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Related Concept Videos

Prevention of Further Absorption of Poison01:14

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In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Pharmaceutical Poisoning: Treatment Strategies01:26

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Treatment strategies for poisoning are a critical aspect of emergency medicine, focusing on preventing the absorption of toxins and enhancing their elimination. When a poisoning incident occurs, the first response is to halt exposure and decontaminate the patient, particularly through gastrointestinal (GI) methods if the poison was ingested.Gastrointestinal Decontamination Techniques:Activated charcoal is the cornerstone of GI decontamination. It works through adsorption, binding the toxin to...
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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Esophageal Strictures-II: Clinical Features and Management01:26

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Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Related Experiment Video

Updated: Mar 4, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

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Management of Ingested Hijab-Pin.

Evyatar Hubara1, Galina Ling2, Vered Pinsk2

  • 1Pediatric Intensive Care Unit, Soroka University Medical Center, Soroka, Israel.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
|April 21, 2017
PubMed
Summary

Accidental hijab pin ingestion in children often resolves spontaneously. Endoscopic intervention is recommended only if the pin

Keywords:
Foreign body ingestionHijab-pinNeedleTurban

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Last Updated: Mar 4, 2026

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Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures
  • Foreign Body Ingestion

Background:

  • Hijab pin ingestion is primarily reported in adolescent girls.
  • Current guidelines advocate for emergent endoscopic intervention for ingested long, sharp objects.
  • This study evaluates an observational approach for hijab pin ingestion.

Purpose of the Study:

  • To present outcomes of an observational approach for hijab pin ingestion.
  • To assess the necessity of intervention in pediatric cases of hijab pin ingestion.

Main Methods:

  • Retrospective cohort study of patients aged 5-18 years (2003-2014).
  • Analysis of hijab pin ingestion cases.
  • Statistical assessment of intervention need using univariable and multivariable analyses.

Main Results:

  • 203 cases of hijab pin ingestion were documented.
  • Most pins (67.4%) were located in the stomach upon presentation.
  • Spontaneous ejection occurred in 71% of upper gastrointestinal tract cases (P=0.005).
  • Absence of pin progression on X-ray after 12 hours was more common in the intervention group (90%, P=0.001).

Conclusions:

  • Spontaneous ejection is the most common outcome for ingested hijab pins.
  • Endoscopic intervention is advised if pin location remains static on consecutive X-rays.