47/F with borborygmi, increased freq of defecation & cough × 1 month

No h/o fever but patient reports chills & shivering every evening. Reports attached. USG abdomen - no significant abnormality Diagnosis & management?

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1 Evening chill & shievering + cough 1 month = possibly = PTB 2 Has polymorphonuclear Leukocytosis Iron deficiency anaemia 3 CXR = Bud in tree appearance Suggestive of bronchiactasis / tuberculosis Sptum = AFB CBNATT C& S 4 frequency of defecation can be due to IBD / intestinal tuberculosis Blood = ESR stool exam

Hypereosinophilic syndrome With pneumonia can ne called when Epsinophil count is > 1500 / cumm
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Sputum afb cbnaat Stool examination Colnoscopy Serum procalcitonin to guide antibiotic therapy

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Leucocytosis TLC 21200 neutrophilia Absolute eosinophil count is increased Chest xray shows nodular infiltrates b/l Haziness inhomogeneous lt basal area Suggest eosinophilic pneumonitis Presenting complaints are concerned to gasteroenteritis Hb is low and pt is anaemic Rx iv fluids Inj ceftriaxazone Inj amikacin Inj dexamethasone Inj diethylcarbamazine or oral hetrazan Inj meterogyl Deworming Correct anaemia Sos consider BT

Thanks doctor Nilako
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Eisosinophilic pneumonia,? May check total igE along with aspergillous specific igE ..since ABPA is quite common... May check sputum for afb,gram staining and culture... Glucocorticoid therapy after ruling out tb prednisolone @0.5mg/kg/day for 14days then every alternate day for 6 weeks then tapper by 5-10 mg every week and stop.. Short course antibiotic coverage... Increased defecation, keep eisosinophilic gastroenteritis in mind, rx is steroids same as above...

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Chest Xray showing bilateral fibrotic changes and cavitations, elevated ESR Anemia and neutrophilia ? Tuberculosis ? Sepsis ? ILD Advice sputum AFB.

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REPORT SHOWS LEUCOCYTOSIS (SEPSIS) WITH ANEMIA WITH NEUTROPHILIA WITH EOSINOPHILIA. ESR IS ALSO ON HIGHER SIDE. X-RAY SHOWS PROMINENT BRONCHOVASCULAR MARKINGS WITH GAS UNDER THE DIAPHRAGM. CHANGES OF COPD-EMPHYSEMA . USG:- WNL. DO, HRCT CHEST. STOOL R/M PFT. SPUTUM FOR AFB,C/S AND CBNAAT. MT. TB GOLD BLOOD C/S. FOR TIME BEING, SYMPTOMATIC TREATMENT.

Baptisia,200 Homoeo,

SUGGESTIVE OF ... SEPTICAEMIA / SEPSIS.. WITH . .. ANAEMIA NEEDS BLOOD. AND. URINE ... CULTURE AND SENSITIVITY ANEMIA. CORRECTION

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Neutrophils are white blood cells (WBC), which are cells that fight infections in the body. A high neutrophil count may be due to many physiological conditions and diseases. In most cases, high neutrophils count is commonly associated with an active bacterial infection in the body. Management. Beta adrenergic agonists (for example, albuterol) Corticosteroids. Epinephrine. Granulocyte colony stimulating factor. Heparin. Lithium. Diet plan.. Dairy: all pasteurized milk and dairy products, such as cheese, yogurt, ice cream, and sour cream. Starches: all breads, cooked pastas, chips, French toast, pancakes, cereal, cooked sweet potatoes, beans, corn, peas, whole grains, and fries. Vegetables: all cooked or frozen vegetables. a fever of 100.4˚F (38˚C) or above. chills. sweating. sore throat. cough or shortness of breath. an area of your body that's become red, swollen, or painful. an injury that's draining pus. mouth sores or white patches in your mouth. need Clinicopathological Evaluation COPD

Thanks doctor Dinesh Gupta
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COPD with infected esonophila

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