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Foreign Body Ingestion

 Syn. Foreign body aspiration

Signs & Symptoms

 Complete inability to swallow saliva
Note: Acute
Ref: Uptodate [ Ingested foreign bodies and food impactions in adults] Epocrates [ Foreign body ingestion-Epocrates]
Drooling
Note: note to acute,due to Upper gasterointestinal obstruction, Acute
Ref: Uptodate [ Ingested foreign bodies and food impactions in adults] Epocrates [ Foreign body ingestion-Epocrates]
Hypersalivation
Note: note to acute,due to Upper gasterointestinal obstruction, Acute
Ref: Uptodate [ Ingested foreign bodies and food impactions in adults] Epocrates [ Foreign body ingestion-Epocrates]
Acute onset of dysphagia
Note: Acute
Ref: Uptodate [ Ingested foreign bodies and food impactions in adults] Epocrates [ Foreign body ingestion-Epocrates]

Physical Examination

 Neck tenderness
Note: Acute
Ref: Uptodate [ Ingested foreign bodies and food impactions in adults] Epocrates [ Foreign body ingestion-Epocrates]
Non cardiac chest pain
Ref: Epocrates [ Foreign body ingestion-Epocrates]
Signs of esophageal perforation
Note: For signs of esophageal perforation such as mediastinal, subdiaphragmatic, or subcutaneous air
Ref: Uptodate [ Ingested foreign bodies and food impactions in adults]

Lab / Serology

 Fecal occult blood test
Note: May be positive in patients with colorectal objects
Ref: Epocrates [ Foreign body ingestion-Epocrates]
Mucus occult blood test
Note: May be positive in patients with colorectal objects
Ref: Epocrates [ Foreign body ingestion-Epocrates]
Occult blood test
Note: May be positive in patients with colorectal objects
Ref: Epocrates [ Foreign body ingestion-Epocrates]

Imagin Study

 Nonmetallic foreign body
Note: May reveal nonmetallic foreign body
Ref: Epocrates [ Foreign body ingestion-Epocrates]
Subdiaphragmatic air
Note: For signs of esophageal perforation such as mediastinal, subdiaphragmatic, or subcutaneous air
Ref: Uptodate [ Ingested foreign bodies and food impactions in adults]
Metal object in esophagus
Ref: Epocrates [ Foreign body ingestion-Epocrates]

Complication

 Hypersalivation
Note: note to acute,due to Upper gasterointestinal obstruction, Acute
Ref: Uptodate [ Ingested foreign bodies and food impactions in adults] Epocrates [ Foreign body ingestion-Epocrates]
Drooling
Note: note to acute,due to Upper gasterointestinal obstruction, Acute
Ref: Uptodate [ Ingested foreign bodies and food impactions in adults] Epocrates [ Foreign body ingestion-Epocrates]
Neck tenderness
Note: Acute
Ref: Uptodate [ Ingested foreign bodies and food impactions in adults] Epocrates [ Foreign body ingestion-Epocrates]

Risk Factors

 Children
Ref: Epocrates [ Foreign body ingestion-Epocrates]
Male
Ref: Epocrates [ Foreign body ingestion-Epocrates]

Cause

 Small bowel obstruction
Ref: Uptodate [ Ingested foreign bodies and food impactions in adults]
Chronic foreign body obstruction
Ref: Epocrates [ Foreign body ingestion-Epocrates]
Gasterointestinal obstruction
Ref: Uptodate [ Ingested foreign bodies and food impactions in adults]

Other