Foreign body ingestion

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1. Orders:

    1. Neck x-ray AP and lateral

    2. Chest x-ray AP and lateral

    3. Abdominal x-ray

    4. CT scan if the object is radiolucent

    5. For magnets:

        1. Endoscopy in 12 hours

    6. For batteries

        1. double density on x-rays

        2. upper endoscopy in 2 hours

    7. Other objects, endoscopy in 24 hours if

        1. obstruction

        2. no move in 24 hours

        3. no passage through esophagus

    8. in stomach and bowel, do surgery or endoscopy if:

        1. >4weeks

        2. >5*2.5 cm (>3cm for children)

        3. abnormal bowel picture

        4. >1week in one section

        5. for batteries in stomach, do endoscopy if:

            1. diameter >2cm

            2. ≥ 2days in stomach

            3. N/V and abdominal pain

    9. Sharp objects, do endoscopy ⇒ if ≥3 days stay in one place