Childhood bronchial asthma

A 53-year-old female was admitted with infected traumatic cutaneous ulcers. The infectious organism was Staphylococcus aureus, and levofloxacin was administered. She had been diagnosed with bronchial asthma during childhood and had been treated by her family doctor. For several years, her bronchial asthma worsened and she was treated with fluticasone/salmeterol (500 mcg/100 mcg per day), prednisolone (10 mg per day), theophylline (400 mg per day), and pranlukast (leukotriene receptor antagonist, 450 mg per day). She had suffered from dyspnea upon exertion and wheezing continuously for the prior two months. Pulmonary function tests, which had been conducted three months before admission, showed a pattern of obstruction

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Left sided opaque hemithorax with mediastinal pull towards left. Tracheal deviation towards left and abrupt cut off seen in left main bronchus. Needs to rule out intraluminal obstruction like foreign body. Rt sided compensatory hyperinflation seen. Adv FOB / rigid bronchoscopy.

LEFT SIDED LUNG COLLAPSED.. ? PNEUMONIA.. ? SARI .. ? COVID-19.. NEED'S.. * HRCT.. * HEMOGRAM.. * SPUTUM STUDY..

Tnx Dr Topan pati
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SUGGESTIVE. OF SEPTICEMIA.. ATELECTASIS COMPLETE. FIBROSIS...LT PLEURAL. EFFUSION CONSOLIDATION POST. SURGERY ADVISABLE.... ...C. T ...SCAN ALL. ROUTINE. INVESTIGATION

LEFT LUNG COLLAPSED COPD EMPHYSEMA PNEUMONITIS CT THORAX ALL REQUIRED INVESTIGATIONS TO CONCLUDE INCLUDING COVID-19

Thanks Dr. Thanks Dr. Kute Ankush
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Shift of coryna to left with cardiac shadow .Dense opacity of left side of chest.due to shift of trachea and heart to left fluid pathology is ruled out.Massive fibrosis due to infection is to be ruled out ,since pt was on excessive steroid therapy

Pleural effusion left lung. Admit the patient. Pleural fluid aspiration- Mcell, for AFB stain, Cell type cell count, protein,sugar, Gram stain, ADA. Cell bock. Sputum for AFB for 2 days under DOTS. Blood for CBC ESR FBG. Treat accordingly.

Opaque left lung Mediastinal shift to left. ? Left lung massive collapse due to bronchial obstruction. Suggested CT chest, ultrasound left chest , bronchoscopy ,BAL . and culture If fluid is seen in left chest, aspirate analysis fir AFB and CBNATT , and culture . Since she has proven staph skin infection, pulmonary problem could be sequel to staph septicemia.

How should diagnose mediastinal shift toward left...?
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Left lung complete hazy Rt lung upper lobe hazy ? Viral pneumonia ? COVID infection Ad CBNAAT Sputum exam HRCT thorax Copd Emphysema

Lt lobe not visible Pft obstructive disease Do hrct Collapsed lung Ild Pneumothorax left lobe

Collapsed left lung copd emphysema rt apical fibrotic cbnat hrct obstructive alveola ards

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