70 yrs old presented with dyspnea bilateral pedal edema raised jvp Known case of asthma on inhalers Total count 18000 Bp160/90 Treated as acute asthma Ecg shows p pulmonale Tdy out put is decreased to 500ml ???Sepsis/rvf/ccf// Plz comment on xray !!!

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CXR. Emphasemtus chest. COPD .PT. have Bronchial Asthma. Cardiomegaly. JVP raised due Rt.heart failure. Pedal edema are also due to Rt. Heart Failure. And is Pt. Taking CCB ? AND OF.IS Renal failure also( CKD ) Prognosis is poor

Thanku sirji... awesome explaination
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Bronchial ashthma / copd with sec inf with ccf

Thanku sir
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@dr sushma gumpula @dr vilas deshpande Ur opinion for role of magnesium sulphate in acute asthma !!!!!

Sorry sir, I don't have any clinical experience in this regard.
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COPD.

Thanku sir
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CORPulmonalae with secondary infection.

Thanku sir
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Xray chest:- mild cardiomegaly with perihilar haziness ? Pneumonia with COPD-COR PULMONALE. PLEASE RX:- DIURETICS(DYtor(10/50) plus tds Antibiotics (Inj.acuclav 1.2gm TDs, tab.Azee 500mg bd/AC, inj.Monocef 1gm iv bd, inj.Levoflox 100ml iv od, inj.Metrogyl 100ml iv tds. To start Digoxin (Lanoxin) 0.25microgm 2 tablets stat then 1 od Nebulization Inj.Dexona+inj deryphyllin iv TDs Inj.DYtor stat Inj.Pan 40 iv bd Inj.Perinorm iv tds And symptomatic treatment also given as required. Dr Gopi Saharan

Awesome sir...beautiful explaination...Thanku sir
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X.ray is suggestive of COPD. Clinical findings suggest rvf. ?Tc 18000 . Support ventilation if necessary. Do abg and treat accordingly. Evaluate CVS and do the needful

Thanku sir
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This is a case of multiple organ failure starting with lungs (chronic asthma with bronchitis and emphysema) leading to classic right sided cardiac failure and presently with Acute renal failure with likely development of more fluid retention.

Thanku sir
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Copd corpulmonale with sepsis AkI

Thanku sir
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CCF xray copd emphysema leucocytosis rft must 2 decho history favour

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