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May 1, 2023 · An absolute indication for exploration and attempted removal of a foreign body is any patient presenting with neurovascular compromise or infection. Ongoing pain, functional impairment, and the sensation of foreign material is a strong indication for surgery.
- Edward J. Skinner, Christopher A. Morrison
- Healogics
- 2018
- 2023/05/01
Jun 15, 2020 · Although some foreign bodies may be left in place, removal should be considered if the risk of complications is high. A cooperative patient and adequate wound visualization are important for...
A foreign body is an object that ends up in the body. Although a joint replacement to treat arthritis or a screw to treat a fracture is put into a person’s body, that object was intentionally put there for medical reasons. Therefore, it is called a medical device rather than a foreign body.
- Introduction
- History
- Physical Examination
- Delayed Presentation
Patients with skin and soft tissue wounds commonly present to the emergency department (ED) for evaluation and treatment. Essential in the evaluation of these wounds is a careful assessment for retained foreign bodies (FB), as they are frequently missed on initial evaluation.[1, 2] Identification of a foreign body can be difficult, depending on the...
Assessment of a patient with a suspected foreign body begins with a careful history and physical examination. Patients who present with a wound or localized pain following trauma should be questioned regarding the specific timing and nature of the injury, the level of wound contamination, and any materials involved in the injury (eg, wood splinters...
As with any clinical scenario in emergency medicine, complete evaluation of airway, breathing, and circulation (ABCs) is most important. Prior to wound examination, maximize lighting and patient positioning. Physical examination of the affected area should adequately assess for nerve, tendon, vessel, and joint involvement. Perform a vascular assess...
Foreign bodies are frequently missed during the initial evaluation, and not all patients present immediately following an injury. In one retrospective study, nearly 38% of patients had foreign bodies that were missed on initial wound inspection. Another study found that only 75% of soft tissue foreign bodies were presented within 48 hours, while pa...
Retained foreign body is suggested by the inability of a wound to heal, delayed infections, or infections resistant to antibiotic therapy [5]. The composition of the foreign body can help guide the appropriate imaging and whether removal of the foreign body is even necessary.
Oct 15, 2007 · Most ear and nose foreign bodies can be removed by a skilled physician in the office with minimal risk of complications. Common removal methods include use of forceps, water irrigation, and...
foreign body removal. Risks and benefits of removal should be discussed with the patient. Although some foreign bodies may be left in place, removal should be considered if the risk of...
