Bronchitis chest x ray: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{CMG}}{{AE}}{{MehdiP}} | {{CMG}}{{AE}}{{MehdiP}}; {{NRM}} | ||
{{Bronchitis}} | {{Bronchitis}} | ||
==Overview== | ==Overview== | ||
Chest x ray findings are normal in patients with acute bronchitis and thus, chest radiography is not routinely recommended. | Chest x-ray findings are normal in patients with acute bronchitis and thus, chest radiography is not routinely recommended. The classic signs of chronic bronchitis are over-expanded lung (hyperinflation), a flattened [[diaphragm]], increased retrosternal airspace, and occasionally, bullae.<ref name="Old2007">{{cite journal |author=Torres M, Moayedi S |title=Evaluation of the acutely dyspneic elderly patient |journal=Clin. Geriatr. Med. |volume=23 |issue=2 |pages=307–25, vi |year=2007 |month=May |pmid=17462519 |doi=10.1016/j.cger.2007.01.007 |url=}}</ref> Chest x-ray can be useful to help exclude other lung diseases, such as [[pneumonia]], [[pulmonary edema]] or a [[pneumothorax]].<ref name=Old2007/> | ||
==Chest x ray== | ==Chest x-ray== | ||
===Acute bronchitis=== | ===Acute bronchitis=== | ||
Normal view of the lungs is the most common finding. Chest x ray may be ordered in specific situations<ref name="pmid21121518">{{cite journal |vauthors=Albert RH |title=Diagnosis and treatment of acute bronchitis |journal=Am Fam Physician |volume=82 |issue=11 |pages=1345–50 |year=2010 |pmid=21121518 |doi= |url=}}</ref><ref name="pmid11255532">{{cite journal |vauthors=Gonzales R, Bartlett JG, Besser RE, Cooper RJ, Hickner JM, Hoffman JR, Sande MA |title=Principles of appropriate antibiotic use for treatment of uncomplicated acute bronchitis: background |journal=Ann. Intern. Med. |volume=134 |issue=6 |pages=521–9 |year=2001 |pmid=11255532 |doi= |url=}}</ref> | Normal view of the lungs is the most common finding. Chest x-ray may be ordered in specific situations, including the following:<ref name="pmid21121518">{{cite journal |vauthors=Albert RH |title=Diagnosis and treatment of acute bronchitis |journal=Am Fam Physician |volume=82 |issue=11 |pages=1345–50 |year=2010 |pmid=21121518 |doi= |url=}}</ref><ref name="pmid11255532">{{cite journal |vauthors=Gonzales R, Bartlett JG, Besser RE, Cooper RJ, Hickner JM, Hoffman JR, Sande MA |title=Principles of appropriate antibiotic use for treatment of uncomplicated acute bronchitis: background |journal=Ann. Intern. Med. |volume=134 |issue=6 |pages=521–9 |year=2001 |pmid=11255532 |doi= |url=}}</ref> | ||
*Suspected [[pneumonia]] | |||
*Cough lasting more than 3 weeks | |||
*Abnormal vital signs (pulse >100/minute, respiratory rate >24 breaths/minute, or temperature >38°C) | |||
*Signs of consolidation on chest examination | |||
===Chronic Bronchitis=== | ===Chronic Bronchitis=== | ||
* Increased bronchovascular markings | *Increased bronchovascular markings | ||
* [[Cardiomegaly]] | *[[Cardiomegaly]] | ||
* Right ventricular enlargement | *Right ventricular enlargement | ||
*Prominent hilar vascular shadows | |||
*Opacity in retrosternal air spaces ([[pulmonary hypertension]]) | |||
==References== | ==References== | ||
Revision as of 14:44, 4 October 2016
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]; Nate Michalak, B.A.
Bronchitis Main page |
Overview
Chest x-ray findings are normal in patients with acute bronchitis and thus, chest radiography is not routinely recommended. The classic signs of chronic bronchitis are over-expanded lung (hyperinflation), a flattened diaphragm, increased retrosternal airspace, and occasionally, bullae.[1] Chest x-ray can be useful to help exclude other lung diseases, such as pneumonia, pulmonary edema or a pneumothorax.[1]
Chest x-ray
Acute bronchitis
Normal view of the lungs is the most common finding. Chest x-ray may be ordered in specific situations, including the following:[2][3]
- Suspected pneumonia
- Cough lasting more than 3 weeks
- Abnormal vital signs (pulse >100/minute, respiratory rate >24 breaths/minute, or temperature >38°C)
- Signs of consolidation on chest examination
Chronic Bronchitis
- Increased bronchovascular markings
- Cardiomegaly
- Right ventricular enlargement
- Prominent hilar vascular shadows
- Opacity in retrosternal air spaces (pulmonary hypertension)
References
- ↑ 1.0 1.1 Torres M, Moayedi S (2007). "Evaluation of the acutely dyspneic elderly patient". Clin. Geriatr. Med. 23 (2): 307–25, vi. doi:10.1016/j.cger.2007.01.007. PMID 17462519. Unknown parameter
|month=
ignored (help) - ↑ Albert RH (2010). "Diagnosis and treatment of acute bronchitis". Am Fam Physician. 82 (11): 1345–50. PMID 21121518.
- ↑ Gonzales R, Bartlett JG, Besser RE, Cooper RJ, Hickner JM, Hoffman JR, Sande MA (2001). "Principles of appropriate antibiotic use for treatment of uncomplicated acute bronchitis: background". Ann. Intern. Med. 134 (6): 521–9. PMID 11255532.