Concluded Case

Chronic Bronchitis

50 yr old female with cough since 1 month with expectorant no H/0 smoking kindly evaluate the xray Diagnosis and treatment

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Chest PA view shows bronchioctactic changes in rt lower zone and lt lower zone otherwise normal due to recurrent lung infections.Dx-acute execerration of chronic bronchitis with allergic asthma.Rx-1 antibiotics2-tab fexofenadin +monteleucast 1od3-bronchodilator +steroid inhaler tds4-Tab b complex 1od ×7 days.

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Chest PA view shows bronchioctactic changes in rt lower zone and lt lower zone otherwise normal due to recurrent lung infections.Dx-acute execerration of chronic bronchitis with allergic asthma.Rx-1 antibiotics2-tab fexofenadin +monteleucast 1od3-bronchodilator +steroid inhaler tds4-Tab b complex 1od ×7 days.

cxr nad; auscultatory findings??; get spirometry done if wheeze is there; look for other causes also like gerd

Prominent bronchovascular markings rt lower zone otherwise nad treat as bronchitis

treatment @sir
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Xray s/o bronchitic picture....so rx like lrti......tab omnacortil 5 mg bd.....tab montair lc....tab cedon 200 bd tab azee 500 od.....cap razo d.......syp acibro tds...steam inhalation tds

Cxray WNL Needs inhaled bronchodilators mucolytics etc Also can give broad spectrum antibiotics. Sputum examination for Gm Zn bact c / s,CBNATT.

Fibrotic infiltration seen in hilar region of both lungs, Koch's chest, get sputum afb, cbc esr, mountax test

Fibrotic infiltration ? PTB

Do sputum test..cbc . esr. Mountox test...chances of tb.... broad spectrum of antibiotics can be given

I agree with DR Sandeep Ghodekar.No CXR abnormality. Mucolytic,Bronchodilator along with broad spectrum antibiotic is good enough.CBC,ESR and sputum exam can be done to rule out Koch's