During your shift in urgent care, a 3-year girl is brought to the urgent care with sudden onset of breathlessness, wheezing, diaphoresis, and restlessness. Her mother mentions in history that the child was eating peanuts before developing these symptoms. A chest x-ray shows obstruction of right main stem of bronchus. Which of the following is definitive treatment of her condition?

  1. aggressive antimicrobials
  2. surgical repair
  3. diuretic therapy
  4. surgical removal
  5. Benadryl
Explanation

Answer: D - The definitive treatment of her condition is surgical removal. She is most likely having these complaints due to the accidental entry of peanut while eating into the respiratory tract and causing obstruction of the right main stem of the bronchus. Such obstruction can lead to respiratory failure if not emergently treated.

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