Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents following accidental ingestion of earthworm (Annelida). Reports timing of ingestion, presence of associated symptoms including nausea, vomiting, abdominal cramping, or diarrhea. Denies choking, dysphagia, or respiratory distress. No history of underlying gastrointestinal pathology or immunocompromise.
Clinical Examination Findings
General appearance: Alert and oriented, no signs of acute distress. HEENT: Oropharynx clear, no evidence of residual foreign body or mucosal trauma. Abdomen: Soft, non-tender, non-distended, bowel sounds normoactive. No guarding or rebound tenderness. Vital signs stable.
Treatment Protocol
Observation and supportive care. No specific anthelmintic therapy indicated for incidental earthworm ingestion in asymptomatic patients. Advise monitoring for development of gastrointestinal symptoms (nausea, vomiting, abdominal pain) or passage of stool changes over the next 48-72 hours. Ensure hydration.