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Archive for the 'Foreign Bodies' Category

Question: What is the positive-pressure technique?

Saturday, September 15th, 2007

Answer: After the installation of a local vasoconstrictor, a caregiver (usually a parent) gently occludes the unobstructed nares with his or her thumb, being careful not to deviate the septum. The parent tells the child that he or she is going to give the child a big kiss.” With the child in a supine position [...]

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Question: How is a nasal foreign body removed?

Saturday, September 15th, 2007

Answer: Techniques of removal are based on the physician’s experience and ability; safe removal occasionally requires general anesthesia. There is always a risk of airway compromise if the foreign body dislodges posteriorly during attempted extraction or with forced inhalation. Administration of a topical vasoconstrictor to shrink the nasal mucosa may facilitate removal of the foreign [...]

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Question: What is the best way to remove a foreign body from the ear canal?

Thursday, September 13th, 2007

Answer: There is no one correct answer. The physician must use his or her knowledge and experience to optimize patient comfort and to limit injury to the ear structures when extracting the foreign body. Techniques vary from simple irrigation or suction to forceps extraction under direct visualization. Conscious sedation may be required, especially in children. [...]

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Question: How can you avoid missing an ocular foreign body?

Thursday, September 13th, 2007

Answer: The physician always must have a high index of suspicion for an ocular foreign body, particularly with orbital trauma, sudden eye pain with or without a history of trauma, or visual loss. A hyphema may be the only clue to a penetrating ocular foreign body. The physical examination must include visual acuity testing and [...]

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QUESTION: What is the best approach for evaluating and removing superficial foreign bodies from the eye?

Monday, September 10th, 2007

ANSWER: Patients generally report a foreign-body sensation associated with tearing and conjunctival injection. Meticulous examination of the eye is done under magnification (i.e., loupe or slit-lamp), including eversion of both lids to look for foreign bodies in the conjunctival sacs. If a foreign body is not visualized., the inner aspects of the lids are swept [...]

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