Bronchitis chest x ray: Difference between revisions
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{{CMG}}{{AE}}{{MehdiP}} | |||
{{Bronchitis}} | {{Bronchitis}} | ||
==Overview== | |||
Chest x ray findings are normal in patients with acute bronchitis and thus, chest radiography is not routinely recommended.<br>The classic signs of chronic bronchitis are overexpanded lung ([[Hyperaeration|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> It can be useful to help exclude other lung diseases, such as [[pneumonia]], [[pulmonary edema]] or a [[pneumothorax]].<ref name=Old2007/> | |||
==Chest x ray== | |||
===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>, for example: | |||
:1. If pneumonia is suspected, | |||
:2. If cough lasts for more than 3 weeks, | |||
:3. In high-risk patients, such as those at the extremes of age or those with COPD, recent pneumonia, malignancy, congestive heart failure, tuberculosis, or immunocompromised or debilitated status to rule out ''[[Pneumonia]],'' | |||
:4. Abnormal vital signs (pulse >100/minute, respiratory rate >24 breaths/minute, or temperature >38°C), | |||
:5. Rales or 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== | |||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 15:19, 15 September 2016
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]
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 overexpanded lung (hyperinflation), a flattened diaphragm, increased retrosternal airspace, and occasionally,bullae.[1] It 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[2][3], for example:
- 1. If pneumonia is suspected,
- 2. If cough lasts for more than 3 weeks,
- 3. In high-risk patients, such as those at the extremes of age or those with COPD, recent pneumonia, malignancy, congestive heart failure, tuberculosis, or immunocompromised or debilitated status to rule out Pneumonia,
- 4. Abnormal vital signs (pulse >100/minute, respiratory rate >24 breaths/minute, or temperature >38°C),
- 5. Rales or 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.