foreign body

I love those stories.

So what we're gonna talk about today is kind of an interesting topic, um, some of my more favorite things to deal with in the ER actually, uh, pediatric ingestions and foreign bodies.

Okay.

Kids typically, uh, get a little curious at this age and they-

Yeah, they, they fly in there and-

Oof.

Anyway, but ear foreign bodies, nose foreign bodies, pretty common, but the, the, the biologics, the, the, the insects, the food products-

Yeah

B. Today's video is of a lecture I did yesterday at Brody School of Medicine Department of Pediatrics here at East Carolina University to the residents.

And it's all about ingestions and aspirations of foreign bodies, a little board review and a review of a clinical and diagnostic approach for that.

So sit back and enjoy.

And if you're a resident, I hope you get something out of this, helps you with your boards.

Many of these are unwitnessed, so if you have a kid who comes in with unexplained coughing or unexplained recurrent pneumonia, get a chest x-ray, think about form and body, and we'll talk about what else you can do about it.

So again, for the boards, if you have someone with sudden onset coughing or gagging that does seem to clear, but then they continue to have some nagging kind of cough, persistent nagging cough, new easing that doesn't respond to bronchodilators, foul breath or nasty sputum, recurrent infections in the same lung.

This is a typical shape of the lung, and what do you notice here with the way that this goes down and this comes across? Where do you think most foreign bodies are gonna fall in this area? Falling right main stem bronchus, especially as a kid gets older, that becomes more pronounced.

But we're going to show you pictures, I'm going to show you pictures of both.

back.

The other thing we look, we see that in the ED, of course, is foreign bodies.

Yes, so I guess these come, if it's quite a big foreign body and it's metallic, you can find it quite easily.

But some of those subtle small ones are quite difficult.