is it tuberculosis

6month old having cough for 2-3 month dx,rx

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HRAD Do CRP, IgE, CBC,ESR & do accordingly. Nebulization with levosalbutamol+ Budesunide+ NS...If SOB?. Give syr septilin , Vit D3 , Zn with calcium etc

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If no fever/no wt.loss/ episodic/normal activity—-> it maybe viral brinchiolitis If not R/O Primary Complex by cbc, Mx test.

Tq.dr.Dinesh gupta
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Merely showing X-ray Could not possible to reach diagnosis X-ray suggestive of allergic airway disease

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Needs further investigation and evaluation to conclude and line of treatment. X RAY ---Wnl. Symptomatic treatment.

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Possibly HRAD. plan nebulization therapy.

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NEEDS FURTHER. EVALUATION WITH ALL. ROUTINE. INVESTIGATION AND SYMPTOMATIC MANAGEMENT..

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Xray normal

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Copd parallel ribs Hyperinflation of lungs

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Seems to be a case of copd

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