Interstitial pneumonia case

Chief Complaint A 56 y/o male came with cough and breathlessness for 10 days. History No relevant past medical and surgical history. He is a mild smoker for the past 2 years. Vitals BP - 130/85 mmhg, HR - 86 bpm, Respiratory rate - 20 breaths/min, temperature - 98.2 degree F, oxygen saturation - 94% Examination Chest, abdominal examination is normal. Investigations PFT shows restriction and a reduced diffusion capacity. CT shows diffused ground-glass opacities. Lung biopsy shows interstitial pneumonia. Treatment What should be the management?

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ILD(Interstitials Lung Disease) Rx .AS MOST OF THE ILD CASES LEAD TO FIBROSIS (ASADHYATWA); LAKSHANIKA CHIKITSA, NIDANA PARIVARJANA AND RASAYANA CHIKITSA ARE TO BE ADVISED. TACKLE THE COMMON SYMPTOMS OF ILD LIKE DRY COUGH AND BREATHLESSNESS WITH AYURVEDA AS AN ADJUVANT THERAPY. I WOULD ADVISE SIVA GUTIKA 1 TAB 6AM AND 6 PM DOSAGE WITH MILK AS ANUPANA; DEKOFCYN (ALARSIN) 2 BD AFTER FOOD WITH BABBULARISHTAM 25 ML BD WITH EQUAL WATER AND KUSHMANDA RASAYANAM 1 TEASPOONFUL WITH LUKE WARM MILK AFTER FOOD FOR THE BEST AND EFFECTIVE MANAGEMENT.

CT REPORT'S.. DIFFUSE GGO.. NEED'S.. RT..PCR..COVID-19.. HOSPITALIZATION.. IN COVID CENTERS.. TREATMENT .. AS PER PROTOCOLS FOR COVID-19.. BY ..ICMR.. AZITHROMYCIN.. IVERMECTIN.. VITAMIN C.. ZINC.. REMDESEVIR.. DEXAMETHASONE.. DERIPHYLLINE.. BUDAMATE NEBULIZATION.. O2 . SUPPORTS..

Likely to be Covid 19 Send RT PCR for Covid 19 Start empirical treatment for Covid 19 Capsule Doxy 100 mg one capsule twice a day for 7 days Tablet Azee 500 mg One tablet daily for 7 days Tablet Ecosprin 75 mg one tablet daily for 30 days Tablet Ivermectin 12 mg One tablet daily for 4 days Glargine insulin injection 4 units per day Glargine insulin Brand name - Lantus insulin also called as Solostar injection (Brand Name Solostar) 32 number needle to be attached to syringe 4 units to be taken every day once a day for 10 days It is to be taken at same time every day, it can be taken at any time, time need to be same every day Role of insulin in treatment of Covid 19, in diabetic as well as non diabetic patients - please read my article https://jmscr.igmpublication.org/home/index.php/archive/178-volume-08-issue-07-july-2020/9517-use-of-insulin-in-treatment-of-covid-19-a-proposal-to-explore-feasibility

Rx Sitopaladi + Honey Sanjivani vati 2tid Sudarshan ghan vati 3tid SH tab 1bd Shunthi Dhanyak fant sos

Obviously it is necessary to rule out COVID-19 Refer to COVID Hospital

Thanks Dr. Pushker Bhomia
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Suspect Mycoplasma spp causing interstitial pneumonia. Consider antibiotics and steroids.

Bronchodilatos. steroids. Anti biotics

? COVID infection Ref to COVID center

Do RT-PCR START FAVIPIRAVIR AS PER ICMR DOSAGE TAB. AUGMENTIN DUO 625MG BD PCM 650 TDS TAB. DERIPHYLLINE OD 300 LIQ. TUS Q DX TAB. PERFENAX 200MG TDS L-ORNITINE-L-ASPARTATE SACHETS.

Covid 19 positive case with complications Isolation and hospitalization . Follow the all protocol of Covid 19 .

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