A female aged 40 years came to me having cough with expectoration since her child hood. Sputum is copius in quantity, foul smelling, green or yellow colored. On examination coarse crepitations on left back infrascapular region. Comments on xray and management.

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Chest xray s/o cystic dilatation of left mz, lz...Also in rt lz...S/o bronchiectasis..Most propably post infective in etiology... Now since the sputum has features of infection send sputum for gram stain and culture.. Antibiotics,mucolytics... Hrct is the diagnostic invest of choice...after stabilisation adv spirometry, Ige levels.. Vaccination for prevention... Teach chest physio.. Postural drainage..

Respected Dr ..I wanna say smithing out of track. Pt came to Dr arjun sirji...and she is suffering from childhood and everybody of us sure that pt wud have visited to other doctors and big hospital too from childhood till now..n 90% of them supposed to give the same trtmnt,at least the specialist wud have done it... But pt is still same.. And again every of us said the same thing.. Why m saying all this thing..coz same s/s pt came to me too and was suffering from 26 yrs from same thing and she was very angry on medical science.. She was visited to all govt Hosp in Delhi n visited to specialist in pvt Hosp too...but she is same ..finally she set the all documents on fire after 25 yrs ... Moral of story--- r we really not still capable to get rid of this kinda issue of pt in 21 century... I hope..I di nt hurt anybdy... Thnq sirji
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bronchiectasis LT SPUTUM. CULTURE N SENSITIVE RULE OUT KOCHS START I INJ PEPPWRCILLON 4GM BDS×7DY METROGYL 4OOMG TDS 5DY BRONCHODOLATOR EXPECTORANT POSTURAL DRAINAGE

History and cxr are strongly suggestive of congenital cystic bronchiectasis L L L . After adequate work up and preparation left lower lobectomy is the only permanent cure for the patient, anything short of this is only temporary with symptoms bound to recur .

History and cxr are strongly suggestive of congenital cystic bronchiectasis L L L . After adequate work up and preparation left lower lobectomy is the only permanent cure for the patient, anything short of this is only temporary with symptoms bound to recur .

History and cxr are strongly suggestive of congenital cystic bronchiectasis L L L . After adequate work up and preparation left lower lobectomy is the only permanent cure for the patient, anything short of this is only temporary with symptoms bound to recur .

Bronchiactasis left lower lung.

left lower zone bronchiectasis

Send the specimen for culture and sensitivity.ask a radiologist report.could be chronic lung abscess also do gram stain of sputum.and wait for the report. Has no one tried to do bronchoscopy.

Features of bronchiectasis.have a Gram stain.sputun AFB.with culture I'm liquid Media

It is a case of bronchiactasis if T.B IS EXCLUDED. Only supportive treatment can be carried out the cavity will keep Refilling.

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