? Pulmonary Koch's
A female aged 43 years Chief Complaints 2 episodes of hemoptysis (x 1 day) History Fever on/off (x 2 months) Dry Cough Loss of appetite Physical Examination Resp - bronchial breath sounds in rt supraclavicular area
PTB Do chest hrct sputum for afb and CBNAAT HIV
rt.upper lobe active pul.kocks
PTB, send sputum / BAL for afb and cbnaat, get HRCT done and other routine test including FBS and HBA1C
Pul TB
It's pulmonary tuberculosis
It's pulmonary tuberculosis but hemoptysis is because of bronchial artery hypertrophy and fibrotic traction over it. Get CT angio done/bronchoscopy done if hemorrhage volume is more than 300ml. Sos bronchial artery embolization
HRCT CHEST, send sputum Or BAL FLUID for AFB, G/S, C/S,
How much is volume of blood loss by hemoptysis
CXR SHOWS B/L RETICONODULAR INFILTRATES ++ RIGHT APEX DISCRETE PATCHU OPACITIES & HAZINESS ??PTB DO, HRCT CHEST CBC,ESR,CRP,SPUTUM FOR AFB & CBNAAT,TB GOLD,HIV
Hyperinflation with reticular opacities seen bilaterally. Rt apical bronchiectatic lesions with infiltrations seen. Likely PTB. Adv Sputum examination and CT thorax.
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