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Granulomatous Disease of the Nose

Question
29 out of 35
 

About foreign body in a child true statement is: [PGI June 11]



A Unilateral fetid discharge

B Presents with unilateral nasal obstruction

C Has torrential epistaxis

D Inanimate is more common than animate

E Always removed under GA

Ans. A B and D . U/L foetid discharge; Presents with U/L nasal obstruction; and Inanimates is MC than animates Ref. Dhingra 5th/ed 176, 6th/ed p 161; LT 10th/ed, p 62; Scott Brown 7th/ed, Vall, p 1186

Foreign Bodies in Children can be

Animate

Examples are screwworms, larvae, maggots and black carpet beetles

Inanimate

These are more common

Examples are peas, beans, dried pulses, nuts, paper, cotton wool and pieces of pencil

Clinical Features

a. Unilateral foul smelling discharge in a child is pathognomic of a foreign body

b. It can lead to vestibulitis

Treatment

• Removal with forceps or blunt hook under LA

Indications of giving GA in Nasal Foreign Body Removal

a. Uncooperative or very apprehensive child

b. Troublesome bleeding if the foreign body is firmly embedded in granulation tissue

c. Posteriorly placed foreign body.

d. If a foreign body is strongly suspected but can't be found.

Granulomatous Disease of the Nose Flashcard List

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