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.
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
When it's a month long onset with no fever and no other systemic systems,possibility of Kochs is not the first diagnosis. Need to exclude bronchitis, ? Asthma. Next exclude any FB
* 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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POSSIBLY COPD WITH SECONDARY INFECTION ADVISABLE R /O.... P. TB.. . WITH FURTHER. INVESTIGATION
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
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
Left upper zone patchy consolidation with partial collapse, mediastinal shift towards left and compensatory right lung hyperinflation. A homogeneous mass lesion in left lower lobe also.
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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
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