TY - CHAP M1 - Book, Section TI - Foreign Body Ingestion A1 - Vortia, Eugene K. A1 - Mahajan, Lori A. A2 - Usatine, Richard P. A2 - Sabella, Camille A2 - Smith, Mindy Ann A2 - Mayeaux, E.J. A2 - Chumley, Heidi S. A2 - Appachi, Elumalai PY - 2015 T2 - The Color Atlas of Pediatrics AB - A 2-year-old boy presented to his primary care physician's office with decreased oral intake and cough of 4 days duration. He had been very irritable with a markedly decrease in intake of solids. He was seen in an urgent care 2 days prior and was discharged home with a prescription for an antibiotic but his symptoms did not improve. On examination, he had a low-grade fever with increased oral secretions and transmitted upper airway sounds but no localized wheezing. A chest radiograph performed to assess for pneumonia revealed a coin in the proximal esophagus (Figure 56-1). Due to increased oral secretions and the duration of symptoms, he was referred for immediate endoscopy. The coin was removed with ulceration of the underlying esophageal mucosa at the site of impaction noted. Oral intake soon returned to normal. He was prescribed a 1-week course of sucralfate with no long-term complications noted. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114872157 ER -