19 yrs female history of chronic cough with expectoration for the past three weeks Sputum for AFB negative Her sister has completed ATT for Potts spine Expert opinion please doctors about the further management

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Cxray shows prominent bronchovascular margins. Possibly bronchitis. Evaluate as sputum Gm and fungal koh with bacterial culture and sensitivity test. May need bronchodilators mucolytics steam inhalation and antibiotics for 3weeks treatment. CECT thorax would be helpful.

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Prominent bv markings, otherwise normal DD Bronchitis URTI Smokers cough Allergic cough Pulmonary eosinophilia Bronchial asthma More workout needed Viral bronchitis

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Few infiltrates rt hilar/paracardiac region with prominent bronchovascular markings H/o family member having tuberculosis I will suggest go for BAL send for PCR before declaring nontubercular Meanwhile treat as bronchitis

Thanx dr Pushkar ji Bhomia
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X ray chest is normal Consider causes such as Viral infection Upper respiratory tract infection Allergy May be considered for differential diagnosis

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X-ray is normal other than prominent bronchovascular marking Could be bronchitis Allergy URTI BA Antibiotics Bronchodilator Sos Short course of steroids

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Bronchitis But r/o tubercular pathology Go for Sputum for AFB and CBNNAT, HRCT CHEST BAL

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Bronchovascular markings are prominent B/L Bronchitis R/O tuberculosis By ad CBNAAT & sputum exam

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Over contrast, comment on lung pathology very difficult

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Bilateral mid n lower zone Bronchiectatic changes.... Adv sputum for cbnaat.

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