10 Questions
What is the recommended management for a battery stuck in the esophagus?
Remove immediately by endoscopy
In which scenario can an asymptomatic child with a battery in the stomach or bowel be sent home?
If the battery hasn't passed after 2 days
What is the next step if a battery is still in the stomach after 2-3 days?
Use a metal detector to find the battery
What is the course of action for batteries in the small or large bowel that almost always pass spontaneously?
Leave them to pass unless they cause symptoms
When should an abdominal X-ray be considered for a child who ingested a battery?
In case of abdominal pain, vomiting, diarrhea, or rectal bleeding
What is the recommended approach for removing fish bones lodged in the tonsils or base of the tongue?
Use filley's forceps
What should be done if a fish bone is not visible upon direct visualization using a wooden spatula?
Obtain soft-tissue lateral neck X-rays
Why is it important to look for prevertebral soft tissue swelling in soft-tissue lateral neck X-rays when suspecting a fish bone obstruction?
To rule out the presence of a fish bone
What is the consequence of a fish bone scratch in the pharynx even after it has been removed?
Persistent sensation of a foreign body (FB)
Why should a head torch be used during direct visualization for fish bone removal?
To improve visibility in the mouth
Test your knowledge on the management of button battery ingestion in children, including when to use X-rays, metal detectors, and when to refer for endoscopy. Learn guidelines on when to discharge an asymptomatic child with a battery in the stomach or bowel.
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