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PhotographED

This blog serves as a bulletin board for ED staff to share unusual and interesting photos of life in the ED.
It is also a partner with our Instagram account, @em_news, where you can find these photos on the go.
Have a clinical photo to share? Make sure it meets these criteria:
  • You must have taken the photo yourself. No “borrowing” from someone else or another website.
  • You must have written permission to submit someone else's photo. Send us the photographer’s name so we can give credit.
  • Sending a photo of a patient? You need his written permission to take it and to send it to us.
  • Be sure to obscure the patient’s face and identifying details even if you have permission (HIPAA, you know).
  • Send us the particulars about your photo: the patient’s symptoms, history, tests performed, therapies started, disposition, and outcome.
Send your entries to emn@lww.com.

Friday, June 3, 2016

The X-Ray and the Button Battery

BY ALICE LEE, MD, HIMANSHU PATEL, MD, & SHIVANI PATEL, MD

An 11-month-old girl was brought to the emergency department with a two-week history of pooling secretions and feeding intolerance. A chest radiograph was performed, and detected a button battery.

          ENT was consulted emergently, and the patient was taken to the operating room for a laryngoscopy. The battery was retrieved, and the patient was found to have erosion and perforation of the posterior esophageal wall, which was repaired. She was discharged home following a prolonged stay in the pediatric ICU. Six months later, the patient presented with cough and repeated bouts of emesis. An esophagram was performed, which showed a button battery lodged in the proximal esophagus with evidence of esophageal stricture as a delayed complication of battery cell corrosion.

Read the rest of this article and view more photos from the case at  http://emn.online/WNLJune16​.

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