35 F histry fevar with rigors ,breathlessness,vitals stable Hb 5.2 tlc 13100 p count 275 esr 56 DD and treatment
Left Mid and Lower zone non homogenous infiltration. Patient is severely Anaemic ( ?anaemia of Chronic disease). Likely Pulmonary Tuberculosis. Initiate treatment with Co Amoxyclav, Nublised Salbutamol, Transfuse Whole Blood for readily correcting Anaemia. Send Sputum AFB and CBNAAT and Gram stain and culture sensitivity. Moderate accordingly.
Patient has chest infection with Anaemia. Consolidation / Pneumonia involving most part of the Lt lung. Cavitary lesion seen in Rt side. Sputum for AFB, gram stain, fungus, CS. If sputum for AFB is negative then do CBNAAT. Any antibiotics except macrolide and quinolone may be started until the sputum for AFB / CBNAAT reports comes in hand, with bronchodilators and paracetamol. Not sufficient clinical history and clinical findings.
History suggests leucocytosis and hb is 5.2 and p is only 275 this does not look consistant with symptoms xray chest shows changes in lt mid zone most likely consolidation. But hb is so less suggest severely anaemic and need BT.and detailed investigations.you should keep her on broadspectrumantibiotics
Give higher antibiotics for 5 days. Go for blood sugar examination and sputum for a.f.b examination. Treat the anemia and sputum turns out to be positive add akt with bronchodilators.
Pulmonary tuberculosis
PTB left.
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