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March 1933


Author Affiliations


Arch Otolaryngol. 1933;17(3):405-406. doi:10.1001/archotol.1933.03570050393009

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Some months ago, I was called to see a boy (E. N.), 6 years of age, in the absence of the otolaryngologist who usually attended the family. The following history was given by the father :

Several hours before my arrival, the boy had held a pistachio nut between his teeth to crack its shell. The nut disappeared, and the boy at once became cyanotic. The father held the boy up by his feet and put his finger down the patient's throat in an attempt to dislodge the nut, or piece of nut, which he assumed to be present. The cyanosis disappeared, but as the dyspnea continued, the parents took the child to a hospital, where a house physician repeated the finger palpation, reporting later that he definitely felt something hard slip ahead of his finger. The family then returned home.

When I saw the boy, dyspnea and considerable coughing were

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