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8 yrs asthmatic male child c/o right sided chest pain cough and dyspnea since last 3 days fever since 2days. spo2 95%, HR 124/min,f ebrile, bil wheezing and occ crepts heard. his work up done considering his clinical status. plz comment on rcase and further management.

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Concluded answer

Case of asthma a/c infective exacerbations.Counts has improved..he needs to be started on controller medication before discharge

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CXR and HRCT shows hyperinflated lungs,, fibrocalcified opacities in right lung hilar region. Raised IgE, Eosinophils indicate towards hypersensitivity pneumonitis. Chest pain may be due to regular coughing. Ad- bronchodilators,, R-cap foracort,, mucolytics,, broad spectrum antibiotics,, and short course of oral steroids,,!!

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Asthma can predispose to pneumonia due to airway narrowing as seen in this case here. Nebulisation with salbutamol respules + 3% NS alongwith a broad spectrum antibiotic and oxygen with nasal prongs until resolution.

Case of asthma a/c infective exacerbations.Counts has improved..he needs to be started on controller medication before discharge

Areas of air trapping noted in CT chest. Raised serum IgE and borderline eosinophils point towards bronchial asthma. Chest pain is likely due to repeated bouts of cough.. bronchodilators for now as patient has wheezing..tlc has improved now..suggest pft pre and post bronchodilator in recovery period..ascertain exposure to dust, family history of asthma, pet animal exposure ...

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H/o asthma..with lab reports suggestive of allergic disorder and bacterial infection. Chest xrays and ct of lungs..shows..increased bronchovascular markings on right lung..suggestive of LRTI.. Treat the patient with Tab.augmentin b.d for 7 days...neb(duolin+budecort) Tab. Monticope 1hs for 1wk....cough syp..antipyretics..avoid contact with allergens Paediatricians consultation..

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Chest X ray normal Investigations suggestive of Br.asthma

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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

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X-ray normal...CT show posterior basal segment of rt lower lobe infiltration likely pneumonic consolidation...

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Chest scan NAD.

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Bronchial asthma or allergic CXR shows fibrocalcified lesion in Rt hilar region. Hyperinflated lungs IgE and AEC raised Wbc raised, Leucocytosis, bacterial infection Broad spectrum antibiotics, mucolytics bronchodilaters, steriod After completion, start him on immunobosters like chywanparash, protien diet, egg

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