Bronchitis chest x ray: Difference between revisions

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__NOTOC__
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{{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.<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 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>, for example:
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>
:1. If pneumonia is suspected,
*Suspected [[pneumonia]]
:2. If cough lasts for more than 3 weeks,
*Cough lasting more than 3 weeks
:3. Abnormal vital signs (pulse >100/minute, respiratory rate >24 breaths/minute, or temperature >38°C),
*Abnormal vital signs (pulse >100/minute, respiratory rate >24 breaths/minute, or temperature >38°C)
:4. Signs of consolidation on chest examination.
*Signs of consolidation on chest examination
===Chronic Bronchitis===
===Chronic Bronchitis===
* Increased bronchovascular markings
*Increased bronchovascular markings
* [[Cardiomegaly]]
*[[Cardiomegaly]]
* Right ventricular enlargement, prominent hilar vascular shadows, opacity in retrosternal air spaces ([[pulmonary hypertension]])
*Right ventricular enlargement
*Prominent hilar vascular shadows
*Opacity in retrosternal air spaces ([[pulmonary hypertension]])
==References==
==References==


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{{Reflist|2}}
{{Reflist|2}}
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[[Category:Needs content]]
[[Category:Needs content]]
[[Category:Inflammations]]
[[Category:Inflammations]]
[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:General practice]]
[[Category:General practice]]
[[Category:Infectious disease]]
[[Category:primary care]]
{{WH}}
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Latest revision as of 20:44, 29 July 2020

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

Patient Information

Overview

Causes

Classification

Acute bronchitis
Chronic bronchitis

Differential Diagnosis

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. 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)
  2. Albert RH (2010). "Diagnosis and treatment of acute bronchitis". Am Fam Physician. 82 (11): 1345–50. PMID 21121518.
  3. 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.

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