Urgent Bite 295 - Subcutaneous Foreign Bodies

If we suspect a subcutaneous foreign body, we need to know where it is, what it is and how long it has been there.  This requires a good history, a thorough examination and appropriate imaging.  With this information, we can plan the best way to remove, which might involve referral.     Check out the paper mentioned from the American Family Physician Chan C, Salam GA. Splinter removal. Am Fam Physician. 2003 Jun 15;67(12):2557-62. PMID: 12825845.    Retained foot FB paper mentioned Chandrashekara CM, George MA, Al-Marboi BS. Neglected Foreign Body, the Cause of Navicular Osteomyelitis in A Paediatric Foot: A Case Report. J Orthop Case Rep. 2013 Jul-Sep;3(3):26-9. doi: 10.13107/jocr.2250-0685.111. PMID: 27298914; PMCID: PMC4719251.    Retained FB in groin paper mentioned Yhoshu E, Chaudhary G, Gupta MK. Retained wooden foreign body in groin in a child: A case report and review of literature. Afr J Paediatr Surg. 2020 Jul-Dec;17(3 & 4):127-130. doi: 10.4103/ajps.AJPS_22_20. PMID: 33342850; PMCID: PMC8051621.   Case of penile FB paper mentioned Kaneko T, Sakamoto A, Yoshida T, Yanagida K, Yoshimura I, Hagiwara K, Kimura M, Yamada Y, Nakagawa T. Penetrating penile injury due to the splintering of the floorboards in the gymnasium. IJU Case Rep. 2021 May 4;4(4):221-223. doi: 10.1002/iju5.12290. PMID: 34258532; PMCID: PMC8255285.   www.rnzcuc.org.nz [email protected] https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice, always consult your usual doctor