CXR needed? (Pneumonia; Adults)
Info
Major Criteria
☐Temperature >100°F (>37.8°C)
☐Heart rate >100/minute
☐Respiratory rate >20/minute
Minor Criteria
☐rackles (Rales)
☐Decreased breath sounds
☐No history of asthma
R e s u l t s
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CXR
 
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Info
CXR needed? (Pneumonia; Adults)

These guidelines for when a chest radiograph should probably be obtained to evaluate for pneumonia are for use in otherwise healthy adults with an acute respiratory illness.

A radiograph is usually indicated if 1 Major criteria or 2 Minor criteria are present.

Major Criteria:

  • Temperature >100°F (>37.8°C)
  • Heart rate >100/minute
  • Respiratory rate >20/minute

Minor Criteria:

  • Crackles (Rales)
  • Decreased breath sounds
  • No history of asthma

Reference:

Ebell MH. Predicting pneumonia in adults with respiratory illness. Am Fam Physician. 2007;76(4):560-2.