• J Emerg Med · Mar 2017

    Case Reports

    An Unusual Cause of Persistent Crying in a Toddler.

    • Noah Kondamudi, Haamid Chamdawala, and Iona Monteiro.
    • Departments of Emergency Medicine and Pediatrics, Rutgers New Jersey Medical School, Newark, New Jersey.
    • J Emerg Med. 2017 Mar 1; 52 (3): 354-357.

    BackgroundExcessive or persistent crying is a common presentation to the pediatric emergency department, and often poses a diagnostic dilemma to emergency physicians. There are several reasons for excessive or persistent crying in children, ranging from benign causes like hunger, to life-threatening causes such as intussusception.Case ReportWe report an interesting case of a toddler whose cause of excess crying, with no detectable clinical clues, was eventually attributed to a foreign body in the esophagus. A brief review of diagnostic approach to excess crying and management of ingested foreign bodies is presented. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Ingested foreign body is a potential cause of persistent crying, and early recognition can result in definitive treatment and prevention of potential mortality and morbidity.Copyright © 2016 Elsevier Inc. All rights reserved.

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