?COPD

A 65 year old male patient retired professional presented to OPD Chief Complaints He complaints of decreased appetite, altered taste, dyspnea on exertion which has aggravated with time, occasional cough with expectoration, gets up in night out of discomfort History History of smoking present, presently he dont smokes Currently, urine, stool are normal He has been treatment from elsewhere where as per his CBC his TLC has always been in range of 16000 to 20000 As per recent CBC of 6.04.2021, his TLC are 23000 CXR PA of 6th April reveals COPD Emphysematous lung Vitals BP - 120/80 Pulse - 120/min Spo2 - 95 Rbs - 110 Investigations Advised to repeat CBC after 4 days Diagnosis COPD Management He was on cetil 250 BD, Linezolid 600 BD Aerocort inhaler SOS I have shifted him to following medications - Piptaz 4.5 TDS + Levoflox 100ml 24 hourly, Nebulise with Budamate Neb 0.5 (Budesonide + Formeterol) 8 hourly DPI Loftair-L once daily in morning PPI OD BBF Montemac FX at bedtime Cardivas 3.125 BD Syp Ascoril LS 2tbsf TDS Appetizer syrup Also advise for diaphragmatic breathing exercises Give your valuable suggestions for this case

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Wait and watch for few days and evaluate and monitor his condition to your prescription. Reassurance and counciling required because this treatment will take time to get some relief. Lung exercise and morning walk will be helpful.

Thanks Dr Shivraj Agarwal
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Changes of COPD emphysema seen. Evaluate and treat for secondary infection causing acute exacerbation

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Rt costophrenic angle is translucent or obscured Rest of lungs are hyperinflated Xray chest is overexposed D/d pneumonitis Pleural effusion Adv hrct Continue the treatment given

Thanx dr Dinesh Gupta
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Start Seroflo & Duoline rotacap inhalation through rotahaler sos instead of budacort Nebulize s o s

Already started him on LABA + ICS nebulisation 8 hourly sir
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SUGGESTIVE. OF ACUTE EXACERBATION .. SECONDARY. INFECTION NEEDS 1. ECG. USG 2. CULTURE. AND. SENSITIVITY...

Copd Both basal angle not seen Better hrct 2decho ecg stree echo pft Opinion of chest specialist

Hyoerinflated lungs O2 bronchodilators

COPD ,Breathing exercises in open air 6hrly like Lombilom etc.

Copd Exclude covid19

Valuable opinion
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