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Normal Diagnostic Bronchoscopy for Suspected Foreign Body Inhalation.pdf

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Abdulsalam Taha
Abdulsalam Taha

Normal Diagnostic Bronchoscopy for Suspected Foreign Body Inhalation.

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‫الرحيم‬ ‫الرحمن‬ ‫هللا‬ ‫بسم‬ Normal Diagnostic Bronchoscopy for Suspected Foreign Body Inhalation Prof. Abdulsalam Y Taha College of Medicine University of Sulaimani 2022
The Case  A 13-months old infant was brought by his family to the E&A department of Sulaymaniyah Teaching Hospital, Sulaymaniyah, Iraq on the 2nd of July 2009 because of shortness of breath and repetitive cough following chocking during eating few hours earlier. The parents thought he had inhaled a piece of vegetable food.
The Case…  On examination, he was dyspnoic with bouts of cough. CXR was normal. The clinical presentation was highly suggestive of foreign body (FB) inhalation. Rigid bronchoscopy under GA, however, revealed no FB but some secretions. Aspiration was done. Post- bronchoscopy course was smooth.
Comment A normal CXR doesn’t exclude FB inhalation particularly if the history is suggestive. Unresolved cough and history of choking while eating or crying are highly suspicious of FB inhalation. In such a case, a negative bronchoscopy is much better than missing a FB.

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Normal Diagnostic Bronchoscopy for Suspected Foreign Body Inhalation.pdf

  • 1. ‫الرحيم‬ ‫الرحمن‬ ‫هللا‬ ‫بسم‬ Normal Diagnostic Bronchoscopy for Suspected Foreign Body Inhalation Prof. Abdulsalam Y Taha College of Medicine University of Sulaimani 2022
  • 2. The Case  A 13-months old infant was brought by his family to the E&A department of Sulaymaniyah Teaching Hospital, Sulaymaniyah, Iraq on the 2nd of July 2009 because of shortness of breath and repetitive cough following chocking during eating few hours earlier. The parents thought he had inhaled a piece of vegetable food.
  • 3. The Case…  On examination, he was dyspnoic with bouts of cough. CXR was normal. The clinical presentation was highly suggestive of foreign body (FB) inhalation. Rigid bronchoscopy under GA, however, revealed no FB but some secretions. Aspiration was done. Post- bronchoscopy course was smooth.
  • 4.
  • 5. Comment A normal CXR doesn’t exclude FB inhalation particularly if the history is suggestive. Unresolved cough and history of choking while eating or crying are highly suspicious of FB inhalation. In such a case, a negative bronchoscopy is much better than missing a FB.