Concluded Case

COPD, Pneumoconiosis

Male 62 yr Admitted with H/O SOB,cough with expectoration Fever Investigation HB 8.3 TLC 8600 DLC p 68,L 28 Blood sugar 100 mg% Lungs B/L crepts K/C/O DM2 -HT- Copd Ch Acholic,Ch Smoker Worked 30 yr in mining X-ray and ECG attached Please discuss

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Concluded answer

Xray chest shows bilateral hyperinflated lungs with flattened diaphragm,COPD and emphysema ? Pneumoconiosis Bil subpleural opacities ,? Pneumonitis . ? COVID PNEUMONIA Suggest RTPCR for COVID, HRCT , inflammatory markers, DDimer Investigations for anemia.

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Changes of COPD emphysema seen. Mediastinal widening noted. Expect pneumoconiosis with PAH. Adv CECT thorax and Echo CD. Treat with LAMA LABA combination.

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Xray chest shows bilateral hyperinflated lungs with flattened diaphragm,COPD and emphysema ? Pneumoconiosis Bil subpleural opacities ,? Pneumonitis . ? COVID PNEUMONIA Suggest RTPCR for COVID, HRCT , inflammatory markers, DDimer Investigations for anemia.

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Over exposed film, hyperinflated lung fields, flattening diaphragm. ECG Sinus tachycardia, Low voltage tracing, MAT.

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Xray chest s/o copd.Ecg wnl

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ILD or COPD ? Pneumoconiosis

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Thanks Dr Ved Parkash

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