Tuesday, January 13, 2009

George Washington for Breakfast

3-year-old boy brought to the ED by his family after allegedly swallowing a foreign object earlier in the morning while learning a card trick at the breakfast table.  No airway difficulties.  He looks peachy, but the radiographic evidence tells a different story...

PA CXR: full frontal view of a round, radio-opaque object roughly the size of a quarter
Lateral CXR: the thin, round edge of the foreign object is seen lodged in esophagus

After a heroic extraction by EGD, a slime-covered quarter is retrieved and placed in a specimen cup.

Astute 7-year-old sister: Can we have the quarter back?
Father: [examining the loot] All this fuss over a Connecticut quarter??