Concluded Case

14 yr old boy came with complaints of cough with expectoration since 1 month,more on the night. No h/o of fever,breathlessness,chest pain,gi complaints. He is conscious and alert. O/E bilateral ronchi heard over infraclavicular,mammary,inframammary areas.Suggest management please...!!

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Concluded answer

Rt mid zonal fibroric band noted. Left apical and perihilar infiltration seen. Slight mediastinal pull towards left and rt sided hyperinflation seen. Likely PTB Sugg sputum examination.

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POSSIBLY COPD WITH SECONDARY INFECTION ADVISABLE R /O.... P. TB.. . WITH FURTHER. INVESTIGATION

Bill. chest infection. Mx.test test X-ray. chest GBP. ESPECIALLY SPUTUM AFTER GRAM STAIN

Fibrotic band is seen in rt mid zone with fine reticulosis bilateral Looks to be a c/o COPD with secondary chest infection

Xraychest finding. To rule out TB. And Spirometry for bronchial Asthma.

Send for. CBC with ESR. Cough for sputum AFB and C/S. to rule out. Bronchitis/ P. TB.

* PTB Left apical and perhilar inflitration seen. Rt mid zonal fibrotic band noted. Hyperinflation seen on lt side.

Thanks Dr Sandeep Ghodekar
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Rt mid zone infilt Hyperinflated both lungs ?Pulm Tb

Rt mid zonal fibroric band noted. Left apical and perihilar infiltration seen. Slight mediastinal pull towards left and rt sided hyperinflation seen. Likely PTB Sugg sputum examination.

Case of bronchial asthma Tab cefexime c v 100 mg bd Ambrolite cough expectorant 2 t s f t d s Tab astheline 2 mg tds if no desird response then Seroflow rototacap 1 cap tds thru rotahaler & Duolin rotacap 1 cap tds thru rotahaler for 5-7 days

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