Can You Get HIV from a Cut Exposed to Contaminated Straw?
Is it possible to get infected if a wound comes into contact with saliva from someone with HIV? I accidentally cut my arm with a straw from a bubble tea drink while meeting a friend who is HIV positive, resulting in a small wound that bled slightly. My friend has a smoking habit ...
Dr. Huang Yuanhui reply Surgery
Hello: The likelihood of transmission in the situation you described is very low. If you are still concerned, please visit an infectious disease specialist for screening. Dr. Huang Yuan-Hui.[Read More] Can You Get HIV from a Cut Exposed to Contaminated Straw?
Understanding Umbilical Infections in Children: Causes and Treatment Options
The child's umbilical area is red, swollen, and has pus? Thank you for your response, Doctor. During the first surgery on June 19, the doctor discovered two suture ends after opening the umbilicus. Four days later, on June 22, the doctor reopened the wound and found another ...
Dr. Huang Yuanhui reply Surgery
Hello: The redness and swelling caused by a suture abscess can be properly managed by incising the wound to remove the suture ends. This type of suture abscess cannot be diagnosed through instruments, including ultrasound examinations; the only certainty is that the amount of sut...[Read More] Understanding Umbilical Infections in Children: Causes and Treatment Options
Understanding Umbilical Infections in Infants: Causes and Solutions
The child's umbilical area is red, swollen, and has pus? Dear Doctor, My child underwent surgery for an umbilical fistula at 2 months old. Now, at 10 months, the belly button suddenly became red, and two days later, it swelled and protruded. We took him to see a pediatric s...
Dr. Huang Yuanhui reply Surgery
1. The incidence of postoperative suture abscess is approximately 10%. 2. In umbilical fistula surgery, some suture ends are non-absorbable sutures used to ligate blood vessels, while others are absorbable sutures, such as those used for subcutaneous closure, which do not requi...[Read More] Understanding Umbilical Infections in Infants: Causes and Solutions
Understanding Neck Sinus Issues in Infants: Surgical Insights and Concerns
Issues with the cervical spine? Hello, doctor. I have a question. When my baby was just one month old, we took her to the hospital. Shortly after her birth, we noticed a small indentation on the left side of her neck that was oozing pus. The doctor diagnosed it as a branchial cle...
Dr. Huang Yuanhui reply Surgery
Hello: It is a branchial cleft fistula. If there is no infection, it can be left to grow a bit larger before surgery, preferably before the age of six.[Read More] Understanding Neck Sinus Issues in Infants: Surgical Insights and Concerns
Post-Surgery Concerns: Understanding Thyroglossal Duct Cyst Complications in Children
Thyroglossal duct cyst Hello Doctor, I would like to ask a question regarding pediatric surgery. My child is five years old and underwent a thyroglossal duct cyst excision surgery at the beginning of the year. There were no signs of infection or abscess before the surgery, so the...
Dr. Huang Yuanhui reply Surgery
Hello: After surgery for thyroglossal duct cyst, if there is serous fluid draining from the wound, the most common cause is that the absorbable sutures within the wound have not fully absorbed and have been colonized by bacteria, leading to a suture abscess. This condition requir...[Read More] Post-Surgery Concerns: Understanding Thyroglossal Duct Cyst Complications in Children
Understanding Ultrasound Findings: Bright Spots on Testes in Children
Ultrasound examination revealed multiple echogenic foci in the testis? Dear Dr. Huang, Thank you for taking the time to respond amidst your busy schedule. I would like to inquire about my first-grade child, who was found to possibly have a hernia during a school health check. An...
Dr. Huang Yuanhui reply Surgery
The presence of bright spots on ultrasound indicates that the tissue has a stronger acoustic reflection. In the case of a 7-year-old boy's testicular tissue, a common reason for this is underdeveloped testicular tissue, which is denser compared to other tissues and reflects ...[Read More] Understanding Ultrasound Findings: Bright Spots on Testes in Children
Understanding Neurofibromas: Surgical Options and Considerations for Children
Neurofibroma compression Dear Dr. Huang, Recently, my 10-year-old son has been experiencing back pain. After visiting an orthopedic specialist and undergoing an MRI, it was discovered that he has scoliosis due to a neurofibroma compressing his spine. He also has multiple café-au...
Dr. Huang Yuanhui reply Surgery
Hello, Sunflower Mommy: Neurofibromas located on the spine can cause compression and scoliosis, making surgical intervention a consideration. However, with large tumors spanning from L1 to L5, there is a risk that the tumor may be intertwined with critical neural structures, maki...[Read More] Understanding Neurofibromas: Surgical Options and Considerations for Children
Understanding Pediatric Urological Issues: Hydrocele Surgery Considerations
Pediatric urinary issues Hello Dr. Huang: I would like to ask, my son has had a scrotal hydrocele for over two years now, and surgery is needed for it to improve. He is currently taking medication to control epilepsy, which he needs to continue until the end of the year to comple...
Dr. Huang Yuanhui reply Surgery
Hello: Stopping medication before surgery has no impact on scrotal edema. Please do not worry. Dr. Huang Yuan-Hui.[Read More] Understanding Pediatric Urological Issues: Hydrocele Surgery Considerations
Clinical Assessment Techniques for Diagnosing Edema
How to clinically assess edema? I apologize for the mistake in the previous email. The definition of edema that I understand is the accumulation of excess fluid in the interstitial spaces between blood vessels and cells, which cannot be adequately drained, leading to retention in...
Dr. Huang Yuanhui reply Surgery
Hello: In clinical practice, the assessment of edema primarily relies on physical examination, the type of disease, and laboratory data. During the physical examination of patients with edema, abnormal swelling of the limbs or body is observed. When pressure is applied to the ski...[Read More] Clinical Assessment Techniques for Diagnosing Edema
Why Monitoring Intake and Output is Crucial for ICU Patients
ICU patients Why is it important to record the intake and output of patients in the ICU?
Dr. Huang Yuanhui reply Surgery
Hello: Patients admitted to the ICU are generally those with more severe conditions, and their status can change significantly. Recording the intake and output volumes allows physicians to precisely adjust the patient's intravenous fluids, hydration, electrolytes, and medica...[Read More] Why Monitoring Intake and Output is Crucial for ICU Patients
Differentiating HHNK from DKA: Key Clinical Insights
How to differentiate between HHNK and DKA? HHNK and DKA are both hyperglycemic conditions caused by diabetes, and they both involve the production of ketone bodies. How can they be differentiated clinically?
Dr. Huang Yuanhui reply Surgery
Diabetic ketoacidosis (DKA) primarily occurs in type 1 diabetes due to a severe deficiency of insulin, which prevents the suppression of fatty acid breakdown, leading to ketoacidotic blood. The blood glucose levels are typically lower than in hyperglycemic hyperosmolar nonketotic...[Read More] Differentiating HHNK from DKA: Key Clinical Insights
Choosing Between Traditional and Laparoscopic Hernia Surgery for Kids
Hernia Hello, my five-year-old daughter needs to undergo hernia surgery. The surgical method proposed is traditional high ligation and suturing, but I have found information online about laparoscopic surgery, which offers advantages such as smaller incisions, faster recovery, and...
Dr. Huang Yuanhui reply Surgery
Hello: The so-called laparoscopic surgery refers to minimally invasive surgery, which is generally applicable for adult hernia repair. Compared to traditional surgery, it has advantages such as smaller incisions, faster recovery, and fewer postoperative wound complications. It al...[Read More] Choosing Between Traditional and Laparoscopic Hernia Surgery for Kids
Emergency Care for Fever in Children: When to Seek Medical Attention
Fever in children I apologize for the previous email being incorrect, so I am reaching out again with the correct address: If a child has a fever, what emergency measures should be taken? Should they be taken to the hospital immediately?
Dr. Huang Yuanhui reply Surgery
The correct way to manage a child's fever is to first use a cold compress and sponge the body with lukewarm water. If the fever persists after one hour, it is advisable to seek medical attention promptly. Wishing you well, Huang Yuan-hui.[Read More] Emergency Care for Fever in Children: When to Seek Medical Attention
Understanding the Differences Between Acute and Chronic Pancreatitis
Pancreatitis What are the differences between acute pancreatitis and chronic pancreatitis? What kind of situations can occur?
Dr. Huang Yuanhui reply Surgery
Hello: The main differences between acute pancreatitis and chronic pancreatitis lie in the frequency of episodes, symptoms, and pathological changes. Acute pancreatitis typically refers to a single episode of pancreatitis, commonly seen in patients with gallstones, with the prima...[Read More] Understanding the Differences Between Acute and Chronic Pancreatitis
Understanding Ileostomy: Bowel Movements, Cleaning, and Abdominal Pressure
Ileostomy Do patients with an ileostomy experience the urge to defecate? Do they need to use abdominal strength during bowel movements? How should they clean the stoma after a bowel movement?
Dr. Huang Yuanhui reply Surgery
Most patients with an ileostomy have their food digested and expelled through the stoma, without entering the colon. Therefore, only the secretions from the colon accumulate in the rectum. A minority of individuals may experience the urge to defecate, while most have an unclear s...[Read More] Understanding Ileostomy: Bowel Movements, Cleaning, and Abdominal Pressure
Understanding PDRAB Infections in Long-Term Hospitalized Patients
PDRAB (Pseudomon Some long-term hospitalized patients may develop infections with PDRAB (Pseudomonas aeruginosa with multidrug resistance) during their hospital stay. During the infection period, patients may experience various complications, including prolonged fever, increased ...
Dr. Huang Yuanhui reply Surgery
1. PDRAB is increasingly prevalent in hospitals across Taiwan, associated with the complexity of patients' conditions, advancing age, and the use of antibiotics. Once a patient carries PDRAB, they may become an asymptomatic carrier or may develop an actual infection. Infecti...[Read More] Understanding PDRAB Infections in Long-Term Hospitalized Patients
Can Treating Gallstones Cure Pancreatitis?
Pancreatitis Does pancreatitis caused by gallstones resolve once the gallstones are treated?
Dr. Huang Yuanhui reply Surgery
Most cases of pancreatitis caused by gallstones improve after the gallstones are treated.[Read More] Can Treating Gallstones Cure Pancreatitis?
Should My 3-Year-Old's Scrotal Swelling Without Hernia Be Surgically Treated?
Should a 3-year-old child with scrotal swelling and no hernia undergo surgery? Hello Dr. Huang: My 3-year-old child has scrotal swelling without hernia. Should we proceed with surgery or continue to observe for natural resolution? If surgery is necessary, should we consult genera...
Dr. Huang Yuanhui reply Surgery
A 3-year-old child's scrotal swelling requires surgical removal and will not resolve on its own. It is recommended to consult a pediatric surgeon or pediatric urologist. General surgery and urology typically handle adult cases and may not be as familiar with pediatric surger...[Read More] Should My 3-Year-Old's Scrotal Swelling Without Hernia Be Surgically Treated?
Do Children Always Need General Anesthesia for Stitches Removal?
Does a child need general anesthesia? Hello, I would like to ask a question. My goddaughter was recently injured by a dog on her philtrum and nasal cavity. The doctor has stitched the wound, but informed us that if the stitches in the nasal cavity cannot be removed smoothly, the ...
Dr. Huang Yuanhui reply Surgery
If a child experiences excessive fear and resistance during the suture removal process, it may lead to wound dehiscence and bleeding. In such cases, administering general anesthesia through enema or inhalation to calm the child can be a good approach. Another method is for parent...[Read More] Do Children Always Need General Anesthesia for Stitches Removal?
Expertise in Hypospadias Surgery: Kaohsiung E-Da Hospital vs. Linkou Chang Gung
Dr. Yeh Ming-Lun, E-Da Hospital, Kaohsiung? Could you please tell me if Dr. Yeh Ming-Lun from Kaohsiung E-Da Hospital is experienced and an expert in handling surgeries for conditions like hypospadias, comparable to Dr. Luo Zhi-Cheng or Dr. Zhang Bei-Ye from Linkou Chang Gung Mem...
Dr. Huang Yuanhui reply Surgery
It is recommended that Dr. Zhang Bei-ye and Dr. Huang Yuan-hui collaborate.[Read More] Expertise in Hypospadias Surgery: Kaohsiung E-Da Hospital vs. Linkou Chang Gung