Clinical factors, C-reactive protein point of care test and chest X-ray in patients with pneumonia: A survey in primary care.

Conclusion: In patients with an acute lower respiratory tract infection, GPs report that CRP results affect their behaviour regarding the request of a chest X-ray in patients with lower respiratory tract infection and therefore research is needed to substantiate the use of these diagnostic tools for this purpose. PMID: 31455104 [PubMed - as supplied by publisher]
Source: European Journal of General Practice - Category: Primary Care Tags: Eur J Gen Pract Source Type: research

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ConclusionMeasles may produce bronchiolitis and pneumonia. In the cases in which involvement of pulmonary parenchyma is not sufficient to result in radiological abnormalities, CT used with a dedicated postprocessing software package, provides an accurate lungs and airways analysis, also determining the percentage of lung involvement.
Source: La Radiologia Medica - Category: Radiology Source Type: research
Christine Butts, MD, notes that chest x-rays are known to have significant deficiencies in diagnosing pneumonia because the radiographic appearance of infection lags behind the onset of symptoms, sometimes by several days. The answer? Ultrasound, of course! Read more in Dr. Butts’ column at
Source: Emergency Medicine News - Video - Category: Databases & Libraries Source Type: video
By SAURABH JHA Of my time arguing with doctors, 30 % is spent convincing British doctors that their American counterparts aren’t idiots, 30 % convincing American doctors that British doctors aren’t idiots, and 40 % convincing both that I’m not an idiot. A British doctor once earnestly asked whether American physicians carry credit card reading machines inside their white coats. Myths about the NHS can be equally comical. British doctors don’t prostate every morning in deference to the NHS, like the citizens of Oceania sang to Big Brother in Orwell’s dystopia. Nor, in their daily rounds, do the...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: OP-ED Uncategorized AlfieEvans Source Type: blogs
By, SAURABH JHA The good that doctors do is oft interred by a single error. The case of Dr. Hadiza Bawa-Garba, a trainee pediatrician in the NHS, convicted for homicide for the death of a child from sepsis, and hounded by the General Medical Council, is every junior doctor’s primal fear.   An atypical Friday Though far from usual, Friday February 18th, 2011 was not a typically unusual day in a British hospital. Dr. Bawa-Garba had just returned from a thirteen-month maternity break. She was the on-call pediatric registrar – the second in command for the care of sick children at Leicester Royal Infirmary. A...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Patients Physicians The Business of Health Care Source Type: blogs
AbstractA chest infiltrate is needed to make a diagnosis of community-acquired pneumonia, but chest X-rays might be time consuming, entail radiation exposure, and demand resources that are not always available. We sought to derive a model to predict whether a patient will have an infiltrate on chest X-ray (CXR). This prospective observational study included patients visiting the Emergency Department of Beilinson Hospital in the years 2003 –2004 (derivation cohort) and 2010–2011 (validation cohort), who had undergone a CXR, and were suspected of having a respiratory infection. We excluded all patients with possi...
Source: European Journal of Clinical Microbiology and Infectious Diseases - Category: Microbiology Source Type: research
By HUGH HARVEY, MD Artificial intelligence requires data. Ideally that data should be clean, trustworthy and above all, accurate. Unfortunately, medical data is far from it. In fact medical data is sometimes so far removed from being clean, it’s positively dirty. Consider the simple chest X-ray, the good old-fashioned posterior-anterior radiograph of the thorax. One of the longest standing radiological techniques in the medical diagnostic armoury, performed across the world by the billions. So many in fact, that radiologists struggle to keep up with the sheer volume, and sometimes forget to read the odd 23,000 of the...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Uncategorized AI Data Hugh Harvey Radiology Source Type: blogs
Conclusion: Clinicians diagnosing LRTI, based on the radiographic interpretation, especially in young children, should be aware of the substantial inter-observer variability. In the reported study the GRs extremely often report interstitial infiltrates that were rejected by the PR. That could lead to unnecessary antibiotic prescriptions.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Paediatric Respiratory Infection and Immunology Source Type: research
A popular topic in the field of pediatric medicine is how to perform diagnostic tests while minimizing future risk factors to this patient population. The topic of radiation reduction is particularly important. The investigators suggest one area in pediatric emergency medicine where we could potentially decrease chest xray radiation is in the diagnosis of community acquired pneumonia (CAP) by utilizing lung ultrasound instead of a chest xray. They authors note that since pneumonia is a significant cause of mortality in children throughout the world, the use of ultrasound instead of chest radiograph could potentially elimin...
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Abstract Source Type: research
AbstractPurpose of ReviewCommunity-acquired pneumonia is most prevalent in children with less than 5  years of age, and this age group is also at the highest risk for pulmonary tuberculosis.ObjectiveOur objective is to describe bronchial narrowing in chest X-rays, with patients with image of pneumonia, as a typical radiographic sign of primary tuberculosis in children.Materials and MethodsChest radiographic findings of nine patients (five boys and four girls; age range 9 –30 months; mean age 17.6 months) treated for community-acquired pneumonia with no clinical improvement were studied retrospectively....
Source: Current Radiology Reports - Category: Radiology Source Type: research
CONCLUSION: The decrease in use of chest X-rays in acute bronchiolitis for hospitalized infants was significant but remains insufficient. PMID: 27884536 [PubMed - as supplied by publisher]
Source: Archives de Pediatrie - Category: Pediatrics Authors: Tags: Arch Pediatr Source Type: research
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