30y/ m pt.c/o cough with sputum No fever Generalize weakness X -Ray finding..... Non smoker Cbc normal

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Hyperinflation of both lung with tubular heart COPD EMPHYSEMA May be allergic Adv CBC IgE level esonophillia count Tab augmentin 625mg BD Tab monticope A OD Cap AB Phyline 100mg BD

Bil hyperinflation flattened diaphragm s Sugg of COPD emphysema with superadded infections.

Chest scan NAD.

Looks normal

POSSIBLE... COPD EMPHYSEMA ADVISABLE... USG.... THORAX CBC. DLC. SYMPTOMATIC. MANAGEMENT

Xray chest are hyperinflated otherwise normal Copd

Thanx dr Inderdev Yadav
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Tubule heart , hyperinflated lungs ,?rt Hilary nodes , pls check serum calcium and may relieve on antibiotics, cough suppressants  and bronchodilators . Chest looks like copd/emphysema . May be a smoker and he may have concealed in history !!but for 30yr age very unlikely unless he started smoking since age of 15..!! Anyway if not subsiding sputum afb, culture and hrct  chest

You are absolutely right
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Hyperinflated lungs? COPD,EMPHYSEMA ? Smoker Clinical findings? Blood counts??

COPD Emphysema

Did you examined the pt. Sir what is your finding. Send sputum for culture and sensitivity, start on antibiotics like augmentin one tab TDs waite for the report.

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