Cough & breathlessness

Chief complaint A 53-year-old male presents with recurrent cough & breathlessness*15 days and hoarseness*5 days. History He had such episodes in the past also which resolves on its own. He has h/o diabetes which is well controlled with medication. He worked in a factory and deals with metal parts. He is a chronic smoker for the past 20 years. No family history of pulmonary disease. Investigations Bilateral diffused interstitial markings were noted on chest x ray. Management Please discuss the tmt of the case.

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? ALLERGIC BRONCHITIS.. ? ASTHMA.. ? COPD..EMPHYSEMA.. NEED'S .. CLINICOPATHOLOGICAL EVALUATION WITH.. CXR..STUDY.. HEMOGRAM.. SPUTUM STUDY.. CBNAAT.. PFT .. TREAT WITH.. LEVOCETIRIZINE +MONTELUCAST.. DEFLAZACORT..SOS.. DOXOPHYLLINE.. BUDAMATE NEBULIZATION.. BS..ANTIBIOTICS .. SYMPTOMATIC T/T..WITH CLINICAL CORRELATION..

Tnx Dr Ashok Leel sir
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* Allergic bronchial ** COPD Pneumoconiosis Needs further investigation and evaluation to conclude and line of treatment. Till reports complied. Antihistamine orally. Steroid orally. Bronchodilator. Nebulization. BS antibiotics orally. Improve General health and smoking must be stopped.

Thanks Dr Kute Ankush
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C O P D Ad spirometery TT Seroflo & Duoline rotacap inhalation through rotahaler sos Antibiotics orally at the time of attack Smoking should be reduced gradually He gets vocal cords affected due to smoking & some cold allergy leading pressure over recurrent laryngeal nerve that was cause for couldn’t speak So get his laryngoscopes done for any abnormally

Allergic bronchitis of metal ore particles or dust on the metal objects. Should first change the location. Dust free or metal free place for work. May b controlled with Bronchodilators Steroid-if needed with dm controll

COPD Emphysema Chronic bronchitis Prevention is better than cure For most people with COPD, short-acting bronchodilator inhalers are the first treatment used. Bronchodilators are medicines that make breathing easier by relaxing and widening your airways. There are 2 types of short-acting bronchodilator inhaler: beta-2 agonist inhalers – such as salbutamol and terbutaline.

Smokers couch / Allergic bronchial asthma ? Pulmonary function test CBC ESR Sputum test for AFB HB A1 C Stop smoking Use Masks .. Good control of sugar Montalakast and Levocetrizine OD Butamide inhalation Job Shift if possible

See for clubbing and lymphadenopathy. Do laryngoscopy to see for any laryngeal growth. Pulmonary function tests. ECG with reporting 2 D ECHO. Review

POSSIBLY I. L. D COPD. CHANGES PNEUMOCONIOSIS..?? NEEDS ..C. T. SCAN / U S G

COPD- Chronic bronchitis with acute exacerbation Treat with bronchodilators, steroids to reduce inflammation and short course of antibiotics to treat acute exacerbation. Oxygen if spo2 is low.

Adv PFT DLCO to rule out obstructive airways disease, ILD, pneumoconiosis etc.

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