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A 2-Year-Old Boy Is Brought to the Emergency Department by His

question 564

Multiple Choice

A 2-year-old boy is brought to the emergency department by his mother due to ingestion of a foreign body 2 hours ago. The child was playing with his older brother's watch and removed the back of the watch face. As the patient's mother was taking the watch away, she saw him put a button battery from the watch into his mouth and swallow it. Since the ingestion, the child has been playful and able to drink water without emesis. He has no chronic medical conditions, and immunizations are up to date. Temperature is 36.7 C (98 F) , blood pressure is 90/50 mm Hg, pulse is 106/min, and respirations are 20/min. Pulse oximetry is 100% on room air. Physical examination shows a smiling young child sitting in his mother's lap and blowing bubbles. The lungs are clear to auscultation, and there are no retractions. The abdomen is soft, nontender, and nondistended; bowel sounds are normoactive. X-rays reveal a circular radiopaque foreign body with a double-ring shadow in the distal esophagus; there is no pleural effusion, mediastinal widening, or subdiaphragmatic air. Which of the following is the best next step in management of this patient?

Definitions:

Non-REM Sleep

A state of sleep that includes all sleep stages except for REM (rapid eye movement) sleep, characterized by slower brain waves and reduced brain activity.

Night Terrors

A sleep disorder causing feelings of panic or dread, typically occurring in children during non-REM sleep.

Rapid Eye Movements

Quick, simultaneous movements of both eyes in the same direction, which occur in phases of sleep associated with vivid dreaming.

REM Sleep Behaviour Disorder

A sleep disorder characterized by the acting out of dreams during the REM (Rapid Eye Movement) stage of sleep.