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Button batteries generate a when in contact with moist tissue, leading to hydrolysis of water and production of hydroxide ions. This creates a localized alkaline environment (pH > 12) that can cause tissue necrosis within 2 hours . Mechanical pressure and leakage of alkaline electrolyte further exacerbate injury. swallowed 24 12 09 baby gemini and tessa thomas
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[Patient Arrival] ──> [Airway Assessment] ──> [X-ray Imaging] ──> [Decision Window] │ ┌────────────────────────────────────────────────────────────────┴────────────────────────────────┐ ▼ ▼ [High-Risk Object Found] [Low-Risk Object Found] (Button Battery, Magnets, Sharp Item) (Small Coin, Smooth Plastic) │ │ ▼ ▼ [Immediate Endoscopy / Surgery] [Outpatient Observation] Imaging and Mapping If you are looking for a , a