pt. age 65 male, present c/o severe breathlessness, fever on and off and cough with yellowish and greenish expectoration since one month. diagnosis & course of treatment?

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Most common cause of pulsus paradoxus is Cardiac Temponade
COPD ( Hyerinflstion with bvm) with secondary infection get done 1.routine blood counts 2.sputum afb 3.sputum gs cs treat with 1. amoxyclav 2.Nebulization 3. Bronchodilator monitor spo2
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bilateral bronchiectasis with hyperinflated lung fields; good chest physiotherapy with wide antibiotic coverage acc to sensitivity report and nebulisation will help; get an abg also
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CXR. Bi.la scattered infiltration . Multiple hilled Tuberculos calsific scar Are seen. Hyperinflation COPD . Chronic Bronchitis. Give Amoxi-clave. MRS inhalation
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Hyperinflated lung with increase Bvm.treat as chronic bronchitis.tab.augmentin 625 bd.send sputum for culture.tab.abphylline 100 bd.nebulisation and mast cell stabilizer
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Looks like hyperinflated lung fields with honey coombing.possible bronchiectasis. Rule out any previous TB history
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Bronchiectasis probably post tubercular sequelae
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INTERSTITIAL LUNG DISEASE
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Can you please do HRCT
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Pls ruled out COPD
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