Foreign body in ENT--general practitioner's duty.
ABSTRACT Foreign body in ENT region is an age-old problem. Introduction of foreign body in ear, nose and throat is specially seen in children. There are many types of foreign body seen in the ear, nose and throat. They can aspirate into larynx, trachea and bronchus. How to manage the removal of foreign body in ear, nose and throat had been discussed in a nutshell. General practitioners should be skilled enough to remove foreign body with their limited resources and they should know when to send the cases to an ENT specialist or to a hospital.
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ABSTRACT: Foreign bodies in the external auditory canal are common in both adults and children. Removal of the foreign body requires skill, but is usually successfully performed in the emergency department. We report a case of a child with a bullet in ear canal which was pushed into the middle ear during an attempt to remove it. A 6-year-old Thai boy went to the community hospital with his parents, who reported that their child had pushed a bullet into his ear. Otoscopic examination revealed a metallic foreign body in his external auditory canal. The first attempt to remove the foreign body failed and the child was referred to an otolaryngologist. We found that the tympanic membrane was ruptured, with granulation tissue in the middle ear and the bullet was located in the hypotympanum. The foreign body was removed via a post-auricular approach. Removal of a foreign body from external auditory canal is an essential skill for physicians. Careful removal can prevent further trauma and complications. When the first attempt fails, referral to an otolaryngologist is recommended.Clinical medicine insights. Case reports. 01/2012; 5:1-4.
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ABSTRACT: In children, foreign body aspiration is one of the leading causes of accidental death. We report an interesting case of aspiration of date seed in an infant.
Article: Disfagia: del síntoma al diagnóstico[Show abstract] [Hide abstract]
ABSTRACT: La disfagia es una dificultad en la progresión del bolo alimentario durante la deglución. Conviene darle a este síntoma toda la importancia que se merece. Mediante la anamnesis se deben precisar la localización, las características y los síntomas asociados. Casi siempre es necesario realizar un estudio endoscópico. La ecoendoscopia y la tomografía computarizada resultan muy útiles cuando existe un tumor; la manometría, en los trastornos motores; el tránsito baritado, en las disfagias altas, en las estenosis infranqueables o cuando de entrada se han rechazado las demás exploraciones. Las disfagias orofaríngeas se originan principalmente por obstáculos orgánicos (tumores, divertículos, anillos) o funcionales (compromiso del sistema nervioso central o periférico, alteraciones musculares). Las disfagias bajas (subcervicales) se originan principalmente por cánceres (epidermoides o glandulares), compresiones extrínsecas, esofagitis o causas funcionales primitivas (acalasia cardial, otros trastornos motores primitivos, seudoacalasias) o secundarias (sobre todo esclerodermia).EMC - Tratado de Medicina. 01/2011; 15(4):1–3.