Concluded Case

old or new occurance of ptb

known case of pulm.tb taken once irregular DOT'S and one completed course. Having high grade fever and cough pl guide foe active TB or not

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Concluded answer

Rotation++. Hyperinflation of both lungs. Right hilum elevated. Scarring right upper lung. Cardiac shadow is tubular. PTB sequele COPD emphysema.

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COPD emphysema Rt apical and mid zonal fibrobronchiectatic lesions seen. PTB sequelae with superadded infections. Sputum analysis.

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Rotation++. Hyperinflation of both lungs. Right hilum elevated. Scarring right upper lung. Cardiac shadow is tubular. PTB sequele COPD emphysema.

It is a c/o active tuberculosis Xray chest suggest fibronodular infiltrates in rt apical region There are fibrochacheiatic strands of old lesion Trachea is pulled to rt Rt dome is straightened and pulled up Hemogram shows leucocytosis suggesting secondary chest infection Pulmonary tuberculosis with sequele and secondary chest infection

Scarring rt upper lung Cardiac shadow tubular COPD Emphysema PTB sequelae

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There is fibrobronchiectatic change rt upper zone suggestive of previous PTB. Sign is COPD Fever with expectoration may be due to infection over COPD To continue antibiotic Moxy clav 625 mg bd for 10; days with supportive therapy If no remission then can be thought of again with ATT.

SUGGESTIVE. OF HYPERINFLATION TUBULAR. HEART POSSIBLY.... P. TB. SEQUELE COPD EMPHYSEMA

Infiltrations and fibrosis and cavitation, right upper zone Calcific shadows both lung fields PT ,? Reactivation Sputum AFB and CBNATT, ? MDRTB DM and HIV to be ruled out

Rt uper lobe fibrobronchiectetic lesion seen .. PTB sequelae with COPD emphysema ...

Sputum for AFB ESR Widal test Dengue serology Urine exam CT scan

Agree with Dr Syam Sir

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