MedBugs: SAQ #570

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Case: Noisy Breathing

A 2-year-old child presents to your large metropolitan ED with respiratory distress and stridor. Her mum expresses concern for a potential inhaled coin. Observations:

RR 60/min
SpO2 96%
HR 140/min
Temp 37.5 C

1. What assessment history or exam features would suggest an inhaled foreign body? 2 marks

2. Give (4) differential diagnoses with salient findings on history and exam. 4 marks

She develops increasing respiratory distress. She remains alert but her cough seems to be ineffective.

3. Outline your management. 3 marks

Despite your efforts, the child becomes unresponsive.

4. Outline your immediate management including any intubation strategies which may be helpful. 5 marks

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Case: Noisy Breathing

1. What assessment history or exam features would suggest an inhaled foreign body? 2 marks

2. Give (4) differential diagnoses with salient findings on history and exam. 4 marks

3. Outline your management. 3 marks

4. Outline your immediate management including any intubation strategies which may be helpful. 5 marks

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