Concluded Case

50 yrs male presented with progressive dyspnea, fever and cough since last 10 days.. febrile spo2 88% BP 120/60mmhg HR 140/min left basal crepts heard. newly diagnosed diabetes. plz comment.

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Concluded answer

Acute infective exacerbation of COPD with DM. Should be treated in intensive care with iv amox clav and steroids low dose.. Blood sugar to he managed with insulin..

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There is density in lt mid zone As seen hrct Recently detected diabetic Uncontrolled bsl levels with glucosuria Surprisingly there is hematuria 20 to25 rbc significant a/w raised sr creatinine draws attention Pt has leucocytosis as lesion lt mid zone is infective aetiology Pt has tachycardia and hypoxic Needs ABG to r/o respiratory alkalosis/metabolic acidosis Broadspectrum antibiotics Expectorants Likely pneumonitis with metabolic acidosis with ARF

Thanx dr Ashok Leel
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Diabetic, ,severe , uncontrolled Leucocytosis, acute bacterial infection COPD ,emphysema Left midzone infiltration and consolidation Bil fibrobronciectatic lesions Cardiomegaly ? PT ECHO, PFT , evaluation of DM , Sputum for AFB and CBNATT Antibiotics, nebulisers, mucolytics

Thank you, Doctor
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Pneumonitis Lt base Copd Emphysema Ad to R/ O tuberculosis

COPD EMPHYSEMA Lt base Pneumonitis. BS antibiotics iv bd slowly.

Thanks Dr Dinesh Gupta
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SUGGESTIVE OF COPD EMPHYSEMA FIBROBRONCHIECTASIS CARDIOMEGALY P. TB

Acute infective exacerbation of COPD with DM. Should be treated in intensive care with iv amox clav and steroids low dose.. Blood sugar to he managed with insulin..

Pneumonitis TB Bronxhodulators Copd Emphysema Antibiotics

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Pneumonia basal ?? COPD

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