?Pulmonary TB
This patient is a 16 year old male with weight loss and decrease appetite from past 2 months, he also had history of fever with night sweats and cough in the past. Was under homeopathic treatment since last 2months Chief Complaints His main complaints as I mentioned is regurgitation and decreased appetite Diagnosis I am suspecting TB and have advised him sputum for AFb and Sputum for Genxpert CBNAAT, CBC Management Meanwhile started him on amoxi clav and symptomatic treatment until reports are out Kindly give your valuable opinion on diagnosis and treatment for this case?
Infact difficult to read xray chest as confused either xray is upside down or if normal than shape is not seen before I can see extensive lesions of fibrochachiatic scars anf diffuse floppy infiltrates lt hilar and upper zone Rest of lung fields are hyperinflated bilateral Pulmonary tuberculosis
Left apical fibrobronchiectatic lesions with hilar pull noted. Changes of COPD emphysema seen. Findings sugg of PTB with possibly relapse. Adv Sputum examination.
Pure case of Koch's Left upper & midzone Rt calcified hilar Lt basal pleural effusion Copd
if Koch's identify, medication management by allopathy, and supported treatment of Ayurveda for weight gain, reduce kaf amd energy, Rx Sitopaladi powder 1 teaspoon mix with 1 teaspoon honey Sanjivani vati 2 Bd Shunthi himej tab 1BD Sudarshan ghanvati 2 BD for 1 to 2 months. when coughing,take sunthi dhanyak fant.
Sputum exam Ad CBNAAT HRCT thorax then after the result of the reports stat 4 drug regimen
Start first line AKT as per weight And supportive management with nebulization , and oxygen therapy with aim to keep SpO2 upto 92-95% Also give injectable anti fungal coverage And send sputum for CBNAAT and fungal culture and sensitivity....
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