Cough with blood

50 yr old female with cough sputum with blood one day . non diabetic nor hypertensive chest crepts on rt side . bp 150 90. hb 10 tlc 11000 est 54 . cxr for review . afb gram stain and culture awaited

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Bil hyperinflation and diffuse parenchymal infiltrating shadows seen. Left lower ribs crowded. Adv routine lab and CT thorax to rule out Infective etiology if any. Also ask for previous occupational history and pst mesical illness if any.

X Ray chest is within normal limits ? Upper respiratory tract infection

NEEDS FURTHER INVESTIGATIONS AND SYMPTOMATIC MANAGEMENT

X-ray chest normal Investigate further

Lt LOWER pneumonic patch

NORMAL XRAY

CXR-Bilateral diffuse reticulonodular opacity, left hilar prominent, left lower rib crowding/diaphragm elevated Possibly-?infective ?sarcoidosis ?CTD etiology With left lower lobe segmental collapse (?chronic) *do CECT thorax for further evaluation

L.R.TI Both upper lobe are clear Ground glass scattered haziness in both side lower and middle love Prominent BV marking .... Rule out pul.HTN Smoking history Working history Inj lasix Inj. Dexona Inj. IV antibiotics as per culture report

LRTI. Blood may be due to excessive cough As u said. Report is awaited. Just give. Neb. Levolin. + Budacory. Tid. Syp. Grilintus BM. 10. Ml. Tid. Tab. Montair FX. Od.

I dont think any noticableabnormality at present inview of radiogram. Other investigations are required to be performed to conclude.

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