scholarly journals Auscultating a pea: the stethoscope may matter in otorhinolaryngology emergency evaluation

2021 ◽  
Vol 7 (3) ◽  
pp. 530
Author(s):  
Francisco Alves De Sousa ◽  
Ana Costa Silva ◽  
Ana Nóbrega Pinto ◽  
Cecília Almeida E. Sousa
Keyword(s):  
Foreign Body ◽  
Lower Lobe ◽  
Signs And Symptoms ◽  
Foreign Body Sensation ◽  
Careful Examination ◽  
Lower Airway ◽  
Lobe Bronchus ◽  
Body Sensation ◽  
The Right

<p>Foreign body sensation is a common complaint in the otorhinolaryngology emergency. Careful examination of the patient’s pharynx is mandatory, but sometimes the object is not visualized. In such scenario, it may be important to explore signs and symptoms indicating lower aerodigestive impaction. This work describes the case of a 73-year-old woman without relevant comorbidities attending to emergency care. She complained of a foreign body sensation on the right side of the throat after ingesting a meal, which motivated referral to otorhinolaryngology. Flexible transnasal nasopharyngoscopy was unremarkable and no foreign bodies were found. Auscultation was performed revealing low-pitch expiratory wheezing on her right hemithorax. The suspicion of bronchial foreign body was then raised, which was ultimately confirmed by imaging and bronchoscopy, showing an impacted pea on the right lower lobe bronchus. The stethoscope was hence determinant for detecting aspiration, by revealing consistent alterations. Its usage should be encouraged in similar scenarios, highlighting the role of this classic but sometimes forgotten tool. Importantly, higher neck/throat sensations should not exclude the possibility of a lower airway foreign body.</p>

Young Man with Foreign-Body Sensation in the Right Eye

2010 ◽  
Vol 55 (6) ◽  
pp. 578-583 ◽  
Author(s):  
Shannon Moffett ◽  
Charlotte Page Wills
Keyword(s):  
Foreign Body ◽  
Foreign Body Sensation ◽  
Body Sensation ◽  
The Right

scholarly journals Worm in the Throat: Hamartoma Larynx

2014 ◽  
Vol 4 (1) ◽  
pp. 33-35 ◽  
Author(s):  
Sudarshan Loka Reddy ◽  
Nagendra Kadapa
Keyword(s):  
Foreign Body ◽  
Young Female ◽  
Foreign Body Sensation ◽  
Respiratory Obstruction ◽  
Benign Lesions ◽  
Body Sensation ◽  
The Right

ABSTRACT Hamartomas of larynx are rare benign lesions which can be a rare cause for respiratory obstruction. This report highlights the case of a young female who presented with foreign body sensation and worm-like mass in throat of 10 years duration. On videolaryngoscopy, a pinkish polypoidal worm like mass was seen arising from the right side of epiglottis on the laryngeal surface. Endoscopic guided excision with cautery was done and the mass revealed hamartoma on histopathology. How to cite this article Reddy SL, Kadapa N. Worm in the Throat: Hamartoma Larynx. Int J Phonosurg Laryngol 2014;4(1):33-35.

Foreign body sensation in the throat due to displacement of the superior cornu of the thyroid cartilage: two cases and a literature review

2006 ◽  
Vol 120 (7) ◽  
pp. 608-609 ◽  
Author(s):  
S K Nadig ◽  
S Uppal ◽  
G W Back ◽  
A P Coatesworth ◽  
A R H Grace
Keyword(s):  
Differential Diagnosis ◽  
Foreign Body ◽  
Gastroesophageal Reflux Disease ◽  
Diagnostic Procedure ◽  
Thyroid Cartilage ◽  
Foreign Body Sensation ◽  
Careful Examination ◽  
Body Sensation ◽  
Common Causes ◽  
Oesophageal Dysmotility

The sensation of a foreign body in the throat when swallowing is a common and very discomforting symptom for those who experience it. Common causes are gastroesophageal reflux disease and possibly upper oesophageal dysmotility. This complaint may be dismissed as psychogenic when a cause for the problem is not readily apparent.We present two cases in which the patient had a foreign body sensation in the throat, associated with a dry swallow. The most helpful diagnostic procedure was careful examination of the hypopharynx and neck and flexible fibre-optic rhinolaryngoscopy. One case was treated with surgery of the neck and larynx to trim the medially projecting superior cornu of the thyroid cartilage. Surgery was successful in eliminating the symptoms.Although an uncommon finding, our experience is that symptoms due to a medially displaced thyroid cornu should be considered in the differential diagnosis as an important and surgically correctable cause of persistent foreign body sensation at the hyoid level in the neck.

Giant hamartoma of the oropharynx

1996 ◽  
Vol 110 (5) ◽  
pp. 480-482 ◽  
Author(s):  
D. J. Santana-Hernandez ◽  
S. R. Ell ◽  
P. Da Costa ◽  
C. P. Macklin ◽  
S. S. M. Hussain
Keyword(s):  
Foreign Body ◽  
Unknown Origin ◽  
Foreign Body Sensation ◽  
Tonsillar Fossa ◽  
Body Sensation ◽  
Benign Tumours ◽  
The Right

AbstractGiant polypoidal hamartomas of the pharynx and oesophagus are rare benign tumours of unknown origin, exceptionally arising from the oropharynx. We report the case of a 74-year-old man who developed sudden nausea and a foreign body sensation. Shortly afterwards he regurgitated a 25 × 3 × 1.5 cm pedunculated fleshy mass, still attached to the inside of his throat. The patient was anaesthetised, the mass traced to the right tonsillar fossa and adjacent oropharyngeal wall. The pedicle was clamped and the lesion excised. Histology was consistent with a giant oropharyngeal hamartoma. We discuss the pathogenesis and potential complications of this condition. The literature is reviewed.

scholarly journals Content validity of a novel patient-reported and observer-reported outcomes assessment to evaluate ocular symptoms associated with infectious conjunctivitis in both adult and pediatric populations

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Sujata P. Sarda ◽  
Marie De La Cruz ◽  
Emuella M. Flood ◽  
Magdalena Vanya ◽  
David G. Hwang ◽  
...  
Keyword(s):  
Foreign Body ◽  
Content Validity ◽  
Pediatric Patients ◽  
Cognitive Interview ◽  
Signs And Symptoms ◽  
Foreign Body Sensation ◽  
Bacterial Conjunctivitis ◽  
Concept Elicitation ◽  
Body Sensation ◽  
Patient Reported

Abstract Background Acute infectious conjunctivitis is a common condition most frequently caused by viruses or bacteria. Clinical outcome assessments have been used to assess signs and symptoms of bacterial and viral conjunctivitis, but have not been evaluated for content validity. We aimed to develop content-valid patient- (PRO) and observer-reported outcome (ObsRO) instruments to assess symptoms of ocular discomfort associated with viral or bacterial conjunctivitis in adult and pediatric patients. Methods Draft items were developed from a previous review of published studies from 2001 to 2015. Patients and caregivers of patients with a diagnosis of viral or bacterial conjunctivitis within the past 6 months were recruited. Concept elicitation with open-ended questions explored signs and symptoms, followed by cognitive interviewing to assess clarity and relevance of the draft items. Patients aged ≥8 years were interviewed for the PRO; parents/caregivers of children aged 1–10 years were interviewed for the ObsRO. Interviews were conducted in three rounds to allow changes. Concept saturation was documented using a saturation grid. Cognitive interview data were analyzed iteratively and focused on clarity, relevance and inconsistent interpretation of the instrument’s content. Results Overall, 23 patients or parents/caregivers participated (round 1, n = 10; round 2, n = 6; round 3, n = 7). Data saturation was reached by the 16th interview. The most frequent spontaneously reported signs/symptoms were: discharge, red/pink eyes, itchiness, swelling/puffiness, watery eyes, pain, burning and foreign body sensation. Itching, pain/burning/stinging and foreign body sensation were most commonly reported as the top three most bothersome symptoms. Interview results indicated that items on pain, itching and foreign body sensation for the PRO and pain or discomfort for the ObsRO were relevant to the patients’ experience of conjunctivitis and were clear and easy to understand. Conclusions PRO and ObsRO items were found to be clear, relevant and appropriate in assessing key viral and bacterial conjunctivitis symptoms in adult and pediatric patients.

UNUSUAL OCULAR FOREIGN BODY: LEECH IN THE EYE

2021 ◽  
pp. 9-9
Author(s):  
Sanjeev Krishan ◽  
Deepak Kumar Sharma ◽  
Anubhav Chauhan
Keyword(s):  
Foreign Body ◽  
Clinical Features ◽  
Foreign Body Sensation ◽  
Topical Antibiotics ◽  
Body Sensation ◽  
History Of ◽  
The Right

A twenty-six year old male presented with a history of redness and foreign body sensation in the right eye for two days. He was diagnosed as acute infective conjunctivitis elsewhere the previous day and was given topical antibiotics, but his symptoms worsened. Ocular examination revealed a leech over the nasal sclera of the right eye being the culprit of his clinical features.

scholarly journals ROLE OF PIPPALYADI GUTIKA ANJANA IN THE MANAGEMENT OF ARMA: A CASE SERIES

2020 ◽  
Vol 8 (8) ◽  
pp. 4283-4286
Author(s):  
Rajnigandha Manwar ◽  
Pravin M. Bhat
Keyword(s):  
Foreign Body ◽  
Conservative Treatment ◽  
Case Series ◽  
Modern Science ◽  
Sense Organ ◽  
Foreign Body Sensation ◽  
Sense Organs ◽  
Latin Word ◽  
Body Sensation

Background: Shalakyatantra is among one of specialties of Ashtanga Ayurveda which deals with diseases occurring above clavicle, so it mainly deals with sense organs, the disease affecting them and their man-agement. Among these sense organ eyes are one. Pterygium term is derived from Latin word ‘Pterygion’ means a wing, so it is wing shaped fold of conjunctiva encroaching upon the cornea from either side within the interpalpebral fissure. Etiology of Pterygium is not definitely known but the disease is more common in people living in hot climates. In Ayurveda, it can be correlated with Arma. Arma is Shuklagat Roga. Purpose: There is no conservative treatment in modern science, so we planned to search the result of Pip-palyadi Gutika Anjana. Method: In present study 5 patients were selected and treated with Pippalyadi Gutika Anjana for 45 days. Subjective parameters like redness, watering and foreign body sensation and objective parameters like length and thickness of pterygium were adapted. Results and Conclusion: Pippalayadya Gurika Anjana have a Lekhana Tridoshashamaka Raktashodhaka, Chakhushya and Rasayana. A significant relief was found in symptom like Redness, watering and foreign body sensation.

scholarly journals Flexible Bronchoscopic Removal of Push-Pin from Right Lower Lobe Bronchus: a Case Report

2020 ◽  
Vol 3 (1) ◽  
pp. 323-325
Author(s):  
Prajwol Shrestha ◽  
Ashesh Dhungana ◽  
Madhusudan Kayastha ◽  
Manisha Shrestha ◽  
Deepa Niroula
Keyword(s):  
Foreign Body ◽  
Lower Lobe ◽  
Oral Route ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Flexible Bronchoscopy ◽  
Lobe Bronchus ◽  
Foreign Body Extraction ◽  
History Of ◽  
The Right

Foreign body aspiration is common in children and adolescents. Foreign body aspiration is often unnoticed and diagnosis may be delayed in children, as many fail to provide a history. Although rigid bronchoscopy is preferred modality, flexible bronchoscopy is also a useful tool for foreign body extraction from the distal airways in selected cases. An eleven-year-old boy presented with a history of fever and dry cough of one month's duration. A chest x-ray showed a linear radiopaque foreign body along the course of the right bronchus. Flexible bronchoscopy revealed a metallic nail-like structure in right lower lobe bronchus which was successfully grasped with the flexible forceps and extracted via the oral route with the bronchoscope. Upon extraction aspirated foreign body was found to be a push-pin.

To evaluate the clinical efficacy of Palash Mula Arka in Pittaja Netrabhishyanda.

2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Yuwaraj D. Kale ◽  
Sarika Choure
Keyword(s):  
Foreign Body ◽  
Modern Science ◽  
Signs And Symptoms ◽  
Burning Sensation ◽  
Trial Group ◽  
Inflammatory Condition ◽  
Conjunctival Hyperemia ◽  
Bacterial Conjunctivitis ◽  
Body Sensation ◽  
Acute Bacterial Conjunctivitis

Abhishyanda is one of the Sarvagata Vyadhi mentioned by Acharya Sushruta. In modern science, signs and symptoms of Netrabhishyanda may be correlated with conjunctivitis, which is the inflammatory condition of conjunctiva. Kavala Dharana, Dhumrapana, Aschyotana, Sechana Putapaka etc. are various suggested regimens in Ayurvedic texts for the treatment of Netrabhishyanda. Considering this effectiveness of Palasha as mentioned by Acharya Sushruta, it is planned to study the use of Palasha Mula Arka Aschyotana in Pittaja Netrabhishyanda. 60 patients having classical signs and symptoms of Pittaja Abhishyanda (Acute Bacterial Conjunctivitis) as per Ayurvedic and modern texts were selected for the study. After completion of therapy, mean Conjunctival hyperemia was reduced to 0.2167 ± 0.4086 in Control and 0.5667 ± 0.5040 in Trial Group. Palasha Mula Arka was found effective in reduction in conjunctival hyperemia, watering and the number of culture colonies, it was also found effective in burning sensation, discharge, foreign body sensation and photophobia.

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