GI Foreign Bodies

A 2-year-old boy is transferred from another hospital with these abdominal x-rays (AXRs) (taken 4 hours ago): [size=20px]He is well appearing, and his abdomen is slightly distended with mild tenderness. The father thinks that he swallowed a screw. What is the best next step in management? A Place NGT and make NPO B Administer miralax C Discharge home D Repeat abdominal x-rays[/size]

see video link in second post tip: do not forget to count number of pieces on abdominal x-ray before OR !

A 15-month old boy is in the ER after one episode of non-bilious emesis. His parents found a number of small magnets, from his sister’s toy, in his bed. His vitals and abdominal exam are normal. An abdominal film is shown. What would you do next?​

A 3-year-old boy presents to the emergency room with several days of decreased oral intake and sudden-onset hematemesis today. On examination, he is alert with mild epigastric pain. A plain abdominal radiograph shows a button battery located near the pylorus. His grandfather remembers the child playing with a pack of batteries when he was changing his hearing aid battery a few days ago. What is the best next step?​ A Admit the patient for observation and serial radiographs B Discharge the child home with instructions to monitor for passage of the button battery in his stools C Administer an emetic D Endoscopic evaluation and removal of the button battery E …

A 16 month old asymptomatic boy presents to the emergency department approximately 4 hours after a suspected foreign body ingestion. The accompanying chest radiograph is obtained (below). The child is handling his salivary secretions. The on call endoscopist is notified and will be able to get the child into the OR for foreign body retrieval in about an hour. [size=20px]The next step in management should be: A Administration of IV antibiotics B CT angiogram to exclude esophago-aortic fistula C Esophagogram D Administration of 10 ml of honey E Intranasal budesonide​[/size]

see video link in second post

see video link in second post

[size=20px]A three-year old boy swallows a button battery measuring 12 mm in diameter three hours before presentation. A radiograph shows the battery is in the stomach. The child is completely asymptomatic. The best management for this button battery ingestion is A discharge with instructions to confirm passage of battery. B admission to hospital until the battery is passed. C polyethylene glycol bowel cleanout. D immediate endoscopic retrieval. E operative gastrotomy and retrieval.[/size]

[size=20px]An ill appearing toddler is evaluated in the emergency department two days after ingesting a disc battery. A chest radiograph reveals the battery impacted in the esophagus and a right hydropneumothorax. At endoscopy, the battery is retrieved and an acquired tracheoesophageal fistula (TEF) is suspected. Which of the following regarding disc battery ingestion is true? A Emergent TEF repair is required. B The likelihood of complications is related to the size of the battery ingested. C Emergent retrieval is indicated for ingested batteries in the small intestine. D The incidence of serious complications due to disc battery ingestion is decreasing. E Most ba…