A60 yr heavy body female pt c/o continue coughing no history for fever no any other complain kco dm ht on rx o/e t nrml p 85bpm spo2 98 bp 190/95 rbs 185 r/s clear see video.. wt is dx tx

7 Likes

LikeAnswersShare

Morbid obesity High bmi Kco DM/HTN uncontrolled Persistent bouts of cough with sob Needs xray chest 2decho hrct She may be a c/o COPD CCF or chest infection

Thank you doctor
0

View 6 other replies

IT'S A..CASE OF.. HT..& UNCONTROLLED DIABETES.. WITH..PERSISTENCE COUGH.. MAYBE.. ? COPD.. ? CCF .. NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. HEMOGRAM.. BSR HBA1C.. SPUTUM STUDY.. X-RAY STUDY.. HRCT..2D ECO..STUDY.. PRESENTLY TREAT WITH.. MONITORING.. O2..INHALATION.. BUDAMATE NEBULIZATION.. T/T..FOR..HT & DM ..WITH EXPERTS OPINION..

Tnx
0

View 3 other replies

Do cxr PA view,ecg.do tb TelmaAM 40/5,tab raface 5 mg BD,cap metapro XL 50 mg,tab glytab M1,tab taxim o CV bd,tab lecet MK,syp ascoryl. If cough is d/t raface the switch to ccb

Thank you doctor
0

Cough seems to be effect of ACE inhibitors or COPD Pt is known HTN & DM Yet parenteral steroids for short period is necessary And accordingly ARBs & Insulin to be monitored Parenteral Meropenem 1gm 8 hourly LABA/LAMA O2 inhalation Slow iv fluid if required Proper medication of heart after required investigation

Thank you doctor
0

HTN, DM Hacking cough Bronchospasm , wheeze DD Wheeze bronchitis, asthma Hypertensive failure , LVDD Suggeest PFT, ECHO ,XRAY chest Control of BP and sugar If patient is on ACE inhibitors, stop the drug and put her on ARBs LABA and steroid inhalers Antibiotics, Tusq,-D syrup

Thank you, Doctor
0

View 1 other reply

SINCE HOW MANY DAYS SHE IS SUFFERING WITH COUGH AS BLOOD IS TOO HIGH, CONTROL HER BP. ADV CBC CUE ESR CXR RFT LFT RX CONSERVATIVE MANAGEMENT IS NECESSARY CHECK HER LUNGS IS THERE ANY WHEEZE OR CREPTS OR RHONCHI OR CRACKLES. NEB WITH DUOLIN 6th HRLY BUDECORT 8th HRLY

Thank you doctor
0

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!

OBESITY T2 DM ( UNCONTROLLED ) HTN ( " " ") COUGH ++++ CHEST CLEAR PL GIVE HER DRUG LIST 1 .IS SHE TAKING ACE I INHIBITOR FOR HTN = CAN CAUSE COUGH ++++ 2 NOSE THROAT = PHARINGITIS DNS 3 SINUSITIS = X RAY PNS OM VIEW 4 BLOOD ,= ABSOLUTE EOSINOPHIL COUNT 5 T3 T4 TSH NEED HTN & GLYCEMIC CONTROL

Pulmonary edema and embolism can be there...keep her under observation

Thank you doctor
0

SUGGESTIVE OF OBESITY UNCONTROLLED ...D. M...T 2 H T N HACKING COUGH DD ASTHMA WITH BRONCHITIS POSSIBLY COPD OR C. H. F NEEDS. FURTHER. EVALUATION

Load more answers