Concluded Case

Copd post tb sequelae

Old lady present with dyspnea with restless,kco copd post tb sequel,htn on irregular rx... Bp 170/110 Hr 160 around Spo2 88% RA

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Unfortunately patient expired
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ECG Sinus tachycardia Left axis deviation LVH LA enlargement Cxray Rotation towards rt . COPD emphysema Rt apical fibrobronchiectatic lesions with tracheal pull noted. Solitary fibrocavitatory lesion seen in rt parahilar region. Rt basal loculated empyema noted. Rt sided Hilar pulled up, mediastinal pull towards right. Left upper zonal fibrocalcified scattered lesions seen. Left sided diffuse parenchymal reticulonoduler opacities seen. COPD with PTB sequelae with relapse or superadded infections.
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PRESENTATION OLD F POST PTB COPD HTN( UNCONTROLLED) IRREGULAR THERAPY TACHYCARDIA HYPOXIA ECG sinus tachycardia biatrial enlargement (see V 1 ) lvh horizontal ST V5 V6= lateralwall Ischaemia Cxr = post TB sequee loss of lung volume RT trachea drawn to rt side gross fibrosis rt side .fibrocavity lesion rt upper zone ptesent activity to be assessed ....compansatory hyper inflation left side some scary changes also left side an opacity resembling upper Portion of a burning candle seen at rt lower zone= thickened pleura ? D =COPD POST PTB HTN IHD CORPULMONALE
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Manage heart rate and BP and aggressive respirometry
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Unfortunately patient expired
S.Tachy LVH with strain