MedBugs: SAQ #451

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Case: Ingested foreign body

A 3-year-old male has presented with a history of an ingested foreign body. He is comfortable and talking normally. His vital signs are all within the normal range.

1. In addition to button batteries, list (4) high risk ingested FBs that require emergent removal. (4 marks) 4 marks

2. List (3) common sites of FB impaction at the oesophagus. (3 marks) 3 marks

3. State (2) features on chest X-ray that may help identify a button battery. (2 marks) 2 marks

Chest X-ray confirms a button battery in the oesophagus. You have made plans to transfer the patient to theatre for endoscopic removal. This is delayed for 60 minutes.

4. Give (1) oral agent that may have a role in reducing damage to the oesophageal mucosa pending endoscopic removal. (1 mark) 1 mark

5. State (2) mechanisms by which button batteries can cause necrosis in the oesophagus. (2 marks) 2 marks

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