A child's early symptom update with pain still present

CAPTIONS / IMAGE LABELS MYYL Chordoma PATIENT FOLLOW-UP RECORDS Shen Mengting · 7 · Zhejiang English translation · Original medical images retained CASE RECORD · Chordoma · 7 Shen Mengting had surgery for a large chordoma. The family describes recurrence about one month later, with a mass said to be larger than before, and difficulty tolerating further surgery, radiotherapy or chemotherapy. They sought additional care while considering end-of-life support. Because she could not walk, her mother arranged a video consultation. The account describes severe pain, bleeding, irritability, dizziness, nausea, vomiting and recurrent high fever. The supplied record lists enlarged pelvic or inguinal nodes up to 18 × 13 mm and a sacral soft-tissue mass of 115 × 113 × 121 mm. Family update after three days The family reported less vomiting after meals, better appetite, no further daily high fever at that time and improved spirits. This is a short-term symptom report, not evidence that the tumor disappeared. The original clinical material remains below. CHAT PANEL S213-P01 Shen Mengting · Chordoma Finally, this is the follow-up report. It should be from around the twentieth-something of August. 30 Sep · 15:22 30 Sep 15:22 CHAT PANEL S213-P02 Original clinical record image retained. CHAT PANEL S213-P03 Shen Mengting · Chordoma The other side of her buttocks has been flattened by pressure too. Okay, I see. 30 Sep 15:37 Current condition: She has taken pain medicine three times since last night. There is bleeding from the buttock wound, including two episodes of spurting blood that were hard to stop, as well as frequent oozing. She is irritable and distressed and does not want to talk. Her abdomen is bloated. She needs laxatives and can only pass loose stool. A urinary catheter has been in for about 20 days, and she has been unable to get out of bed for about 20 days. The other foot is swollen from pressure and the other buttock is flattened. She often has difficulty breathing, dizziness, nausea and retching. She seldom actually vomits after food or drink; it is mainly dry retching. Sleep is poor and she has had a fever every day for many days. When she feels a little more comfortable, she can eat some food. 30 Sep 15:54 CHAT PANEL S213-P04 Shen Mengting · Chordoma Thu 13:48 Voice message: 22 seconds. 22″ Voice message: 17 seconds. 17″ Voice message: 8 seconds. 8″ She is not vomiting now. She can pass stool now too. Voice message: 7 seconds. 7″ Apart from the pain, the other symptoms have improved. Voice message: 18 seconds. 18″ Her appetite is better too. Voice message: 7 seconds. 7″ She used to have a fever every day. Not over the last few days. Today is the third day without a fever, and also the third day on the medicine… [cropped] CHAT PANEL S213-P05 Shen Mengting · Chordoma Voice message: 18 seconds. 18″ Her appetite is better too. Voice message: 7 seconds. 7″ She used to have a fever every day. Not over the last few days. Today is her third day without a fever, and her third day taking the medicine. She has had no fever since starting it. Her legs ache. The pain is around the buttocks and thighs. A message was recalled Okay. Her spirits are a little better too. Voice message: 11 seconds. 11″ Okay. She has more appetite after taking the Chinese medicine.