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Foreign Body Ingestion: An Unusual Case in a Patient with Dementia

Foreign body ingestion is a problem seen frequently in the emergency department, particularly in children. In this case report, we present an uncommon example: foreign body ingestion in an elderly patient with a history of dementia. This patient’s symptoms of dysphagia, cough, and pooling secretions...

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Detalles Bibliográficos
Autores principales: Shah, Soham, Nemeth, Attila
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10387322/
https://www.ncbi.nlm.nih.gov/pubmed/37525804
http://dx.doi.org/10.7759/cureus.41212
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author Shah, Soham
Nemeth, Attila
author_facet Shah, Soham
Nemeth, Attila
author_sort Shah, Soham
collection PubMed
description Foreign body ingestion is a problem seen frequently in the emergency department, particularly in children. In this case report, we present an uncommon example: foreign body ingestion in an elderly patient with a history of dementia. This patient’s symptoms of dysphagia, cough, and pooling secretions in the posterior oral cavity suggested food impaction, and after further investigation, coins were found in the upper and middle esophagus. Most of the coins were removed, the patient was monitored, and outpatient follow-up was organized to ensure the safe elimination of all the coins. This case illustrates the importance of having a high pretest probability for certain diagnoses based upon how specific patient populations present.
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spelling pubmed-103873222023-07-31 Foreign Body Ingestion: An Unusual Case in a Patient with Dementia Shah, Soham Nemeth, Attila Cureus Internal Medicine Foreign body ingestion is a problem seen frequently in the emergency department, particularly in children. In this case report, we present an uncommon example: foreign body ingestion in an elderly patient with a history of dementia. This patient’s symptoms of dysphagia, cough, and pooling secretions in the posterior oral cavity suggested food impaction, and after further investigation, coins were found in the upper and middle esophagus. Most of the coins were removed, the patient was monitored, and outpatient follow-up was organized to ensure the safe elimination of all the coins. This case illustrates the importance of having a high pretest probability for certain diagnoses based upon how specific patient populations present. Cureus 2023-06-30 /pmc/articles/PMC10387322/ /pubmed/37525804 http://dx.doi.org/10.7759/cureus.41212 Text en Copyright © 2023, Shah et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Shah, Soham
Nemeth, Attila
Foreign Body Ingestion: An Unusual Case in a Patient with Dementia
title Foreign Body Ingestion: An Unusual Case in a Patient with Dementia
title_full Foreign Body Ingestion: An Unusual Case in a Patient with Dementia
title_fullStr Foreign Body Ingestion: An Unusual Case in a Patient with Dementia
title_full_unstemmed Foreign Body Ingestion: An Unusual Case in a Patient with Dementia
title_short Foreign Body Ingestion: An Unusual Case in a Patient with Dementia
title_sort foreign body ingestion: an unusual case in a patient with dementia
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10387322/
https://www.ncbi.nlm.nih.gov/pubmed/37525804
http://dx.doi.org/10.7759/cureus.41212
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