Practicing Medical Skills in a Small Clinic novel Chapter 557

Chapter 557: Chapter 255: A Mother’s Midnight Tears and ITP Disease

Li Jingsheng quickly opened the retractable door outside, only to see a young mother in her late twenties or early thirties rushing in with a young boy in her arms.

No sign of the child’s father or other relatives.

The woman was walking hurriedly, and perhaps because she was carrying someone, she stumbled and nearly fell.

Fortunately, Li Jingsheng was quick to react and promptly supported her.

"Take it easy, take it easy!"

Li Jingsheng reassured her.

When he supported her just now, he could feel her hands trembling.

The boy she was holding had a slightly frightened look, staring at his mother whose eyes were brimming with tears.

"My sister-in-law came over with her two kids for a visit today. While they were playing, her elder son pushed my son, causing him to fall and hit the TV cabinet. He immediately started having a nosebleed. Since it was his aunt, and kids will be kids, I didn’t make a big deal of it. I thought we could stop the bleeding quickly, but over half an hour passed, and it didn’t stop, which scared me.

So I quickly brought him to your clinic for treatment.

Later, you guys managed to stop the bleeding successfully. My sister-in-law took her kids and left.

Who would have thought that he just sneezed earlier and started bleeding again, and we couldn’t stop it. I had no choice, being home alone with him, so I had to trouble you again."

She truly had it tough.

As she spoke, perhaps feeling wronged and afraid, she began to tear up.

Li Jingsheng quickly reassured her, "It’s okay, it’s okay, first put the child on the bed and have him lie on his side." She seemed quite tired from holding him.

The boy lay in a book-reading side-lying position, motionless.

Seeing how obedient the little guy was now, why wasn’t he thinking of being afraid while playing around?

Li Jingsheng observed, the bleeding wasn’t heavy, but it continued to trickle out.

In such situations, it’s best not to lie flat; otherwise, the blood can flow backward into the deep nasal cavity, making it easy to choke.

Ou Qinglan also came over to help.

"Qinglan, use the small flashlight to illuminate his nasal cavity for me."

"Where is the small flashlight?"

She was unfamiliar with the clinic’s supplies.

Li Jingsheng had to retrieve the flashlight from the drawer himself and shine it into the boy’s nasal cavity.

Inside, there were already blood scabs and quite a bit of blood residue.

Fresh blood continued to flow out.

Upon careful inspection, he was almost certain it was superficial bleeding.

He tried pressing down the side of the boy’s nose bridge, and the bleeding gradually subsided.

But upon releasing, it bled again.

Li Jingsheng instructed Ou Qinglan to fetch an ice pack, attempting a nasal tip ice compress for the boy.

The purpose was to constrict the blood vessels and help stop the bleeding.

It was somewhat effective.

"Kid, you press it with your hand yourself."

Li Jingsheng told the boy.

The boy obediently used his right hand to press the ice pack.

At this point, Li Jingsheng noticed a bruise on the back of the boy’s hand, a pale purple color.

His gaze sharpened, pointing to the bruise and asking, "Did you get this when you fell?"

"No! I’ve had it for a few days now."

The boy replied timidly.

"My son is a bit mischievous, and it’s common for him to get bruises accidentally,"

The boy’s mother said with a mix of distress and resignation.

Kids, being mischievous is inevitable; getting bruised and hurt is unavoidable.

But Li Jingsheng felt it wasn’t that simple.

"Kid, do you have bruises like this elsewhere on your body?"

"I do! There’s one on my foot!"

Children don’t lie, so Li Jingsheng removed the boy’s shoe and sock, indeed finding a bruise on the dorsal foot.

Typically, bruises from bumps or scrapes appear blue with a purple tint.

Yet, the boy’s bruises were all pale purple.

Li Jingsheng looked toward the guardian.

"I, I never physically disciplined him!"

The boy’s mother seemed to misunderstand.

Li Jingsheng wasn’t suspecting abuse.

Seeing the boy’s persistent nosebleed and how distressed his young mother was, how could she ever bear to mistreat him?

With reasonably rich clinical experience, Li Jingsheng was generally able to discern if a parent genuinely cared for their child.

"I didn’t mean that. I want to ask, how long have these bruises been appearing on him?"

"It seems recent! Sometimes they suddenly just pop up, and I keep scolding him for being more and more naughty."

"Has he bled from injuries during this time?"

"He once bit his tongue while eating and bled for quite a long time. Eventually, it healed. No other injury-related bleeding has occurred."

Listening to the mother’s description, Li Jingsheng was even more convinced this boy’s condition wasn’t simple.

Bruises appeared on limbs, and they were purple and located in places not prone to bump injuries.

Twice he had injuries where bleeding didn’t stop easily.

Blood vessels in the tongue were also well supplied.

A minor bite would bleed.

"Kid, open your mouth and let me look at your oral cavity!"

Li Jingsheng had an initial diagnostic direction in mind but was still unsure.

The boy opened his mouth, revealing blood blisters on his tongue.

The oral mucosa also had blood blisters.

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