Bronchiolitis x ray: Difference between revisions
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{{Bronchiolitis}} | {{Bronchiolitis}} | ||
{{CMG}}; {{AE}} {{Alonso}} | {{CMG}}; {{AE}} {{Alonso}}, {{AEL}} | ||
==Overview== | ==Overview== | ||
Chest X-ray in cases of bronchiolitis is usually nonspecific and may be inefficient for differentiating bronchiolitis from other lower respiratory tract infections. It may show [[atelectasis]] and [[Consolidation (medicine)|consolidations]]. Chest X-ray is also used to exclude other medical conditions like [[pneumonia]]. | [[Chest X-ray]] in cases of bronchiolitis is usually nonspecific and may be inefficient for differentiating bronchiolitis from other [[lower respiratory tract infection|lower respiratory tract infections]]. It may show [[atelectasis]] and [[Consolidation (medicine)|consolidations]]. [[Chest X-ray]] is also used to exclude other medical conditions like [[pneumonia]]. | ||
==Chest X Ray== | ==Chest X Ray== | ||
Abnormalities in the [[chest X-ray]] are usually nonspecific and are not useful for the diagnosis of bronchiolitis. In cases of bronchiolitis, X-ray of the chest shows the following:<ref name="pmid17015575">{{cite journal| author=American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis| title=Diagnosis and management of bronchiolitis. | journal=Pediatrics | year= 2006 | volume= 118 | issue= 4 | pages= 1774-93 | pmid=17015575 | doi=10.1542/peds.2006-2223 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17015575 }} </ref> | |||
*The presence of [[atelectasis]] and [[Consolidation (medicine)|consolidations]] has been studied for the assessment of severity; however, there is no evidence of a clear correlation.<ref name="pmid17015575">{{cite journal| author=American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis| title=Diagnosis and management of bronchiolitis. | journal=Pediatrics | year= 2006 | volume= 118 | issue= 4 | pages= 1774-93 | pmid=17015575 | doi=10.1542/peds.2006-2223 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17015575 }} </ref> | |||
*The presence of [[atelectasis]] and consolidations has been studied for the assessment of | |||
*[[Chest X-ray]] may be used in hospitalized patients with no clinical improvement and to rule out other suspected diagnoses such as [[pneumonia]].<ref name="pmid17015575">{{cite journal| author=American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis| title=Diagnosis and management of bronchiolitis. | journal=Pediatrics | year= 2006 | volume= 118 | issue= 4 | pages= 1774-93 | pmid=17015575 | doi=10.1542/peds.2006-2223 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17015575 }} </ref> | *[[Chest X-ray]] may be used in hospitalized patients with no clinical improvement and to rule out other suspected diagnoses such as [[pneumonia]].<ref name="pmid17015575">{{cite journal| author=American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis| title=Diagnosis and management of bronchiolitis. | journal=Pediatrics | year= 2006 | volume= 118 | issue= 4 | pages= 1774-93 | pmid=17015575 | doi=10.1542/peds.2006-2223 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17015575 }} </ref> | ||
*The routine use of [[chest X-ray]] | *The routine use of [[chest X-ray]] is generally avoided, as there is no evidence supporting its benefit in the diagnosis of [[bronchiolitis]] and it has been associated with higher rates of unnecessary [[antibiotic]] use.<ref name="pmid14757603">{{cite journal| author=Bordley WC, Viswanathan M, King VJ, Sutton SF, Jackman AM, Sterling L et al.| title=Diagnosis and testing in bronchiolitis: a systematic review. | journal=Arch Pediatr Adolesc Med | year= 2004 | volume= 158 | issue= 2 | pages= 119-26 | pmid=14757603 | doi=10.1001/archpedi.158.2.119 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14757603 }} </ref> | ||
Shown below is a radiograph of a patient | Shown below is a radiograph of a patient affected by bronchiolitis due to [[Respiratory syncytial virus|respiratory syncytial virus infection]]. | ||
[[Image:RSV.png|thumb|center|500px|Chest x ray shows typical bilateral perihilar fullness of bronchiolitis. Source: By James Heilman, MD - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=14504378]] | |||
Image:RSV- | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
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[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
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Latest revision as of 20:44, 29 July 2020
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Bronchiolitis x ray On the Web |
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American Roentgen Ray Society Images of Bronchiolitis x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alonso Alvarado, M.D. [2], Ahmed Elsaiey, MBBCH [3]
Overview
Chest X-ray in cases of bronchiolitis is usually nonspecific and may be inefficient for differentiating bronchiolitis from other lower respiratory tract infections. It may show atelectasis and consolidations. Chest X-ray is also used to exclude other medical conditions like pneumonia.
Chest X Ray
Abnormalities in the chest X-ray are usually nonspecific and are not useful for the diagnosis of bronchiolitis. In cases of bronchiolitis, X-ray of the chest shows the following:[1]
- The presence of atelectasis and consolidations has been studied for the assessment of severity; however, there is no evidence of a clear correlation.[1]
- Chest X-ray may be used in hospitalized patients with no clinical improvement and to rule out other suspected diagnoses such as pneumonia.[1]
- The routine use of chest X-ray is generally avoided, as there is no evidence supporting its benefit in the diagnosis of bronchiolitis and it has been associated with higher rates of unnecessary antibiotic use.[2]
Shown below is a radiograph of a patient affected by bronchiolitis due to respiratory syncytial virus infection.
References
- ↑ 1.0 1.1 1.2 American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis (2006). "Diagnosis and management of bronchiolitis". Pediatrics. 118 (4): 1774–93. doi:10.1542/peds.2006-2223. PMID 17015575.
- ↑ Bordley WC, Viswanathan M, King VJ, Sutton SF, Jackman AM, Sterling L; et al. (2004). "Diagnosis and testing in bronchiolitis: a systematic review". Arch Pediatr Adolesc Med. 158 (2): 119–26. doi:10.1001/archpedi.158.2.119. PMID 14757603.