Exertional dyspnoea with chest pain

Chief Complaint A 57 y/o female presents with exertional dyspnoea, chest pain, and dry cough for 6 months. Vitals BP: 125/82 mmhg Pulse: 78 bpm Respiratory rate: 20 bpm Temp: 98.2 degree F Investigations FVC L- Absolute 2.2, Predicted 80% FEV1 L- 2.4, 83% FEV1/FVC- 82, 105% RV L- 2.2, 119% TLC L- 4.7, 93% DLCO-SB- 34% DLCO–VA- 52% Pulmonary function tests show mild impairment of vital capacity, severely reduced diffusing capacity of the lung for carbon monoxide. HRCT scan showed apical, paraseptal emphysema, and honeycombing with traction bronchiectasis, extensive ground-glass opacities. Diagnosis What are your comments?

4 Likes

LikeAnswersShare

PFT suggestive of copd/asthmatic But HRCT is informative of ground glass opacities which is more likely covid19 pneumonitis Hence clinical presentation and examination are more decisional Adv cbc esr crp sr ferritin D-dimer ecg and 2decho Likely to be treated for pneumonitis under ICMR protocols Inj Remdesivir Inj Ceftriaxozone Inj dexamethasone Inj azithromycin Inj lasix Sos inj LMWH Nebulisation O2 suppliment If ABG suggest respiratory alkalosis to be corrected

Under present circumstances covid virus Infection must be ruled out and protocols must be followed till prove otherwise.

Thanks Dr Dinesh Gupta
0

SUGGESTIVE OF BRONCHIECTASIS G. G. O HONEYCOMBING COPD EMPHYSEMA RULE. OUT COVID 19 .

Ask for RT-PCR to ruled out COBID-19

? Viral Pneumonia,R/o Covid 19.. ?ILD.. ?Emphysema..

Cases that would interest you