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  Vol. 143 No. 5, May 1989 TABLE OF CONTENTS
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Is Standard Practice in Pediatrics 'Standard'?

A Potential Lesson for Experts and Practitioners

VINCENT A. FULGINITI, MD

Am J Dis Child. 1989;143(5):529-530.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In this issue of AJDC, Schunk and coworkers1 present a concise study of the results of analysis of roentgenographic findings on ingestion of coins by children. Another study published in this issue takes a somewhat different viewpoint concerning the value of roentgenograms.2 Both studies appear to be straightforward, but buried in the report by Schunk and colleagues1 is a finding that startled some of our reviewers and our editorial staff. In a regional telephone survey of 65 practicing pediatricians, the responses demonstrated that 70% of physicians would not obtain a roentgenogram of a child who had ingested a coin and was asymptomatic. The study by Caravati et al2 reinforces this view. However, our referees and editors alike believed that almost all sources of authoritative advice concerning coin ingestions recommend, as standard practice, the use of roentgenography to determine the placement of the ingested coin and to . . . [Full Text PDF of this Article]


Author Affiliations

Editor, AJDC Dean's Office Room 1529 Tulane University School of Medicine 1430 Tulane Ave. New Orleans, LA 70112



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