Cough and dyspnea

Chief complaint A 68 y/o female came with cough and dyspnea on exertion. History No history of asthma or any such complaint previously. Vitals BP: 135/80 mmhg, Resp rate: 18 bpm, HR: 87 beats/minute, oxygen saturation of 95%. Examination No lymphadenopathy at any nodal station. Oropharyx is normal. Neuro, cardiac and pulmonary examination is normal. Investigations Chest x-ray and CT scan is show no abnormality. Treatment What could be tha cause of her dyspnoea and how to manage it?

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GERIATRIC CASE WITH.. EXERTIONAL..COUGH & DYSPNEA .. ? HEART FAILURE.. ? COPD .. ? PULMONARY VASCULAR.. NEED'S.. HEMOGRAM.. ANEMIA PROFILE.. LFT..KFT.. ECG STUDY 2D ECHO STUDY.. MEANWHILE TREAT SYMPTOMATICALLY..WITH.. DOXOPHYLLINE SR.. HEMATINIC'S..

Tnx Dr Taimoor Dr Taimoor
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Duration of symptoms are important. RR and HR are normal. Spo2 95% With RS examination Normal. GERD post nasal discharge drug induced cough, cold exposure/ seasonal variations leading to cough. Anemia, viral infection,cardiac etiology causing dyspnea needs to be evaluated. Lastly psychogenic cause.

I think needs the Further Investigations to rule out the Major cause of DYSPNEA. CBC,ECG,2DECHO,KFT,LFT, Mean while treat Symptomatically Nonsteroidal Antiinflammatory drugs. Anti-anxiety drugs. Some Home Treatments for Dyspnea:- Pursed-lip breathing. Sitting forward. Sitting forward supported by a table. Standing with supported back. Standing with supported arms. Sleeping in a relaxed position. Diaphragmatic breathing.

Cough and dyspnoea on exertion X ray and CT scan of chest is normal Kindly rule out ischaemic heart disease and heart failure as cause of cough and dyspnoea on exertion

What about JVP,pedal edema,neck veins and chest.is there any h/o past cardiac ds or HF.kindly share ecg,xray and CT scan pics

We need to consider few things like Is patient obese Due to seasonal conditions like winter continuous exposure to cool whether may have such symptoms As heart rate ,RR,spo2 vitals are normal Need to evaluate by ECG ,2decho And cardiac markers Initially start with antihistamine it may control congestion and control cough Syrup ascoril And neb with duolin sob will subside Evaluate for cardiac

It may be cardiac asthma Do 2 decho DD eosinophilia

SINCE X. RAY AND C. T. SCAN.......NAD ...W. N. L... SO... SYMPTOMATIC. MANAGEMENT RULE. OUT CARDIAC. ETIOLOGY

Please do CBC Urine routine 2D echo Theophylline sos Autrin cap OD

Copd?? Gerd?? Anemia?? Do routne test 2d echo Start Tab:Doxofylline 400 mg bd Cap:Iromax one od Call for follow up with reports.

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