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When I perform a chest x-ray after pneumonia?

18 de setembro de 2011

Pneumonia + Pleural Effusion X- Ray

When I perform a chest x-ray after pneumonia?

(PULMAOSANEWS) An frequent doubt even for doctors and aso for patients is about whether or not to have a chest x-ray after an episode of pneumonia.
The diagnosis of Communitary Acquired Pneumonia (CAP) is done on a set of signs and symptoms, and is vital to the existence of some prodrome respiratory symptoms such as cough, phlegm (sputum) and fever (over 38 ° C) and that may be accompanied by chest pain and dyspnoea (breathlessness) and fatigue. Therefore, the diagnosis of clinical pneumonia is summarily clinical.

Pneumonia can occur without fever, although these cases are more associated with patients with some level of immunosuppression, such as diabetes mellitus, heart failure, patients with acquired immunodeficiency syndrome (AIDS) and in patients undergoing cancer treatment.
Performing a chest X-ray is required when the diagnosis is suspected of a complication such as a pleural effusion for example or Progress following treatment for suspected CAP is not satisfactory at a review.

But after clinical improvement? They need a new chest X-ray control?

The latest data from the medical literature published in Thorax 2009, 64 (Suppl 3) suggest that should be requested chest radiographs only for patients with persistent symptoms and for those with persistent risk tumors (especially smokers, people with chronic lung diseases*, those over 50 years of age, and people with complication as pleural effusion).

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*Remember:
-Among the major respiratory diseases are chronic carriers of pulmonary emphysema and chronic bronchitis (COPD – Chronic Obstructive Pulmonary Disease), patients with bronchial asthma and patients with chronic sinusitis and rhinitis.

– Further investigations which may include bronchoscopy should be considered in patients with persisting signs, symptoms …
Sources
PULMAOSANEWS: Lung S / A – Its atmosphere, Your Life! ®
Thorax 2009, 64 (Suppl3)
BTS – Brazilian Society of Pneumology

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