Wednesday, 3 August 2016

Foreign bodies Ingestion | Crack PGIMER NOV 2016


Which of the following is true regarding foreign bodies ingestion in children?

A. Needles are the most common.
B. They always cause complication if they passbeyond cardia
C. Patients with button batteries can be kept onobservation
D. Most swallowed objects pass spontaneously
E. Child in a supine position, material is morelikely to enter the right main bronchus

The answer is. D. Most swallowed objects pass spontaneously
E. Child in a supine position, material is morelikely to enter the right main bronchus
Coins are the most frequently swallowed foreign bodiesin children. Once beyond the cardia, they almost nevercause complication in normal gastrointestinal tract.Button batteries must be removed urgently if they remainin the esophagus or stomach because they can causeperforation or poisoning. The need to remove sharpobjects depends on their size, age of the child and theirposition in the gut. In a child in an upright position, theright-sided airways are direct entries from the trachea.The left main bronchus is smaller than the right mainbronchus and is slightly angled. In a child in a supineposition, material is more likely to enter the right mainbronchus.