Indications for extracting a foreign body from the trachea

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Maria is a two-year-old female brought to your ER with a suspected foreign body ingestion. Her mother, Theresa, reports that the toddler emptied out her piggy bank and was seen putting coins in her mouth. When caught in the act, she quickly ran out of the room. Shortly thereafter, Theresa noted that Maria was breathing "differently."

1. What additional history and physical examination is needed for this patient?

2. If a child swallows a coin, how can you tell on x-ray whether it is in the trachea or the esophagus?

3. Describe the locations within the esophagus where foreign bodies are most likely to lodge.

4. Describe the expected signs & symptoms based on each location.

5. What are the indications for extracting a foreign body from the trachea?

6. What are the indications for extracting a foreign body from the GI tract?

7. What anticipatory guidance should be given to the mother regarding choking hazards?

 

Reference no: EM133520858

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