A 2-year-old fully immunised boy presents after a witnessed ingestion of a small quantity of household bleach (sodium hypochlorite). He vomited once b...

Question

A 2-year-old fully immunised boy presents after a witnessed ingestion of a small quantity of household bleach (sodium hypochlorite). He vomited once but now appears well, with normal vital signs and no drooling or respiratory distress. What is the most appropriate management?

Accepted Answer

Observe with oral fluid challenge and discharge if asymptomatic

Answer

Immediate endoscopy to assess for oesophageal injury

Answer

Induce further emesis

Answer

Administer activated charcoal

Answer

Start broad-spectrum antibiotics

ca-mccqe1 MCQ (SBA): Mild caustic ingestion in child

A 2-year-old fully immunised boy presents after a witnessed ingestion of a small quantity of household bleach (sodium hypochlorite). He vomited once but now appears well, with normal vital signs and no drooling or respiratory distress. What is the most appropriate management?