Concluded Case

How will you proceed ??

CXR of a 50yrs old male presented with a c/o left sided chest pain on & off & aggravated by coughing.He also had a h/o chronic smoking for the last 30yrs but stopped 1 month back.Pt. also c/o foul smelling breathe but there is no c/o fever & sob.Vitals are stable.ECG shows T inversion in lead III.Pt. also had a h/o taking medicine for chest infection 1 month back( Chest x ray also shown below).How will you proceed ??

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Pt is chronic smoker ...treat like as COPD Give tab deriphyline 100 mg bd Rotacap with rotahaler (tiotropium plus salmeterol) Investigation--PFT
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Pt is chronic smoker ...treat like as COPD Give tab deriphyline 100 mg bd Rotacap with rotahaler (tiotropium plus salmeterol) Investigation--PFT
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Copd Emphysema Further evaluation is required for diagnosis
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SUGGESTIVE OF CH BRONCHITIS IN COPD
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CHRONIC BRONCHITIS
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