Investigation

Results

Complete Blood counts

WBC: Neutrophilia.

RBC: Hb-11.9 g/dL with normal HCT, MCH and MCHC

PLT: 432 × 10³/uL

Malaria screen

1) RDT

Negative

2) Blood smear

No malaria parasites seen

Typhoid test

Non-reactive

Helicobacter pylori

Negative

HIV screen

Non-reactive

COVID-19

Negative

Upper GI endoscopy

Normal oropharynx, hypopharynx, and esophagus. Competent gastroesophageal sphincter, retained gastric contents, multiple nails, and other metals filling the stomach about one kilogram (Figure 1).

Erect Abdominal x-ray

Homogeneous opacity in the abdominal cavity consistent with metallic foreign bodies (Figure 2)