A 3-Year-Old Boy Is Brought to the Emergency Department After

question 219

Multiple Choice

A 3-year-old boy is brought to the emergency department after swallowing a battery.  About an hour ago, his father was changing his watch battery when the patient grabbed and swallowed it and then coughed for several minutes.  Since then, he has been able to drink and talk normally.  Vital signs are normal.  The patient appears alert and comfortable.  He is not drooling, and the posterior oropharynx is clear.  The lungs are clear to auscultation bilaterally.  Cardiac examination is unremarkable.  The abdomen is soft and nontender.  Chest x-ray on anteroposterior view shows a radiopaque, circular object with a halo sign.  The lateral view is shown below: Which of the following is the best next step in management of this patient?

• A)Barium contrast study
• B)Blind sweep for object
• C)Bronchoscopy
• D)Observation and repeat x-ray in 24 hours
• E)Upper gastrointestinal endoscopy

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Definitions:

Accounts Payable

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Operating Cash Flow

The money produced through the regular operational functions of a company during a particular timeframe.

Net Income

The total profit of a company after all expenses, including taxes and operating costs, have been deducted from total revenues.