the case.
a 64 year old female presents to your Emergency Department at midnight with acute severe abdominal pain. [Read more…]
pulling apart cases from the ED...
the case.
a 64 year old female presents to your Emergency Department at midnight with acute severe abdominal pain. [Read more…]
the case.
a 36 year old male presents to your ED at 2am with retrosternal pain and concern that last nights steak “got stuck and didn’t go down”. He has vomited once and now continues to spit out saliva as he feels he cannot swallow anything. Despite this, he is not particularly distressed and looks well. [Read more…]
The case.
A 15 year old male is bought to ED by his mother with a complaint of throat pain after eating a meal of chicken skewers that were cooked on the family barbecue. He is alert and in no apparent distress, breathing comfortably without stridor or drooling. His observations are within normal limits and his chest is clear to auscultation.
The skewers were prepared at home from chicken breast and they “are pretty sure there were no bones around” ….
Approximately 80% of swallowed FBs are in children (aged 1-4 years). This will involve toys & coins for example and will lodge in the anatomically narrowed parts of the oesophagus. Adult patients generally provide an unequivocal history but can occasionally present with unintentional ingestion (eg. dentures). Adult impactions tend to be more distal.
Signs & Symptoms.
Diagnosis.
Management.
Sharp Object Ingestion.