A mother brings in her 2-year-old son who she suspects may have swallowed a buton batery sometime over the last hour whilst visiting at a friend’s house. The child had been playing on the carpet, when the mother suddenly noticed he had dismantled a small alarm clock and the batery was nowhere to be found. The boy looks well and is happy playing in the assessment cubicle.

1. List your immediate steps in assessing this patient 3 marks

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2. List (3) indications for immediate endoscopy and batery removal 3 marks

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Atier assessing the patient, you determine there are no indications for immediate endoscopic removal. You consider managing the patient conservatively at home.

3. Outline (3) other conditions required for conservative management of buton batery ingestion 3 marks

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4. State (3) specific instructions you would give as part of your discharge advice 3 marks

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