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If a 92 year old female, relatively healthy for her

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If a 92 year...

If a 92 year old female, relatively healthy for her age--only on lisinopril for hypertension and synthroid--presents with productive cough....is it reasonable standard of care to obtain a chest X-ray? Her family doc put her on Terbutaline and wants to see her in 6 weeks! I don't think this is standard of care.

Doctor's Assistant: When was last time you had a check up? Is there a history of high blood pressure in your family?

Her cough has been there for the past 10 days

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

She is up to date on all vaccines, including pneumonia vacs

Submitted: 1 month ago.Category: Medical
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12/27/2017
Doctor: Dr. Sohaib, Doctor replied 1 month ago
Dr. Sohaib
Dr. Sohaib, Doctor
Category: Medical
Satisfied Customers: 5,110
Experience: MBBS, FCPS Experienced in all Medical Specialities
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Hello and thank you for the question.
I am Dr. Sohaib, a practicing Internal Medicine Consultant with over 13 years of experience and I will do my best to help you today.
Let me review your question for a minute and I will get back to you.

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Doctor: Dr. Sohaib, Doctor replied 1 month ago

One of the indications for Chest X-ray is evaluation of cough and chest symptoms.

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Doctor: Dr. Sohaib, Doctor replied 1 month ago

What are your concerns about having a chest Xray?

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Doctor: Dr. Sohaib, Doctor replied 1 month ago

Though she is update for the vaccines, it doesn't mean she can not have a chest infection.

A chest X-ray can reliably differentiate between pneumonia and a simple viral bronchitis, and hence will direct the need of using antibiotics or not.

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Doctor: Dr. Sohaib, Doctor replied 1 month ago

Off course there are other parameters also which can tell if she has bacterial infection or not like high White cell count, but many a times these kind of tests are not confirmatory in elderly due to their poor immunity.

Therefore, yes, for a cough which has been persistent for over a week, in an elderly patient, chest x-ray is required.

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Doctor: Dr. Sohaib, Doctor replied 1 month ago

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Doctor: Dr. Sohaib, Doctor replied 1 month ago

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