When Does a Pediatric Foreign Body Ingestion Need Emergent Care?
A healthy 5-year-old boy was brought to the pediatric emergency department after he told his parents that he accidentally swallowed a coin. He had no complaints and appeared to be breathing comfortably. He was also tolerating secretions normally. A plain radiograph was obtained.
Should he receive an endoscopy? The indications for emergent endoscopy include esophageal button battery, severe symptoms, a sharp foreign body in the esophagus, and multiple magnets in the esophagus or stomach.
This patient remained well-appearing, and was discharged with primary care follow-up.
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