طفل عمره ٧ سنوات بعد استئصال اللوزتين بست ساعات، نائم معظم الوقت. لاحظت الممرضة أنه يبلع بشكل متكرر جداً، ونبضه ارتفع من ٩٢ إلى ١٢٦، وهو شاحب، وتقيأ مرة دماً داكناً. ما التفسير الأرجح؟

A 7-year-old is 6 hours post tonsillectomy and sleeping most of the time. The nurse notices very frequent swallowing; HR has risen from 92 to 126, he is pale and has vomited dark blood once. What is the most likely explanation?

1. Normal thirst after anaesthesia needing water
2. Bleeding from the surgical site that he is swallowing
3. Mild pain needing paracetamol only
4. Anxiety about the new hospital surroundings

Answer: B) Bleeding from the surgical site that he is swallowing. Frequent swallowing, tachycardia and blood-stained vomit indicate post-tonsillectomy bleeding. Inspect the throat with a light and notify the surgeon immediately. Avoid vigorous suction and red drinks that mimic blood.