Concluded Case

LEFT LUNG COLLAPSE - PTB SEQUELAE

Elderly male k/c/o PTB on ATT at govt hospital since 6 months presented with cough, sob, fever, vomiting since 1 month aggravated since 3 days. Patient was on Isoniazid, Rifampcin, Ethambutol. PR 112bpm, BP 150/80, Spo2 95% RA

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Concluded answer

Complete volume loss seen on left side sec to old Infective fibrosis. Mediastinal herniation towards left side. Left hemidiaphragm is markedly raised. Compensatory hyperinflation seen on rt side. Findings sugg of PTB sequelae

All Answers

Complete volume loss seen on left side sec to old Infective fibrosis. Mediastinal herniation towards left side. Left hemidiaphragm is markedly raised. Compensatory hyperinflation seen on rt side. Findings sugg of PTB sequelae

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CXR..STUDY.. LEFT SIDE HOMOGENEOUS OPACITY.. ? EFFUSION.. ? COLLAPSED LUNG .. NEED'S.. FURTHER EVALUATION..

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Lt lung abscess with cllopse Ad add pyrizinamide as 4 th drug Drainage of pus under water seal and send fluid for HPE

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Rx. Abhyadi qwath + Dashmool qwath BD Galo ghan tab 1bd panchsakar powder HS for 2 to 3 weeks, Shunnthi dhanyak fant sos

Sequelae of old case of PTB: complete fibrosis left lung with loss of normal parenchyma and mediastinal deviation. Adv: RT-PCR ,HIV test,LFT. Initially Inj Streptomycin may be started for 2 months and Ethembutol may be stopped temporarily. Tab.Ranitidine 20mg od for 1month,Inj. Domperidone sos.

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Complete collapse left lung? Mediastinal pulling towards left Hyper inflation right lung

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Atelectasis left lung Need HRCT test symptomatic T/T clinical correlation

Left side Collapsed and plural effusion Tapping plural effusion and culture Treatment as per report of culture

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Complete collapse of left lung

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Diseases Related to Discussion

Lung Abscess