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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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