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In a child with a suspected foreign body in the Lung, the next best step is

A
Rigid bronchoscopy
B
Chest x-ray
C
Flexible endoscopy
D
Direct laryngoscopy
High-Yield Explanation
Ans. is 'a' i.e., Rigid bronchoscopy o A foreign body is more common b/w 1 -4 years of age. o The immediate response is cough, choking, gag. In a child with a suspected foreign body in the Lung, the next best step is always Rigid bronchoscopy since it is both diagnostic and therapeutic. o In children, left & right incidence equal (In adult right > left) o Treatment - Removal of foreign body by Rigid bronchoscopy with appropriate antibiotics. In adults, this algorithm is followed - Ref- http://rc.rcjournal.com/content/60/10/1438

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