X-ray patterns and insights for different cough categories

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Cough, long-lasting cough, X-ray patterns, zedex plus

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Analyzing X-rays for different categories of cough patients, such as smokers' cough and bronchospastic cough, typically involves identifying specific patterns and abnormalities associated with each condition:1
Smokers' Cough (Chronic Bronchitis):2
Initial Physical Examination of the Patient
  • X-rays may show signs of hyperinflation (increased lung volume) due to air trapping.
  • Thickening of bronchial walls (bronchial wall thickening) may be evident.
  • Presence of bronchial markings or linear opacities in the lung fields.
Figure 1: x-ray image
of chronic bronchitis3
Bronchospastic Cough (Asthma):4
Initial Physical Examination of the Patient
  • X-rays may appear normal in mild cases, especially between asthma attacks.
  • During an acute attack or exacerbation, X-rays might show hyperinflation and signs of air trapping.
  • Increased bronchovascular markings may be visible during exacerbations, indicating inflammation.
Figure 2: X-ray image
of Asthma5
Infectious Cough (Pneumonia):6
Initial Physical Examination of the Patient
  • X-rays may reveal consolidation (dense material) in the lungs, often appearing as fluffy opacities or infiltrates.
  • Air bronchograms (air-filled bronchi outlined by fluid-filled alveoli) may be present.
  • Pleural effusion (accumulation of fluid in the pleural cavity) may also be seen.
Figure 3: X-ray image
of pneumonia7
Postnasal Drip Cough:8
Initial Physical Examination of the Patient
  • X-rays are typically normal unless complications like sinusitis or chronic postnasal drip lead to secondary issues like sinus opacification.
  • Sinus opacities or fluid levels may be visible in cases of chronic sinusitis.
Figure 4: X-ray image
of Postnasal Drip9
 
 
1. Celli, B. R., & Wedzicha, J. A. (2019). Update on Clinical Aspects of Chronic Obstructive Pulmonary Disease. New England Journal of Medicine, 381(13), 1257-1266.
2. Lynch, D. A., & Austin, J. H. (2006). Chronic obstructive pulmonary disease. Radiologic Clinics of North America, 44(4), 629-648.
3. Chronic obstructive pulmonary disease. Available at:https://radiopaedia.org/articles/chronic-obstructive-pulmonary-disease-1#:~:text=Findings%20of%20chronic% 20bronchitis%20on,heart%2C%20and%20possible%20bullous%20changes. Accessed on 16th July 2024.
4. Weinberger, S. E., & Cockrill, B. A. (2005). Asthma. Harrison's Principles of Internal Medicine.
5. Asthma. Available at: https://radiopaedia.org/articles/asthma-1. Accessed on 16th July 2024.
6. Mandell, L. A., et al. Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acqui#005593 pneumonia in adults. Clinical Infectious Diseases, 44(Supplement_2), S27-S72.(2007)
7. Chest X-ray showing pneumonia. Available at: https://www.mayoclinic.org/diseases-conditions/pneumonia/multimedia/chest-x-ray-showing-pneumonia/img-20005827. Accessed on 16th July 2024.
8. Kaliner, M. A., Osguthorpe, J. D., & Fireman, P. (1997). Sinusitis: bench to bedside. American Journal of Rhinology, 11(2), 81-92.
9. Postnasal Drip.Available at: https://www.topdoctors.co.uk/medical-articles/chronic-cough-why-won-t-my-cough-go-away. Accessed on 16th July 2024.
 
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>Images are for representation purposes only.

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