Foreign Body

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Foreign Body

• Bucky Boaz, ARNP-C

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Guideline for Approach

• History
• Time allotment
• Adverse outcomes
• Possible infection
• Patient education

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Imaging Techniques

• Plain radiographs
• Computed Tomography
• Magnetic Resonance Imaging
• Ultrasound

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Foreign Body Reaction

• Infection
• Chronic reactions
• Osteomyelitis

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Foreign Body Scenarios

• Punching out glass window
• Walking barefoot with sudden sharp pain
• Animal or human bite
• Stab wound

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Guidelines for Removal

• Localization
• Equipment
• Operative Technique
• Tetanus prophylaxis

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Guideline for Removal

• Traumatic tattooing
• Foreign bodies in fatty tissue
• Puncture wounds to sole of foot
• Subungual foreign bodies
• Fishhooks
• Wooden splinters
• Pencil lead
• Metallic fragments

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Guidelines for Removal

• Marine foreign bodies
• Cactus spines
• Postoperative foreign bodies
• Ring removal
• Tick removal
• Zipper injuries
• Hair-thread tourniquet

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Questions?