We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Symptoms and Spontaneous Passage of EsophagealCoins

Barton D. Schmitt, MD
Arch Pediatr Adolesc Med. 1995;149(11):1287. doi:10.1001/archpedi.1995.02170240105027.
Text Size: A A A
Published online

Conners, Chamberlain, and Ochsenschlager1 add a helpful article to the coin ingestion literature. For asymptomatic children, they propose the following two options: (1) immediate radiography for coin location or (2) delayed radiography up to 24 hours after ingestion (to increase convenience). A third option that was not mentioned is to order a radiograph for asymptomatic children only if they have not passed the coin per rectum by 72 hours following coin ingestion (obviously not acceptable for button batteries, sharp objects, etc). This approach is the most cost-effective. At least 60% of the authors' asymptomatic patients would probably have not needed a radiograph using this approach. I would appreciate the authors' thoughts about this variation on intervention.

One concern about this study is sampling. It only includes children who were referred or walked into the emergency department. Asymptomatic children who were treated by telephone were not included. This may explain


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.