Question 314 · LEK · Esophagus

A mother presents to the emergency department with a 6-year-old son who swallowed a 2 PLN coin (21.5 mm in diameter). The child has difficulty swallowing. Select the preferred therapeutic approach:

  1. A. abdominal x-ray in a standing position.
  2. B. chest computed tomography with oral and intravenous contrast agents.
  3. C. admission of the child to the surgical ward for observation.
  4. D. qualification of the child for surgery due to the size of the swallowed coin.
  5. E. endoscopy of the upper gastrointestinal tract.
Hint

Dysphagia means the coin is stuck in the oesophagus; which procedure both confirms and treats this?

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