50yrs old lady presented with dyspnea grade 4 History of hyptn Hypothyroid Examinations Bp-130/80 Pr-92 Spo2-82 without oxygen Given 4ltr o2 Bilateral coarse crepts and decreased breath sound Plz comment on xray

A 44yr old female, known case of ILD(Interstitial Lung Disease), Vitiligo and hypothyroidism presents with sudden onset of breathlessness and palpitations, after being treated with steroids, she is advised to buy and use a portable dual oxygen concentrator, which is beyond her affordability. Kindly suggest an alternative. @Dr. Velkumar Gopal @Curofy Expert Panel @Intensivist

A 47yr old female, known case of Interstitial Lung Disease, vitiligo and hypothyroidism presents with sudden attack of breathlessness and palpitations after being treated with steroids she is adviced to buy a portable dual oxygen concentrator, which is beyond her affordability.@ is it needed now? What are the further management?

A lady of 50 yrs of age with past medical history of hypothyroid on treatment. Complaint of dry cough with breathless on exertion and even at rest sometimes. No history of fever. Vitals WNL except spo2 90-92 %. Hb 11.7, TLC 8700, neutrophils 64%, platelets 274000 KFT, LFT, urine RM WNL PFT- FEV1 0.68, FVC 0.78, FEV1/FVC- 87.1 Mantoux- 6x6 mm HRCT attached Suggest workup and treatment.

25yrs male presented with cough fever and breathlesness and chest pain. H/o visit to metallic industry 6 month back for period of 4 hrs.