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Disease Information for Nose, foreign body

Clinical Manifestations

Signs & Symptoms

Facial pain/nostril area

Characteristic breath odor

Noisy Breathing Aged/Elderly

Sneezing excess

Anosmia/Loss of sense of smell

Blood in throat/posterior

Blood streaked purulent nasal discharge

Decreased sense of smell

Epistaxis Children

Epistaxis, severe/persistent

Foul/drainage/nasopharynx

Itchy nose

Nasal congestion

Nasal discharge

Nasal mucosal involvement/irritation

Nasal pain

Nasal purulent discharge

Nose blocked/stuffy

Nose blocked/unilateral

Nose tenderness/cartilage

Nostrils/pruritic/itching/severe/constant (Wartenburg)

Post-nasal drip/catarrh

Rhinorrhea

Runny nose/rhinorrhea

Serosanguinous nasal discharge

Sneezing

Sneezing/paroxysms

Snoring

Snoring, loud dramatic

Unilateral nasal discharge/drainage

Demographics & Risk Factors

Occupational Factors

Setting/Emergency Department

Diagnostic Test Results

X-RAY

Xray/Paranasal sinus mass

Associated Diseases & Rule outs

Associated Disease & Complications

Epistaxis/nosebleed

Maxillary sinusitis/Antrum sinusitis

Nasal fissure/vestibule

Nasal obstruction

Nose foreign body

Rhinitis, purulent

Upper GI Bleeding in children

Disease Mechanism & Classification

Class

CLASS/Otolaryngology/ENT Specialty Population

CLASS/Nose disorder (ex)

CLASS/Otolaryngology/ENT disorders (ex)

CLASS/Tracheonasal/larynx/pharynx (category)

Process

PROCESS/Foreign body disorder (ex)

PROCESS/Structural/anatomic/foreign body (category)

Treatment

Drug Therapy - Indication

SX/ENT Surgery

Definition

Nasal Foreign Body: children and developmentally disabled; inorganic Materials (Beads, Pebbles); Organic Materials (Beans, Peas) Tend to swell and soften and makes removal more difficult; Unilateral foul smelling discharge; Nasal obstruction [Vasoconstriction makes foreign body more easily seen] Do not push posteriorly (May result in aspiration); Trial of insufflation : Occlude opposite nostril then Parent blows into mouth (or with Ambu Bag) Forces air through nostril with foreign body; Fogarty Catheter and Insert from back behind foreign body using Forceps (Alligator or bayonet); General anesthesia may be needed [adapted from Family Practice Notebook 2004]

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External Links Related to Nose, foreign body

PubMed (National Library of Medicine)

NGC (National Guideline Clearinghouse)

Medscape (eMedicine)

Harrison's Online (accessmedicine)

NEJM (The New England Journal of Medicine)

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