AFP: American Family Physician Podcast

Episode 233 -- July 2025 -- Part 1 AFP: American Family Physician

Jul 15, 2025
Discover effective techniques for removing foreign bodies from the ear, nose, and throat, and learn about the urgent need for intervention. Explore the pros and cons of topical treatments for eczema and the surprising risks associated with intravenous antihypertensives in hospitalized patients. Understand the importance of early developmental screening for children and innovative behavioral therapies like dialectical behavior therapy. Plus, uncover groundbreaking research on RSV prophylaxis and its potential to reduce hospital visits.
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ADVICE

Safe Ear Foreign Body Removal

  • Use otoscopy to identify ear foreign bodies and assess the tympanic membrane.
  • Remove objects using gentle irrigation or instrumentation, but avoid irrigation for batteries or occlusive objects.
ADVICE

Managing Nasal Foreign Bodies

  • For nasal foreign bodies, use instrumentation like a nasal speculum for removal or try the parent's kiss technique.
  • Refer urgently for button batteries or if objects are above the inferior turbinate.
ANECDOTE

Nasal Button Battery Complication

  • A misdiagnosed case of preseptal cellulitis was due to a missed nasal button battery.
  • This highlights the danger of foreign bodies causing severe infections when overlooked.
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