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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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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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

Cough is predominant . TB is first thing come in mind and u have to rule it out but some time lymphoma with lymphadenopathy can cause bronchial compression . Other thing is Interstitial lung disease . Atypical pneumonia to keep in mind

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

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

A case of Asthma. Rx Oral Salbutomol in adequate doses 8 hrly x 7 - 21 days. Or upto 3 days after relief of cough.

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

Fibrotic band in apical lobe of left lung. First likely possibility ptb- send for sputum microscopy Second possibility-atypical pneumonia send for igm mycoplasma if possible To keep possibility of copd i think age is not suggestive

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