Inhaled foreign body

Question 1

What are the clinical features of inhaled foreign body?

Answer 1

Choking and coughing
Dyspnea
Hoarseness and inability to speak
Respiratory distress, cyanosis, altered mental state
Diminished breath sounds on the affected side
Stridor, wheezing
Hyper-reasonance with partial obstruction
Persistent or recurrent cough
Fever

Question 2

How is foreign body aspiration diagnosed?

Answer 2

(Unstable patients) Immediate treatment
Chest x-ray
CT
Bronchoscopy

Question 3

What is the treatment for foreign body aspiration?

Answer 3

(Life-threatening) encourage coughing to dislodge FB
Heimlich maneuver
Intubation 
Tracheotomy 
(Stable) Bronchoscopy (gold standard)