Ear, nose & throat · UKMLA & AKT

Foreign body airway obstruction

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise foreign body airway obstruction — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Sudden onset coughing/choking during eating or play
  • Universal choking sign - hands clutched to throat
  • Stridor - high-pitched inspiratory noise; partial obstruction
  • Cyanosis - perioral/peripheral; signifies significant hypoxia
  • Paradoxical (see-saw) chest/abdominal movement

Never slap a patient on the back while they are coughing effectively - this can convert a partial obstruction into a complete one.

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