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101
Yao Li Qin
Pediatrics
About me
Practicing physician, graduated from the Department of Pediatrics with a bachelor's degree from university, has been working in pediatric internal medicine for twenty-five years.
Proficient in diseases
Specializes in common pediatric diseases such as colds, pneumonia, diarrhea, eczema, neonatal jaundice, infant feeding, and more.
Voices
Can children with Tetralogy of Fallot be desired?
Tetralogy of Fallot is a relatively severe congenital heart disease. If it is detected during the fetal period, it is not an indication for termination of pregnancy. In other words, one should not choose to not have the baby simply because it has Tetralogy of Fallot. However, it is crucial that the baby undergoes a timely echocardiogram after birth to assess the condition and undergo surgery as soon as possible. Currently, pediatric surgery, particularly cardiothoracic surgery, is developing very rapidly in our country. With multiple surgeries, Tetralogy of Fallot can be surgically cured. Therefore, having a child with Tetralogy of Fallot is not an indication for termination of pregnancy.
Is thrush prone to recurrence?
Oral thrush is due to an infection with Candida albicans in the mouth, and it is relatively easy to recur. It primarily occurs in children who have been frequently ill recently and have taken a lot of antibiotics, or in those children who have low immunity. Under these conditions, if oral care is poor and these adverse factors persist, then the child's oral thrush is particularly prone to recurrence. Therefore, once oral thrush is diagnosed, it is essential to treat it actively. After treatment, it is necessary to treat the area with sodium bicarbonate for a period of time. If antibiotics or corticosteroid drugs are still being used, preventive treatment should also be carried out to completely cure the oral thrush. (Please use medication under the guidance of a doctor)
Phenylketonuria should be treated in which department?
Phenylketonuria is a common autosomal recessive genetic disorder due to a deficiency in the enzymes involved in the metabolic pathway of phenylalanine. It is a genetic metabolic disease. After the birth of a child, newborn screening is conducted for this disease. If a child is diagnosed with phenylketonuria or suspected of having the condition, it is common to visit a pediatric neurology department at a children's hospital. Phenylketonuria mainly causes varying degrees of intellectual disability, and some children may even experience epileptic seizures. Additionally, about 90% of affected children gradually develop lighter skin and hair, reduced iris pigmentation, dry skin, eczema, and a distinctive mouse-like urine odor, which is due to the excretion of phenylacetic acid in urine and sweat. It is a challenging genetic metabolic disorder to treat, requiring special dietary management. It is advisable to bring the child to the pediatric neurology department. Some hospitals may have a specialized department for genetic metabolic diseases. If such a department is available, it is recommended to consult there; otherwise, pediatric neurology is the appropriate alternative.
What foods are good for children with a cold?
Children's colds are acute upper respiratory infections, and children can have rhinitis, pharyngitis, tonsillitis, etc. Most are caused by viral infections and are self-limiting. Therefore, during a cold, it is important to ensure that the child drinks plenty of water, rests a lot, eats more green vegetables, and supplements some vitamins. The diet should be light and easy to digest, avoiding heavy meals with large fish and meat, as well as snacks, sweets, and even puffed food. It is very helpful for the recovery from a cold to eat more fruits and vegetables that contain vitamin C. Also, drinking plenty of water and getting plenty of rest are very important.
What are the symptoms of diarrhea in children?
When children experience diarrhea, it is defined by an increased frequency of bowel movements and changes in the stool's consistency, which might appear as watery, mushy, or mucus-filled. The mucus may contain blood streaks. Additionally, children may exhibit systemic symptoms including persistent fever accompanied by nausea and vomiting, while the frequency of bowel movements noticeably increases, and the fever may present as persistent high temperature. Due to frequent episodes of diarrhea, the child might show signs of dehydration such as poor skin elasticity, sunken eye sockets, and if not yet closed, a sunken fontanelle. The skin can be particularly dry, and the child may have reduced urine production. In cases of severe diarrhea, the child may also appear lethargic or drowsy and show signs of circulatory collapse.
How is rickets treated with injections?
Rickets, also known as vitamin D deficiency rickets, is a chronic nutritional disease characterized by skeletal lesions, caused by insufficient vitamin D in children, leading to disturbances in calcium and phosphorus metabolism. The typical manifestation of rickets is incomplete mineralization of the growing long bone epiphyses and bone tissue, presenting as bone softening or deformity. Once rickets is diagnosed, it must be treated aggressively. First, children are given high doses of vitamin D, either orally or through intramuscular injection, with a common practice of administering a single dose of 300,000 units of vitamin D intramuscularly. A month later, a blood sample is taken to measure the vitamin D content; if it is below normal, treatment must continue; if it is within the normal range, it is only necessary to supplement the daily physiological requirement of vitamin D for the child. (Specific medication should be administered under the guidance of a physician.)
Tetralogy of Fallot electrocardiogram manifestations
Tetralogy of Fallot is a common type of cyanotic congenital heart disease, primarily composed of four structural components: first, a ventricular septal defect; second, an overriding aorta; third, hypertrophy of the right ventricle; and fourth, obstruction of the right ventricular outflow tract. When performing an electrocardiogram (ECG) on Tetralogy of Fallot, it often shows right ventricular hypertrophy, and can also display right atrial hypertrophy. Initially, there may be hypertrophy of both the left and right ventricles. As the child develops cyanosis, it progressively evolves into hypertrophy of the right ventricle. These are the typical ECG findings in Tetralogy of Fallot.
Pediatric diarrhea bacterial infections are most commonly seen in what?
Pediatric diarrhea is a condition caused by various causes and factors, mainly characterized by an increase in the frequency of bowel movements and changes in stool characteristics. A portion of this condition is caused by bacterial infections, particularly in the summer when enterotoxigenic Escherichia coli gastroenteritis is a likely cause. In such cases, children may experience vomiting, persistent diarrhea, and severe dehydration. Additionally, if the child's stool contains mucus and pus, or is a pus-blood stool, it is generally considered to be caused by bacterial dysentery bacilli. If the stool is jam-like with more blood and less stool, amoebic dysentery should be considered. Other invasive bacterial infections, such as invasive E. coli gastroenteritis, jejunal Campylobacter gastroenteritis, or Salmonella gastroenteritis, are also common bacterial infections.
How is Kawasaki disease treated?
Kawasaki disease, also known as mucocutaneous lymph node syndrome, can cause damage to the coronary arteries in untreated children, so it is crucial to treat the disease promptly once diagnosed. This disease generally occurs sporadically or in small outbreaks and can occur in any season, predominantly affecting infants and young children. The main treatment for Kawasaki disease is aspirin, which not only reduces fever but also helps reduce coronary artery lesions. Additionally, intravenous immunoglobulin is administered; however, the use of corticosteroids in Kawasaki disease is still somewhat controversial. Other treatments mainly include antiplatelet aggregation agents such as dipyridamole, and symptomatic supportive care for the child, including fluid supplementation, heart protection, control of heart failure, and correction of arrhythmias. For severe coronary artery lesions, coronary artery bypass surgery may be required. (Please use medication under the guidance of a professional physician.)
Can children with eczema take cephalosporins?
Children with eczema can take cephalosporin antibiotics, provided that the child is not allergic to cephalosporins. As long as there is no allergy to cephalosporins, it will not cause any issue. However, some children with eczema are also of an allergic constitution, and in such cases, many medications are not suitable. If it is necessary for a child to take cephalosporins for the first time due to a medical condition, a skin test must be conducted. Only if the skin test shows no problems, then cephalosporins can be administered to the child. During the course of taking cephalosporins, it is crucial to closely monitor the child to see if an allergic rash, like hives, appears. Eczema in children is not directly related to cephalosporins, so as long as there is no allergy to cephalosporins and there is a bacterial infection that the doctor advises to treat with this medication, it can be used under the doctor's guidance.