Cough Cough

Respiratory System

{"ops":[{"insert":"Bronchiolitis: diagnosis"},{"insert":"\n","attributes":{"header":1}},{"insert":"Bronchiolitis is a clinical diagnosis. Supportive historical findings include a younger age (\u003C2 years), presentation during the winter months, antecedent upper respiratory tract infection (URTI) symptoms, and absence of a prior family history of atopic disease. Findings on physical examination include increased work of breathing and wheezing. Children \u003C12 months of age are prone to more severe symptoms.\n\nThe value of diagnostic imaging and laboratory evaluation is limited. These should not be ordered routinely.\n"},{"insert":"Bronchiolitis: role of chest x-rays"},{"insert":"\n","attributes":{"header":1}},{"insert":"Chest x-rays are not indicated in the routine workup of bronchiolitis. They are an option if other diagnoses are a possibility, or if the child\u0027s condition fails to improve (or deteriorates) over time.\n\nIf chest x-rays are obtained, changes such as consolidation and atelectasis are often observed. However, radiological findings correlate poorly with disease severity.\n\nNote also that the use of chest x-rays is associated with erroneous antibiotic prescriptions, increased costs, and unnecessary hospital stays.\n"}]}

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