Bronchiolitis chest x ray: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{ | {{Bronchiolitis}} | ||
{{CMG}} | {{CMG}}; {{AE}} {{Alonso}} | ||
==Overview== | ==Overview== | ||
[[Chest X-ray]] is | *Abnormalities in the [[chest X-ray]] are usually inspecific and are not useful for the diagnosis of bronchiolitis.<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]] has been proved inefficient for differentiating bronchiolitis from other lower respiratory tract infections.<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> | |||
*The presence of [[atelectasis]] and consolidations have 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> | |||
*[[Chest X-ray]] may be used in hospitalized patients in when no clinical improvement is observed to rule out other suspected diagnosis 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]] should be avoided as there is no evidence supporting its benefit in the diagnosis of bronchiolitis and have 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> | |||
==Chest X Ray== | |||
Shown below is a radiograph of a patient with respiratory syncytial virus infection. | |||
<gallery> | <gallery> | ||
Image: | Image:RSV-001.jpg | ||
RSV-001.jpg | |||
</gallery> | </gallery> | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
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[[Category:Pediatrics]] | |||
[[Category:Pulmonology]] | |||
[[Category:Emergency medicine]] | |||
Latest revision as of 20:43, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alonso Alvarado, M.D. [2]
Overview
- Abnormalities in the chest X-ray are usually inspecific and are not useful for the diagnosis of bronchiolitis.[1]
- Chest X-ray has been proved inefficient for differentiating bronchiolitis from other lower respiratory tract infections.[2]
- The presence of atelectasis and consolidations have 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 in when no clinical improvement is observed to rule out other suspected diagnosis such as pneumonia.[1]
- The routine use of chest X-ray should be avoided as there is no evidence supporting its benefit in the diagnosis of bronchiolitis and have been associated with higher rates of unnecessary antibiotic use.[2]
Chest X Ray
Shown below is a radiograph of a patient with 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.
- ↑ 2.0 2.1 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.