Left side chest discomfort
Male patient of age 20 Chief Complaints On off breathlessness and chest pain left side Cough with mild sputum Weakness History History of typhoid three months ago Vitals Normal Investigations Cbc: esr 50 Lymphocytes:60 Chest x ray September month and November month attached alongwith usg Diagnosis Koch?? Pleural effusion?? Management Need to be discussed
IT'S A..CASE OF.. ? PTB..WITH.. LEFT SIDED.. PLURAL EFFUSION.. WITH.. RAISED ESR.. NEED'S.. ATT..&..MANAGEMENT.. COUGH EXPECTORANT.. BRONCHODILATORS.. SYMPTOMATIC T/T.. MULTIVITAMINS ANTIOXIDANTS.. NEED'S..SPUTUM STUDY..
IT'S A..CASE OF.. ? PTB..WITH.. LEFT SIDED.. PLURAL EFFUSION.. WITH.. RAISED ESR.. NEED'S.. ATT..&..MANAGEMENT.. COUGH EXPECTORANT.. BRONCHODILATORS.. SYMPTOMATIC T/T.. MULTIVITAMINS ANTIOXIDANTS.. NEED'S..SPUTUM STUDY..
Apparently leftside pleurisy with pulmonary tuberculosis Sputum examination and CBNATT Start ATT after notification
Fibrovascular cavity seen rt apical region With perilesional fibrosis Fibrotic strands lt upper zone And min8mal pleural effusion lt cp angle Pulmonary tuberculosis Start ATT
Chest X-RAY show's and reports are suggest that, BILATERAL PULMONARY KOCH'S WITH LEFT SIDED PLEURAL EFFUSION. Needs SPUTUM AFB FOR 3DAYS. Check body temperature and body weight. If necessary HRCT THORAX RTPCR CBNAAT for further evolution.
Evaluate for active PTB. Sos medical management. Add incentive spirometry exercise. Inhaled bronchodilators mucolytics steam inhalation chest physiotherapy.
SUGGESTIVE. OF KOCH'S WITH LT. SIDED PLEURAL. EFFUSION.. ADVISABLE U S G.....THORAX. AND ABDOMEN TB. CONFIRMATION..
@Dr. Manohar Rao
@Shivraj Agarwal
@Dr. Kute Ankush
@Dr. Pranab Bera
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