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A 4-year-old male was brought to the emergency department just before one in the morning because of violent coughing after eating peanuts. On physical examination, his lips looked cyanotic (blue) and he continued to cough. After a talking to him for a short time, the attending physician was able to determine that at some point, the young boy began to wonder how many peanuts would fit in his nose.What is the likely problem the patient is suffering from?

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