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70 male presented with cough with expectoration fever since last 15 days. known COPD ,poor treatment compliance. spo2 76%, HR 130, bp 90/50. wbc 10200. plz comment.

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COPD Emphysema with infected bronchiectasis right lower and mid zones
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Koch's chest Right lower zone active tuberculosis and inflitration seen. Lt hilar inflitration present. Needs further investigations and evaluation to conclude diagnosis and line of treatment. Start ATT or continue if already under treatment.
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Right LZ active tuberculosis.. Koch's complex. Ad- sputum for AFB/TB gold f/b ATT
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Bil Hyperinflated Lungs, flattened domes of diaphragm, COPD, emphysema Tracheal shift to right Right basal fibronodular and cavitatory lesions Left basal and midzone fibronodular infiltration COPD, emphysema, basal cystic Bronchiectasis with pneumonitis HRCT, Sputum for AFB and CBNATT
Hyperinflatted lungs Diffuse reticulonodular infiltration both lungs mainly Rt lower & Lt mid zone. Bil bronchiectetic changes Rt CP angle obliterated? Thickened pleura with slight retracted dome of diaphragm Sputum for AFB, CBNAAT CECT of thorax Tubular heart already mentioned COPD PTB
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Old case of be asthma.at present pneumonia need aggressive management.time has come to give routine influenza and pneumonia vaccine to all such PTS.before cold season in Oct each year pl start vaccine.very good x-ray thank you dr.prof SC pratihar ex CMC Vellore.
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RT. SIDED... Infiltration Lt. Hilar...... Infiltration COPD... ACTIVE... TB ADVISABLE... 1. CBC.... ESR 2. AFB. STAINING 3. USG..... CHEST.... and Whole. Abdomen
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B/L reticulonodular shadows present with sone cavitatory lesions and some bands. Right CP angle oblitered. Bronchiectactic changes. D/d bronchiectasis Pulmonary tuberculosis ?? APBA
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There is a big gas shadow on left side overlapping with left side of cardiac shadow suggested diaphragmatic hernia causes poor treatment compliance, Old COPD cases with Spo2 76%
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BILATERAL INFILTRATIONS, MORE ON RT. HYPERINFLATED LUNG.. TUBULAR HEART SHADOW.. ? PTB.. INVESTIGATE WITH.. HEMOGRAM.. URINE ROUTINE.. SPUTUM STUDY.. CBNATT.. CTCE STUDY..
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Hyperinflated lungs Copd Infiltration present in Rt lower and left hilar region Koch's chest Cbc esr sputum afb, check for MDR TB Cect needed
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