Chapter 4470【559】Difference
“Pediatric abdominal X-rays are difficult to do, and the younger you are, the harder it is.” Dr. Jiang, as a general surgeon, said that he is very familiar with this situation.
As mentioned before, the General Surgery Department of the National Association of Pediatrics occasionally treats pediatric patients.
There happens to be a pediatric general surgery intern, Dr. Fan Yunyun, here. Dr. Fan Yunyun took out her notebook and continued to learn from the teachers on the spot.
Thinking of this, Dr. Jiang turned around and asked the student: "What do you think we should do?"
Doctor Fan Yunyun knew that Senior Sister Xie was present, so she didn't dare to answer randomly. She bit her mouth and thought for a while: "Maybe it's not intestinal obstruction?"
oh. A group of teachers recalled and felt that Dr. Fan Yunyun's behavior during this trip was different from her previous image of a poor student.
As long as Senior Sister Xie is around, Dr. Fan Yunyun thinks that she has wings and must fly. The more she speaks, the bolder she becomes: "Baby girls, we should consider gynecological issues."
As soon as her words came to light, she immediately attracted the astonished looks of a group of teachers.
Immediately afterwards, Dr. Jiang asked quickly: "Is this what Dr. Xie taught you?"
How dare Dr. Fan Yunyun, a young fan, put the blame on her senior sister?
Unexpectedly, Senior Sister Xie took the initiative to help her and said, "I said something similar to her."
Dr. Xie Wanying is not just talking about this kind of experience. When she saw cases of female infants during her internship in Shouer, the pediatrician taught her about the importance of considering gender.
When male and female patients seek medical treatment, doctors must consider gender differences regardless of age. The reason is that the most basic medical anatomy tells you that the biggest difference in human body structure is divided into two categories, one male and one female.
Doctors consider medical issues based on anatomy and should not differentiate between men and women? This has nothing to do with gender discrimination.
On the contrary, doctors who do not pay attention to this consideration are called unqualified and unscientific.
Common people do not study medicine, and some unscientific traditional concepts make it difficult for Chinese people to avoid talking about the structural differences between men and women. This is not a good thing in medicine.
Children also need to be treated differently by men and women. Fortunately, the awareness of professional child care is increasing in China, which is a good thing.
Looking back on this, all the doctors present suddenly became enlightened.
"You are right." Dr. Bao said with a bit of excitement and regret, "I should have noticed it earlier."
Dr. Bao admits that he may have almost neglected a certain disease like the pediatrician in a big hospital.
This is to say that some diseases will be ignored by clinicians affected by factors such as statistical deviations in medical literature that appear to be clinically uncommon.
What "gynecological diseases" in baby girls may doctors ignore?
Gynecological diseases are not the same. Dr. Xie corrected Junior Sister Fan’s answer as “similar”.
Are certain differences in the human body structure between men and women just the differences that lead to gynecological diseases and male diseases? not only. "What exactly is it?" Dr. Lai thought he was not good enough and asked the question on the spot.
“It may also be an indirect inguinal hernia in children.” Dr. Bao replied.
ah? ! Dr. Lai turned around and gave a thumbs up to Dr. Xie, Dr. Fan.
Doctor Fan waved his hand hurriedly: No, no, no, I answered wrongly and said it was a gynecological disease. Senior Sister Xie was right.
As to what an indirect inguinal hernia is, we have talked about hernias before. There are many categories of hernias, among which indirect hernias specifically refer to hernias that enter the inguinal canal.
Indirect inguinal hernia in children is a pediatric disease that has the characteristics of affecting children. This characteristic is that the body tissue foundation of children is weak when they are born, and this area is often not fully developed, causing it to be different from adults.
Clinically, it can be seen that a proportion of children have this disease for a period of time after birth, and can recover on their own when this part of the child's body matures.
However, the premise is that nothing else happens during the period or it can grow well, otherwise it will require surgical intervention as mentioned above, which is called an indication for surgical intervention.
The indication for surgical intervention in this disease is whether incarceration occurs.
For this reason, when talking about this disease, most people first think of baby boys rather than baby girls.
This is attributed to statistics from some countries showing that the incidence of this disease is higher in male infants than in female infants.
This is determined by the difference in human body structure between baby girls and baby boys.
The inguinal canal of female infants is much narrower than that of male infants, which makes the incidence and incarceration rate of inguinal hernia significantly lower than that of male infants. The latter represents whether the symptoms are mild or severe and the number of cases requiring surgery.
What everyone may not expect is that this does not mean that the actual number of female infants with the disease is smaller. Statistics from other countries show that the incidence rate is actually about the same for men and women.
This is a data bias that results in the fact that most cases of female infants have mild symptoms, causing the number of discovered cases in female infants to be significantly lowered.
By saying this, does it mean that baby girls are less serious than boys and do not need to pay attention to it?
On the contrary, female infants are often clinically diagnosed too late due to the above problems, and their condition is more severe than that of male infants.
The popular translation of the above words is:
A baby girl's "small tube and therefore narrow mouth" will not easily cause internal abdominal organs to run into the inguinal canal through the "mouth" and cause an indirect hernia. However, once it occurs, the small tube in the mouth will easily get stuck and strangulate the organs (corresponding to The technical term is called incarceration).
“Hmm.” Dr. Jiang, a general surgeon, said seriously.
As Dr. Xie pointed out, this is a point that many clinicians need to reflect on.
Thank you for your support, good night, dear friends~
(End of this chapter)
