طفل عمره سنتان كان يأكل فول سوداني مع إخوته، وفجأة صار يسعل ويختنق لدقيقة ثم توقف السعال. بعد يوم صار عنده كحة، والفحص يظهر صفيراً في الجهة اليمنى فقط وضعف أصوات فيها. الحرارة ٣٧٫٦، والتشبع ٩٥٪. ما الأرجح؟

A 2-year-old was eating peanuts with his siblings when he suddenly coughed and choked for a minute, then the coughing stopped. A day later he has a cough, with wheeze on the right side only and reduced breath sounds there. T 37.6 °C, SpO2 95%. What is most likely?

1. An asthma attack needing only an inhaler
2. Bilateral viral pneumonia
3. A foreign body in the right bronchus
4. Acute viral bronchiolitis

Answer: C) A foreign body in the right bronchus. Sudden coughing while eating followed by one-sided wheeze suggests an aspirated foreign body, usually in the wider, straighter right bronchus. Bronchoscopic removal is needed; whole nuts are avoided in young children.