Which physical findings suggest pediatric foreign body ingestion?

Updated: Oct 04, 2018
  • Author: Gregory P Conners, MD, MPH, MBA, FAAP, FACEP; Chief Editor: Dale W Steele, MD, MS  more...
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  • Specific physical examination findings are unusual.

  • Physical findings may suggest complications of foreign body migration, such as peritoneal irritation or rales.

  • Abrasions, streaks of blood, or edema in the hypopharynx may be evidence of proximal swallowing-related trauma. Inspection of the oropharynx may occasionally reveal an impacted foreign body. [17]

  • Drooling or pooling of secretions suggests an esophageal foreign body but may be due to an esophageal abrasion as a result of a swallowed foreign body.

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