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A 3-year-old girl with no significant past medical history presents to the clinic with a 4-day history of acute onset cough. Her parents have recently started to introduce several new foods into her diet. Her vital signs are all within normal limits. Physical exam is significant for decreased breath sounds on the right. What is the most appropriate definitive management in this patient?
Chest x-ray (CXR)
Inhaled bronchodilators and oral corticosteroids
Empiric antibiotic therapy
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A 4-year-old girl is rushed to the emergency department by her concerned parents after she ingested a US nickel. At the time of her initial ED evaluation, 1 hour had passed since the incident. Initial radiographs suggest that the coin lies in the stomach (Figure A). The patient is currently asymptomatic, denying any abdominal pain, nausea/vomiting, or difficulty breathing. Which of the following is the next best step in the management of this patient?
Discharge patient with prescription for laxative and reassurance that the coin will pass in the stool
Observation with serial radiographs until the coin passes
Urgent flexible endoscopy for attempted retrieval of the coin
Attempt bronchoscopy for confirmation of diagnosis and potential removal of coin
Surgical removal of coin