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Physical Signs In Esophageal Foreign Body
Category: FOREIGN BODIES IN THE AIR AND FOOD PASSAGES
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery
There are no constant physical signs associated with uncomplicated
impaction of a foreign body in the esophagus. Should perforation of
the cervical esophagus occur, subcutaneous emphysema, and perhaps
cellulitis, may be found; while a perforation of the thoracic region
causing mediastinitis is manifested by toxemia, fever, and rapid
sinking. Perforation of the pleura, with the development of
pyopneumothorax, is manifested by the usual signs. It is to be
emphasized that blind bouginage has no place in the diagnosis of any
esophageal condition. The roentgenologist will give the information we
desire without danger to the patient, and with far greater accuracy.
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