Presentation
Repeated ingestion of foreign objects presents a multidisciplinary endoscopic dilemma. [ncbi.nlm.nih.gov]
Medical records were reviewed, and information including age at presentation, type of foreign body, side of presentation, length of time in place, signs and symptoms at presentation, management practices, and outcomes was recorded. [doi.org]
Respiratoric
- Cough
Sudden onset of the classic triad (ie, coughing, wheezing, decreased breathing sounds) is frequently not observed. Presenting symptoms (other than cough) include fever, hemoptysis, dyspnea, and chest pain. [web.archive.org]
Foreign body aspirations are commonly seen in emergency departments (EDs) worldwide, presenting with cough, dyspnea, wheeze, and decreased air entry. Chest radiographs are commonly utilized diagnostic tools to confirm foreign object aspiration. [ncbi.nlm.nih.gov]
Children[3] If coughing effectively, just encourage the child to cough, and monitor continuously. If coughing is, or is becoming, ineffective, shout for help and assess the child's conscious level. [patient.info]
There may have been an episode of choking, coughing or wheezing while eating or playing but many episodes are unwitnessed. Symptoms may include persistent wheeze, cough, fever or dyspnoea not otherwise explained. [rch.org.au]
- Labored Breathing
Careful inspection of his airway reveals non-labored breathing, clear lungs, no stridor, and he giggles when you tickle his tummy. Looking up his nose, you are confronted with two shinny metal objects, one in each naris. [epmonthly.com]
- Pertussis
Preventing tetanus, diphtheria, and pertussis among adolescents: use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccines recommendations of the Advisory Committee on Immunization Practices (ACIP). [aafp.org]
Gastrointestinal
- Abdominal Pain
The patient was complaining of a foul-smelling vaginal discharge and lower abdominal pain. On vaginal examination, a hard and large foreign body was found. Examination under anesthesia was performed, and an aerosol cap was removed from her vagina. [ncbi.nlm.nih.gov]
- Gagging
Often these bristles can be removed in the clinic; however, on occasion, the patient requires general anesthesia for retrieval because of the gag reflex and difficulty with access and visualization. [ncbi.nlm.nih.gov]
Choking / gagging episode as described by mother / caregiver 2. Followed by coughing spells 3. Wheezing 4. Diminished breath sounds When the foreign body moves distally in the airway, symptoms may become less apparent or may even subside. [sites.google.com]
REMOVAL OF FB UNDER GENERAL ANAESTHESIA: • Patient is anaesthetised with cuffed ET tube • Pharyngeal pack placed • If FB is placed posteriorly, patient positioned in rose position and mouth gag applied. • Palate is generally retracted with a catheter [slideshare.net]
Even with anesthesia and sedation, you may gag or experience pain. Your physician may need to adjust the levels of sedative and anesthetic. Ultrasound may be used to guide the foreign body removal procedure. [radiologyinfo.org]
- Rectal Pain
The object length varied between 6 and 15 cm, and larger objects were more prone for complications. [2] Abdominal and rectal pains, bleeding per rectum are the common presenting symptoms. [dx.doi.org]
Musculoskeletal
- Lordosis
Besides direct visualization of a foreign body, additional signs include retropharyngeal soft-tissue thickening and straightening of the cervical lordosis [47, 48]. [ajronline.org]
- Joint Dislocation
Emergency physicians must be aware of potential complications of oral foreign bodies, including palatal injury, temporomandibular joint dislocation, epiglottitis, and retained foreign bodies. [ncbi.nlm.nih.gov]
Neurologic
- Confusion
There was some drama and it was set ...more topics posts views last activity Foreign Body 2 22 Sep 03, 2012 07:42PM Librarian Note: Not to be confused with British novelist Robin Cook a pseudonym of Robert William Arthur Cook. Dr. [goodreads.com]
There is a wide array of tools available to assist in removal and this can often be confusing for providers as these tools are not created equal for all types or locations of foreign bodies. [emdocs.net]
Although a person can usually sense the presence of something out of the ordinary in their nose, it may be confused with nasal congestion, so small objects or torn tissue paper can easily go undetected. [emedicinehealth.com]
Differential diagnosis This clinical scenario is unlikely to be confused with another illness, with the possible exception of space-occupying oesophageal pathology - eg, oesophageal carcinoma causing obstruction of a normal food bolus. [patient.info]
Workup
Further investigations/workup Radiological assessment is the key to further evaluation following a thorough history and clinical examination. [intechopen.com]
Diagnostic Imaging Diagnostic imaging is an essential component of the workup to determine the presence, location, material, size, and number of OrbFBs. [aao.org]
Imaging exams are helpful, with routine radiography being the preferred imaging modality for the initial workup. However, several types of soft tissue foreign bodies are not radiopaque and therefore remain undetected. [scielo.br]
[…] from children spending more time indoors on rainy days, with greater opportunity to put a small toy in their ear or nose. [6] Differential Diagnosis Abrasions to ear canal Cerumen impaction Hematoma Otitis externa Tumor Tympanic membrane perforation Workup [emedicine.medscape.com]
Treatment
Rectal Foreign Object Treatment 1. Go to a Hospital Emergency Room Do not try to remove foreign object. A hospital emergency room is most likely to have appropriate tools for removal. Delay in treatment could lead to serious injury or infection. 2. [web.archive.org]
MAIN LESSONS: An appendiceal foreign body is very rare in infant and there are currently no treatment guidelines. We report 2 cases of appendiceal foreign body including infant who gave us difficult decisions. [ncbi.nlm.nih.gov]
Prognosis
Open eye injury is one of the commonest ophthalmic emergencies, and when accompanied by intraorbital foreign bodies, the condition carries a poor prognosis. [ncbi.nlm.nih.gov]
With increased awareness and advanced surgical techniques, the outcome and the prognosis for these potentially devastating injuries have substantially improved. [web.archive.org]
Local environments have an important influence on the types of objects aspirated, location in the tracheobronchial tree, and prognosis. [emedicine.medscape.com]
Etiology
Heavy, prolonged menstrual bleeding is common in adolescents and results from a variety of etiologies. [ncbi.nlm.nih.gov]
Pathology Etiology There are many ways in which a foreign body can be introduced into various parts of the human body. [radiopaedia.org]
That patient belongs to gender and age group (20–39 years) most affected by facial trauma, and the etiology of the trauma that attacked him (interpersonal violence) fits as the most frequent [20]. [hindawi.com]
Given the shared traumatic etiology, a corneal foreign body injury may seem like a likely source for RCE to develop from. The reality, however, is that foreign bodies rarely cause this condition. [reviewofoptometry.com]
Etiology of esophageal food impactions in children. J Pediatr Gastroenterol Nutr. 2011 Jan. 52(1):43-6. [Medline]. Pavlidis TE, Marakis GN, Triantafyllou A, Psarras K, Kontoulis TM, Sakantamis AK. Management of ingested foreign bodies. [emedicine.medscape.com]
Epidemiology
This study aimed to analyze the current epidemiology of in-hospital or out of hospital treated foreign object injuries and suspected foreign body injuries in children. [ncbi.nlm.nih.gov]
Common removal methods include use of forceps, water irrigation, and suction catheter. [ 1 ] Epidemiology Foreign bodies of the ear are relatively common. [patient.info]
Epidemiology Most common in children, psychiatric patients and jail inmates IV. History Object swallowed How long ago was the ingestion V. [fpnotebook.com]
Pathophysiology
Because the respiratory tract does not participate in gas exchange, its total volume of the tidal volume is referred to as dead space. 5 Pathophysiological notes After the gastrointestinal tract, the respiratory tract has the highest germ count. [flexikon.doccheck.com]
Pathophysiology The final resting place of and damage caused by an IOFB depend on several factors, including the size, the shape, and the momentum of the object at the time of impact, as well as the site of ocular penetration. [web.archive.org]
Pathophysiology The final resting place of and damage caused by an IOFB depend on several factors, including the size, the shape, and the momentum of the object at the time of impact, as well as the site of ocular penetration. [1, 2] IOFBs transversing [emedicine.medscape.com]
Essential Treatment Considerations The pathophysiology and management of a foreign body wound is dependent upon the material that has punctured the foot, the location, depth and time of presentation, footwear and underlying medical conditions of the patient [podiatrytoday.com]
Prevention
Foreign bodies should be removed within 24 hours to prevent erosive changes. The majority of objects that have passed into the stomach will go through the GI tract. [pedclerk.bsd.uchicago.edu]
Anesthesia/Sedation: Lidocaine or phenylephrine spray can be used to prevent swelling and pain, but should be rarely used due to the risk of causing sneezing and associated aspiration or ingestion of the object. [emdocs.net]
In order to prevent such iatrogenic injuries, which could have fatal consequences, the hospital staff must give particular care in the handling of sharp FBs. [ncbi.nlm.nih.gov]