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Intractable vomiting: diagnostic clues in plain neck films
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Clinical introduction
An 89-year-old man with dementia presented to the emergency department with a 3-day history of sharp central chest pain and vomiting. His carer said he had been unable to keep anything down since he had a steak pie 3 days earlier. His chest X-ray was normal. A soft tissue X-ray of the neck was done (figure 1).
Figure 1
X-ray of neck soft tissues.
Question
What is the abnormality?
Epiglottitis
Oesophageal food bolus
Foreign …
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