I am bringing this up just to for us to talk, think about evidence based practice which I live by...
and obviously this child had some "red flags" albeit very, very vague....
Is it?good medicine?to order a CXR on a patient with no cough, no sob, no cp, clear breath sounds, O2 sat 100%, no swelling/masses, no true reproducible tenderness, looks great and smiling, because of a vague history of some upper back pain for a week that is on and off and does not really bother him...
Let's say this child had a cough, which he did not......still, Breath sounds clear, o2 sat 100%, no tachypnea....
would you get a cxr with this hx, even with a cough...?
Dr. Todd Zimmerman
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