Breathlessness
A 70 yaer male come to my clinic Chief Complaints Severe Breathlessness DM HTN History No past history Vitals Bp 173/90 Pulse 89 Investigations CxR CBC PFT ESR CRP Awaiting RBS 350 Diagnosis Please suggest me Management Tab Allegra m BD Tab Mucinac 600 BD Tab Doxyfyline 400 half BD Tab Augmentin duo BD Tab Gluconrm g2 BD Tab Amlopress At OD Nebulizer Budicort Doulin Inj Primocort 100 State Inhaler Doulin Forcort State But not relief Please senior sir suggest me best treatment
X ray Ecg Lasix if basal crypts present Auscultate pt. Is there rhonchi Or crypts or decrease air entry etc
Mutipule disease may be find,advise HRCT,ANA,aso titer
THERE'S DIABETES MELLITUS CASE, AND HYPERTENSION . UNCONTROLLED DM . LABOUR BREATHING. STRICTLY DIETARY CONTROL. ADVICE FOR CBC , LFT , ECG , X-RAY
ADVISABLE ECG ECHO AND AS. .PER. YOUR. ... .. INVESTIGATION'S. REPORTS... NEEDS. CLINICAL. CORRELATION
Ad X-ray chest ECG 2 DEcho Spirometery
Needs Echo PFT and CT thorax to see the Cardiogenic/ Pulmonary etiology
GERIATRIC CASE WITH .. UNCONTROLLED DIABETES .. HT .. AND .. DYSPNEA .. NEED'S .. CXR..STUDY .. PFT .. ANEMIA PROFILE .. CARDIAC PROFILE .. RENAL PROFILE ..
Severe breathlessness can be because of multiple causes It's important to find the cause as early as possible, because any breathlessness can be life threatening Adv X Ray chest - ? Pneumonia ? Pleural effusion ? ARDS 2 D Echo - ? Heart failure ECG - ? Rhythm disorder Renal function test - ? Renal failure Electrolyte arterial blood gas - ? metabolic acidosis
Please do ECG, tropT, echo
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