General Medicine  |  Adult Pneumonia Pathway - No routine requirement for CXR or sputum or bloods




General Medicine

Adult Pneumonia Pathway - No routine requirement for CXR or sputum or bloods

  • Chest Xray, sputum or bloods are not routinely recommended acutely in a community setting.
  • Chest Xray can be appropriate in the following circumstances:
    • when the diagnosis is unclear
    • dullness to percussion or other signs of an effusion or collapse
    • increased risk of malignancy (e.g. smokers, age >50, unexplained weight loss, haemoptysis)
  • Arrange follow up Chest Xray 6 weeks later for those at risk of malignancy
  • Cough and tiredness can continue for 4-6 weeks despite successful treatment. A chest Xray for these symptoms alone is not warranted.


Last updated : Friday, May 18, 2018
Next review date : Saturday, May 18,2019


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