70yrsM Cough,SOB x 15days Took ATT for 8 months 9yrs back

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Apical rt calcified foci Bronchovascular prominent If lt basal effusion if more then100 cc in usg then Diagnostic tapping Looks old Koch's with bronchitis

Rt upper lobe fibrosis with b/l lower lobe hazziness s/o old Rx pul kochs with secondary chest infection.adv HRCT chest.what about routine investigation?

adv to pulmonologist Opinion Rx Sitoapaldi 1 teaspoon + 1 teaspoon bd honey Sanjivani vati 2bd Triki tab 2 bd SH tab 1bd Shunthi dhanayak fant daily 2 times a day for 4 to 6 days. Shadbindu oil for daily nasya

Right upper zone reticulonodular infiltration suggestive of pulmonary tuberculosis Adv Sputum for AFB gene Xpert and AFB culture

CXR..STUDY.. ? KOCH'S.. NEED'S HRCT STUDY..

You can advise for investigations like sputum AFB and CBNAAT to rule out active TB infection Otherwise hyperinflated emphysematous chest pointing towards TOPD i.e TB induced COPD

To complete other required investigations also; Sputum AFB for 3 consecutive days,CBC,CRP,ECG ,RT-PCR , Po2 & Blood sugar for further review. On x-ray basis only it seems Bronchitis with bronchiatic changes.Right now no need to restart ATT. Ciprofloxacin,bronchodilators, antiallergics and vitamins(incuding A & vit.D) may be started. Steam inhalation sos.

रोगी जीर्ण क्षय एवं श्वासनली शोथ से पीड़ित है। चिकित्सा संबंधी योग,,, बसंत मालती रस स्वर्ण युक्त 1 रत्ती खर्पर भस्म 4 रत्ती ताली शादी चूर्ण 2 ग्राम शहद में मिलाकर सुबह-शाम सेवन कराएं। कनकासव द्राक्षासव दोनों को मिलाकर 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 45 वर्ष से प्रयोग कर रहा हूं।

POSSIBLY ..... SECONDARY. INFECTION ....ACUTE. BRONCHITIS .. NEEDS. ALL. ROUTINE. EVALUATION

Bil reticulonoduler parenchymal shadows seen. Possibly ILD.

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