60 female,c/o cough fever dyspnea since a week not responding to antibiotics bronchodilators. wbc 11200 N 75%.R V neg ESR 60.creat 1.18.RBSL 120,sputum sent for examination. plz interpret and guide further.

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2decho and hrct are normal but xray chest shows rt basal haziness with mild shifting of trachia to rt and esr being 60mm. There is mild leucocytosis suggest copd with chest infection let the sputum reports to come

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I guess the haziness seen in b/l lower zone is probably Breast Shadow because she is a female but Xray shows written documentation of a male patient...Trachea is pulled to left... HRCT shows b/l noduloseptal thickening with hilar prominences (L>R).. ESR is raised... Echo is normal... I guess the pt is having LRTI of viral origin... Conservative management

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As given above history and investigation Echo no significant abormality X ray looks clear Treat with higher antibiotic and antiviral Trace sputum report Treat accordingly Sos blood culture Urine routine

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hyperinflation of both lung with B /L lower lobe haziness EMPHYSEMA COPD with PTB Adv CBC ESR MT TB gold TB genexpert SPUTUM for AFB, R /M and C/S LFT RFT blood sugar fasting pp HIV BRONCHOSCOPY SOS

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PTB Hyperinflation of both lungs present with lower zone haziness. Needs further investigations and evaluation to conclude diagnosis and line of treatment. Improve general health and personal hygiene and surrounding. IV ceftum 1gm slowly BD and inj deriphylin 1amp IV BD till the time reports complied.

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Both lungfields are clear. Cardiac shadow is WNL.

Copd lungs or emphysema, lower lobe infiltration in both lungs, sputum afb, cbnaat , PTB

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Copd lung

Emphysema in both the lung fields wait for sputum report and cxr is suggestive of hazzines in lower zone

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