What this deck covers
Nasal Foreign Body in ten clinical teaching cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.
Diagnoses and management options tested
Across the ten cases you are asked to choose between options such as: Bilateral clear nasal discharge with sneezing, Unilateral foul-smelling purulent discharge with erythema, Bilateral epistaxis with fever, Nasal septal deviation with stridor, Autism spectrum disorder, Developmental delay, Prone position with fiberoptic nasopharyngoscope, Supine position under general anesthesia, Immediate computed tomography scan of the sinuses, Magnetic resonance imaging to assess for tumor, Nasal irrigation to visualize the object, Direct suction with a Yankauer catheter, Simple sinusitis requiring oral antibiotics, Periorbital cellulitis with risk of meningitis, Allergic rhinitis with secondary infection, Epistaxis requiring cautery, Irrigate with saline to dislodge the magnets.
Clinical pearls from this deck
- The single pattern to recognize: any toddler with UNILATERAL, purulent, foul-smelling nasal discharge has a nasal foreign body until proven otherwise. Organic objects absorb moisture, swell, and irritate the mucosa → secondary bacterial infection. Laterality is the clue — a viral URI gives bilateral clear/mucoid discharge with no odor; absence of fever argues against bacterial sinusitis.
- Peak age is 2–5 years (curiosity outpaces judgment). Real risk factors: autism spectrum disorder, developmental delay, and YOUNGER siblings (who supply the small objects). Older siblings do NOT increase risk. Right-sided objects are ~2× left (dominant hand → same-side nostril). Counsel on supervision and keeping small objects away.
The ten worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included.
More from this system: all ent decks and question sets · pediatric reference values.
