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BET 4: Chest x-rays in bronchiolitis

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Report by: Catherine Williams, ST5 Emergency Medicine

Search checked by: Tom Bartram, ST5 Emergency Medicine

Institution: Royal Bolton Hospital

Royal Blackburn Hospital

Clinical scenario

A 9-month-old infant is brought to the Emergency Department by his mother with a 3-day history of coryzal symptoms and increasing difficulty breathing. Ausculation reveals widespread wheeze and crepitations, and you make a clinical diagnosis of bronchiolitis. You wonder whether a chest x-ray is indicated to confirm this diagnosis and assess its severity.

Three-part question

In (infants with bronchiolitis) is (chest x-ray) a useful investigation (to predict severity or alter management).

Search strategy

Medline 1950-March 2012 AND embase 1980- March 2012 (exp Bronchiolitis, viral/ OR exp Bronchiolitis/OR bronchiolit*.af …

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