Foreign body aspiration and ingestion (pediatrics) Quiz: Ace Your Exams

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A 3-year-old girl is brought to the emergency department by her parents after witnessing a foreign body ingestion. Her parents state she grabbed a fist full of pennies and tried to swallow them. The patient is otherwise healthy, up-to-date on vaccinations, and meeting all developmental milestones. Vital signs are notable for a temperature of 37 °C (98.6 °F), heart rate of 86/min, blood pressure of 90/58 mmHg, and respiratory rate of 22/min with SpO2 of 100% on room air. Exam reveals a well-appearing child in no apparent distress with clear lung fields and a benign abdominal exam. Labs are sent and pending. X-rays of the neck, chest, and abdomen reveal one, coin shaped object < 1 cm in the distal esophagus. Which of the following is the most appropriate management?  

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