Q:

A 2-year-old toddler was playing with candies and sweets in playroom,

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A 2-year-old toddler was playing with candies and sweets in playroom, he developed an attack of wheezing and shortness of breath, the parents brought the child to emergency room, RR was 68/min with subcostal retractions, and O2 saturation was 92%. Of the following, the MOST proper next action is to


  1. arrange for urgent bronchoscopy
  2. arrange for bedside CXR
  3. arrange for CT chest
  4. encourage coughing
  5. reassure the parents

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(A). A history consistent with foreign-body aspiration is considered diagnostic. Any child in the proper setting with the sudden onset of choking, stridor, or wheezing has foreign body aspiration until proven otherwise. The choice A is the best answer as the child start to show signs of respiratory distress with borderline O2 sat. The choice B is the next appropriate action while encourage coughing may be appropriate at home when no respiratory distress is there.

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