Cough & dyspnea, x-ray shows Nodular opacities.

Chief Complaint 49 y/o female presents with cough for 1 week and chest pain & dyspnea for 3 days. History She is a smoker and smokes 5-6 cigerrates/day and drinks occasionally. No family history of any disease. Vitals BP: 130/80 mmhg, HR: 110 beats/minute, Breathing: 18 bpm, Temp: 99.2 degree F, O2 saturation is 90%. Examination Lung shows b/l crackles. Cardiac and abdominal examination is normal. Investigations Hb: 14.9 mg/dl, WBC: 13200/mm3, Platelets: 465,000/mm3. BUN: 8.9 mg/dl, Creatinine: 1.3 mg/dl, Phosphate: 4.8 mg/dl, Calcium: 8.6 mg/dl Chest x-ray shows nodular opacities in both lungs. CT shows b/l parenchymal calcifications. ECG- left ventricular ejection fraction - 60% Diagnosis What is the most likely diagnosis? Treatment Advise the management.

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From history she appears to be a c/o Pneumonitis b/l Leucocytosis looks to be secondary R/o covid19 infection as xray chest and HRCT are indicating better could have posted

Thanx dr Kute Ankush
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Possibly acute exacerbation of COPD with secondary infection. Also consider underlying ILD. Adv HRCT thorax, sputum examination for Gm Zn. Swab RT PCR. Start broad spectrum antibiotics bronchodilators mucolytics oxygen support. Smoking cessation.

? ILD..PNEUMONITIS.. ? COVID-19.. NEED'S.. HRCT STUDY.. RT..PCR..COVID-19.. SPUTUM STUDY..

Tnx Dr Shivraj Agarwal sir
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? Covid 19 ? Pneumonia Adv Sputum culture Treat with higher Antibiotic Send RT PCR for Covid 19

Acute exacerbation of COPD Covid 19 pneumonitis Adv: HRCT chest RTPCR for covid

Lung carcinoma

Ca. Breast Lump

Ask in detail history like loss of appetite, wt , fever It may tuberculosis Send for investigation for CBNAT test.

B/L Pneumonitis.. Sec. Infection.. ?covid-19, suggestive rt-pcr, hrct chest.. Rx.. Broad spectrum antibiotics

COVID 19? PNEUMONITIS? RTPCR SPUTUM STUDY

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