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April 2020 -
Volume 18, Issue 4

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From the Editor

Editorial
A. Abyad (Chief Editor)
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 Original Contribution

[Abstract]
Knowledge and Prevalence of Energy Drinks Consumption among King Khalid University Female Students
[pdf]
Abrar Abdulaziz Sultan, Safar A. Al Saleem, Amani A.M. Osman, Ossama A. Mostafa
DOI: 10.5742MEWFM.2020.93793

[Abstract]
The safest values of low density lipoproteins in the plasma
[pdf]
Mehmet Rami Helvaci, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742MEWFM.2020.93794

[Abstract]
Prevalence of Symptoms and Risk of Sleep Apnea in the northern Population of Pakistan.
[pdf]
Faryal Subhani, Usman Ali, Rohan Advani, Muneeb Hussain, Waris Qidwai
DOI: 10.5742MEWFM.2020.93800

[Abstract]
Assessment of Health-Related Knowledge and Practices among Patients with Peptic Ulcer
[pdf]
Mohammed Attieh Alzahrani, Khulood Alfageeh, Teaf Thabet, Nadia Ali, Njood Alnahdi, Malak Mohammed, Khalid Yousef Nabrawi, Awad Saeed Alsamghan
DOI: 10.5742MEWFM.2020.93802

Population and Community Studies

[Abstract]
Prevalence of Fibromyalgia in Patients with Ankylosing Spondylitis
[pdf]
Abdlsatar J. Mathkhor, Abdulnaser H. Abdullah, Amer S. Khudhairy M
DOI: 10.5742MEWFM.2020.93795

[Abstract]
Kidney stones in children aged less than 5 years in Aden, Yemen
[pdf]
Ali Ahmed Salem Hatroom
DOI: 10.5742MEWFM.2020.93796

[Abstract]
The Importance of Screening - Screening Programs in Qatar
[pdf]
Hana Ansari Hayat
DOI: 10.5742MEWFM.2020.93799

Education and training

[Abstract]
Emotional Intelligence of Family Medicine Residents in Qatar
[pdf]
Muna Taher, Mohamed Salem, Hisham El-Mahdi, Eman Fadhel, Teeba Salwan, Kahina Dameche, Ayat Alhakeem, Mansour El-Mahdi
DOI: 10.5742MEWFM.2020.93797

[Abstract]
Personal Development Plan (PDP)
[pdf]
Shabana Shaheen, Muhammad Hameed
DOI: 10.5742MEWFM.2020.93801

Case Report

[Abstract]
Unwitnessed Oesophageal Foreign Body Ingestion: A Case Report
[pdf]
Idris Akinwande, Saad Rehman
DOI: 10.5742MEWFM.2020.93798

[Abstract]
Autoimmune Progesterone Dermatitis: A Case Report
[pdf]
Tahani Magliah, Salwa Bardisi
DOI: 10.5742MEWFM.2020.93803


Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Editorial Office -
Abyad Medical Center & Middle East Longevity Institute
Azmi Street, Abdo Center,
PO BOX 618
Tripoli, Lebanon
Phone: (961) 6-443684
Fax:     (961) 6-443685
Email: aabyad@cyberia.net.lb
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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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Advertising Enquiries -
lesleypocock@mediworld.com.au
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.
March 2020 - Volume 18, Issue 3

Unwitnessed Oesophageal Foreign Body Ingestion:
A Case Report

Idris Akinwande
Saad Rehman

Consultant Family Physicians
Primary health commission
Qatar

Corresponding author:
Dr Idris Akinwande,
Primary health commission
Qatar
Email: idrisakinwande@hotmail.com

Received: Febuary 2020; Accepted: March 2020; Published: April 1, 2020.
Citation: Idris Akinwande, Saad Rehman. Unwitnessed Oesophageal Foreign Body Ingestion:
A Case Report. World Family Medicine. 2020; 18(4): 45-49 DOI:

Case Study


A father brought his three-year-old son into the clinic concerned that his son had lost his voice and had stopped talking 3-4 hours prior to presentation. The father also noted that he had started drooling saliva which was unusual for him. He had consumed milk without difficultly a few hours prior to presentation.
The child had a history of speech delay for which he was under the speech therapy team. He had been discharged six months prior to presentation, as he had made progress with his speech.

On examination, the child was alert and responsive. He was subdued but still playing with his soft toys. His temperature and vital signs were within normal range. Examination of the mouth, chest and abdomen were all unremarkable.

The family physician was unable to explain why he had stopped talking or drooling saliva but felt reassured that the child was not acutely unwell. He advised that he thought it was a viral illness and advised the child’s father to manage him conservatively with analgesia if needed and to return if the symptoms did not improve in a few days, or earlier if he deteriorated.

The drooling of saliva however continued at home and he became more tired, his parents contacted the ambulance service and he was taken to the emergency department of the local hospital. The clinicians at the emergency department suspected a swallowed foreign body, a metal detector confirmed the presence of a metallic foreign body. X-rays of the chest, neck and upper body revealed a radio opaque object in the oesophagus at the C5/C6 region and a two pence coin was removed by ears, nose and throat surgeons under general anaesthesia endoscopically.

 







 


 
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