"SPECS-R"
S - severity of the airway obstruction - Parents subjective impression of the severity of the problem.
P - progression of the obstruction.
E - eating or feeding difficulties.
C - cyanosis.
S - sleep apnea, especially with evidence of cor pulmonale.
R - radiologic abnormalities
See also this video
A PEANUT IN THE RESPIRATORY TRACT CAN CAUSE HUGE PROBLEMS.. WHEN IT IS NEGLECTED FOR WEEKS .... EVEN GREATER PROBLEMS