pores, eventually forming a lobe-segment inflammation.

Lobar pneumonia, on the other hand, arises when bacteria invade the bronchi and trachea through the upper respiratory tract, causing inflammation that then spreads to the alveoli.

In simpler terms, it’s bronchial pneumonia.

Li Jingsheng’s treatment for the patient centered on anti-infection treatment, fever reduction, and phlegm removal.

"Does the child have a history of penicillin allergy?"

Before prescribing medication, he inquired of the family members.

"I don’t know!"

The family members were unaware.

There was no choice but to conduct an allergy test.

Beta-lactam and macrolide antibiotics were Li Jingsheng’s first choice of medication.

Unable to test for the pathogen, medicine had to be administered based on probabilities.

Even if the pathogen was identified, major hospitals would adjust and switch medications if the treatment was ineffective.

"For now, prescribe three days’ worth of medication for the child. It’s best to come for infusions every morning. It is suggested to feed the child some nutritious food at home."

After prescribing the medication, Li Jingsheng once again emphasized the need to reinforce the child’s nutrition.

...

Around eleven o’clock, two pharmacy inspection staff arrived.

With a stern look, they began inspecting the clinic’s counter drugs and found no issues, then asked for documentation of the drug purchases.

Li Jingsheng now had no loopholes, and wasn’t afraid of inspections.

"Damn, it must have been those seven pharmacy owners who reported me."

He wasn’t sure if it was a joint report by the seven of them or a solo report by one of them?

The two pharmacy inspectors conducted a very detailed check, clearly aiming to find some issue.

Li Jingsheng remained calm.

If there was indeed a problem, it would be Best Medicine coming out to clean up the aftermath.

With such a large company, its capabilities must be substantial, with strict quality control in terms of quality, import channels, etc.

Watching the two pharmacy inspection officers rummage through the counter affected the customers’ perception.

The customers and patients, unaware of the situation, might think there was something wrong with the clinic.

At this time, Li Jingsheng’s phone rang.

It was Director Hua calling.

"Dr. Li, is it convenient for you to take a call now?"

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