80 years old, ?cause of non cardiogenic pulmonary oedema
80 years old female,k/c/o HTN and seizure disorder with dimentia came to emergency with c/o shortness of breath and irrelevant talking since 3-4 days.Patient have h/o fall from chair 2 days back.On examination ,patient GCS15/15,BP-130/80MMHG, Pulse-84/min regular.Spo2-85%on RA.Chest -B/L extensive crepts.Patient mantaining spo2 on oxygen 4litres/min.ECG grossly normal.TLC count-7800,LFT-normal,s creatinine 1.6.urea 78.Urine 3-4 pus cells.ABG-grossly normal.Patient managed on diuretics and antibiotics.Patient still having B/L crepts with continous talking.Xray chest attached,please suggest further Mx.Covid PCR-NEGATIVE
Serum electrolytes to rule out hyponatremia , 2d echo for cardiac status , history of fever? Send sputum for afb, c/s, g/s . Looks like left sided pneumonia. Give piperacillin taxobactam and wait for cultures
HRCT chest to have a better look on lungs 2D echo to know the cardiac status, Serum electrolytes. Cause of fall from Chair ?
Cases that would interest you
- Login to View the image
64/F, non DM, non HTN, presented with Chest Pain, SOB, Weakness and Low grade Fever for 3-4 weeks. ASO- 387, CRP-57.38, Spirometry- Normal study, Sputum AFB- NF for 2days. Echocardiogram- EF67%, no RWMA, IVS & I AS intact, Valves normal. CXR, CT Thorax, ECG, CBC, Electrolytes attached.
Dr. Kunal Datta8 Likes16 Answers - Login to View the image
60 male cough fever for past 2 weeks nicotine abuse discuss x ray and management
Dr. Arjun Avvaru4 Likes15 Answers - Login to View the image
33 y/o female with chest pain, difficulty on breathing, and heart palpitation. diagnosis???
Dr. Anirudh Mishra3 Likes25 Answers - Login to View the image
21yr / F, presented with right chest pain, fever 101*F, for about 15days. Anorexic. Spot the diagnosis.
Dr. Kunal Datta5 Likes20 Answers - Login to View the image
M.59. Frequent attack of cold and cough. Episodic DOE.
Dr. Syam Sundar Patro1 Like18 Answers
4 Likes