Name of the Procedure:

Radiologic Examination from Nose to Rectum for Foreign Body, Single View, Child
Common Name(s): X-ray for Ingested/Inserted Foreign Object, Pediatric Foreign Body X-ray

Summary

A radiologic examination from the nose to rectum, commonly known as an X-ray, is performed to identify the presence and location of a foreign object within a child's body. This is a non-invasive procedure that provides a single view image.

Purpose

This procedure is used to detect and locate foreign objects that a child may have ingested or inserted into their body. The goal is to identify the presence and location of the foreign object to determine the appropriate treatment or intervention needed.

Indications

• Ingestion or insertion of foreign objects by children.
• Symptoms such as difficulty breathing, swallowing, abdominal pain, or vomiting.
• Unexplained discomfort or pain potentially caused by a foreign body.

Preparation

• Generally, no specific preparations are required for the child.
• The child should be calm and cooperative for the imaging process.
• Guardians may be instructed to remove any metal objects (jewelry, belts) that could interfere with the X-ray image.

Procedure Description

1. The child is positioned on the X-ray table, typically lying down.
2. The radiologic technologist adjusts the X-ray machine to capture an image from the nose to the rectum.
3. The child is asked to remain still for a few seconds while the image is taken.
4. Radiographic images are captured to visualize the internal organs and any foreign objects.

No sedation or anesthesia is usually required for a single-view X-ray.

Duration

The procedure typically takes about 10-15 minutes, including preparation and positioning.

Setting

This examination is performed in a hospital radiology department or an outpatient imaging center.

Personnel

• Radiologic Technologist: Conducts the imaging procedure.
• Radiologist: Reviews and interprets the X-ray images.
• Pediatrician or Emergency Physician: May be involved in referring and follow-up care as necessary.

Risks and Complications

• Minimal exposure to ionizing radiation, which is generally safe but carries a very small risk, especially for children.
• Rare instances of allergic reactions to contrast if used (though not typical for a single view).

Benefits

• Quick and effective method to identify and locate foreign objects.
• Non-invasive with immediate results, aiding in timely treatment decisions.

Recovery

• No recovery period is needed as the procedure is non-invasive.
• The child can return to normal activities immediately after the exam.
• Follow-up appointments may be required based on the findings.

Alternatives

• Ultrasound: Another imaging technique that does not use ionizing radiation but may not be as effective in locating certain types of foreign objects.
• Endoscopy: An invasive procedure that provides direct visualization but is typically used if intervention is needed to remove the object.

Patient Experience

• The child may experience minimal discomfort due to the need to stay still.
• Pain is not typically associated with this procedure.
• Comfort measures, such as allowing a parent to be present, can help reduce anxiety.