RT Book, Section
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
SR Print(0)
ID 1114872157
T1 Foreign Body Ingestion
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114872157
RD 2024/04/25
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.