Ingested foreign body: Difference between revisions
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==Background== | ==Background== | ||
Adults = food bolus (usually meat) lodged above a peptic stricture or ring. >12 hours = risk of pulmonary aspiration. | Adults = food bolus (usually meat) lodged above a peptic stricture or ring. >12 hours = risk of pulmonary aspiration. | ||
==Diagnosis== | ==Diagnosis== | ||
#dysphagia | |||
#odynophagia | |||
==Work-Up== | ==Work-Up== | ||
Consider soft tissue lateral | |||
==DDx== | |||
#stricture/ring | |||
#cancer | |||
#eosinophilic esophagitis | |||
#achalasia | |||
==Treatment== | |||
# Coke-Cola PO | |||
# Nitro spray SL | |||
# Glucagon (1.0 mg IV/IM) | |||
# Endoscopy | |||
==Disposition== | |||
# resolved (spontaneously or after medical Tx) --> outpt GI referal | |||
# not resolved --> GI consult | |||
==See Also== | ==See Also== | ||
Peds: Esophageal Foreign Body (Peds) | Peds: Esophageal Foreign Body (Peds) | ||
==Source== | ==Source== | ||
KajiQuestions | KajiQuestions | ||
[[Category:GI]] | [[Category:GI]] | ||
Revision as of 05:52, 14 March 2011
Background
Adults = food bolus (usually meat) lodged above a peptic stricture or ring. >12 hours = risk of pulmonary aspiration.
Diagnosis
- dysphagia
- odynophagia
Work-Up
Consider soft tissue lateral
DDx
- stricture/ring
- cancer
- eosinophilic esophagitis
- achalasia
Treatment
- Coke-Cola PO
- Nitro spray SL
- Glucagon (1.0 mg IV/IM)
- Endoscopy
Disposition
- resolved (spontaneously or after medical Tx) --> outpt GI referal
- not resolved --> GI consult
See Also
Peds: Esophageal Foreign Body (Peds)
Source
KajiQuestions