n CME : Your SA Journal of CPD - Case report : choking produces pulmonary oedema : mixed bag

Volume 21, Issue 4
  • ISSN : 0256-2170



Extracted from text ... A 47-year-old man choked on a piece of boneless breast of chicken. One of his companions performed the Heimlich manoeuvre which dislodged the obstruction, but the patient continued to cough vigorously, producing blood-stained sputum. He reported dyspnoea and retrosternal pain, which persisted. He was admitted to hospital where pulse oximetry showed an oxygen saturation of 92%. Percussion of the chest was dull over the right base and midzone, with poor air entry and coarse crackles. No foreign body was seen on radiography, but acute airway obstruction caused by a foreign body was diagnosed. The patient underwent bronchoscopy but no foreign body was found; however, copious bloody secretions were suctioned from both main bronchi. ..

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