Action
- Consult or referral to toxicologist/regional Pediatric Environmental Health Specialty Unit (PEHSU) or environmental health specialist
- Consider:
- CBC
- CMP
- Iron studies
- Serum iron
- Serum transferrin
- Transferrin saturation
- Serum ferritin
- Soluble transferrin receptor (STFR)
- FEP/ZPP
- UA
- hCG
- Abdominal x-ray
Abbreviations: CBC, complete blood cell (count); CMP, comprehensive metabolic panel; FEP, free erythrocytprotoporphyrin; hCG,human chorionic gonadotropin; PEHSU, Pediatric Environmental Health Specialty Unit; UA, urinalysis; ZPP, zinc-chelated protoporphyrin.
Decision
Does X-ray show an intra-abdominal foreign body?
Foreign Body Present
Foreign Body Not Present