Hyperreactive airways disease

60 yr old female with chronic cough and fever for 1 week

55 female presented with cough dyspnea fever since last 5days. spo278 to 80 % HR 125 bp110/70 RR 28. no significant past history of relevance. bil coarse crepts heard. plz interpret.

A 32-year old male, presented because of exertional fatigue. His complaints started 2 months ago with an occasional dry cough, and he progressively started to get easily fatigued during regular daily activities and concomitant dyspnea. He lost 6 Kg for those few months. He denied any other symptoms. Chest X-ray was done which shows diffuse "honeycomb" appearance bilaterally with some slight opacities on the right upper lobe and left lower lobe. His Past history was unremarkable except smoking. Family history is positive for lung cancer in his grandfather. The physical examination was unremarkable, except the area of faint inspiratory wheezing in the projection of the right upper lobe. The laboratory analyses showed the next pathological values: Ly. 0.61, ESR 32, CRP 17.7, D-dimer 0.86, creatinine 113, uric acid 490, total protein 92 (albumin was 40), Ca 2.75, alkaline-phosphatase 143. The patient was admitted to the hospital for further investigations. What is your impression of this case? What would be your further management plan? Interstitial lung disease of chronic course?

a 86 years old female with breathlessness. please comment

80Y male Chronic smoker since childhood stopped 10yrs back. K/c/o HTN, CAD - S/P PCTA to RCA(10yrs back), COPD - Chronic bronchitis with H/O breathlessness since 1year presented with fever since 3days. Patient is on Nitrolong 2.6, Clopivas AP 75. ECG & CXR attached. Kindly discuss..