Concluded Case

pulmonary tuberculosis

72Y/M with 1 month H/o fever, cough with white sputum, weight loss. Diagnose the CXR

3 Likes

LikeAnswersShare
Concluded answer

Left sided upper zone fibro - cavitatory shadow. Assess the activity of the disease by sending two sputum specimens on different days for AFB smear & bactec culture. Antibiotics may be given intially but please avoid fluroquinolones like levofloxacin to avoid development of drug resistance TB

All Answers

Left sided upper zone fibro - cavitatory shadow. Assess the activity of the disease by sending two sputum specimens on different days for AFB smear & bactec culture. Antibiotics may be given intially but please avoid fluroquinolones like levofloxacin to avoid development of drug resistance TB

Yes I do agree with U sir as Levofloxacin if given initially can lead to MDRTB
2

View 1 other reply

P Koch's , sputum test for AFB. PPD, Heamogram ESR. ATT as schedule of RNTCP. Tab Levofaxacin 500 OD for 14 days. Tab Paracetamol SOS Tab Multivitamins OD Tab Montelakast OD. for 14days. Complete bed rest with healthy diet. mask on face & separation from family TB is curable so assurance.

no levofloxacin
0

View 2 other replies

CXR shows infiltration Lt. UL and ML with some calcifications. first past history of tb and adequate treatment should be taken. If no history of ATT investigate for tb adv. sputum for AFB if positive start ATT.If sp AFB neg ,repeat sp for AFB after 7days of antibiotics except Quinoline and amoxyclav .If sp positive start ATT and if neg. and pt is not responding start ATT.If past history of ATT is there of adequate duration ,do CBNAAT and decide about reactivation of ds and about MDRTB.

CXR PA view showing left upper and mid zone fibro-cavitatory disease suggestive of PTB. ESR 50mm/hr Sputum AFB Positive 1+ Started on RNTCP ATT CAT 1 Thanq all.

CxR PA A view shows B/L fibrocavitatory PTB.Adv Sputum for AFB/CBNAAT/CBC/HB/ESR& other routine tests to arrive at a Diagnosis....

With due respect; in X-ray , lung fields are described as zones. There are three zones on either side: upper , middle and lower. Lets not to forget, left lung has only two lobes.

Dr Arnab, no doubt there are three lobes on rt and two lobes on lt side of lungs but for description purpose it has been divided in to three zones in both lungs.
0

Rotated film. Left upper and mid zone have fibrous , modular , cavitatory and bronchiectatic lesion with the complain suggestive of PTB except duration of illness not mentioned and the sputum is white in such type of x_ray finding . Go for sputum for AFB and EIA HIV1 $2 and CBC and of course ESR. If confirmed then start ATT either DOT or daily 4 drug regimen.

left upper lobe non homogenous opacities, most like Pulmonary koch's as a/w weight loss. get CBC ESR, sputum AFB and routine blood ix to confirm diagnosis and start on ATT.

consolidation L upper zone + patchy infiltration L middle & lower zone. ..most probably tuberculous. R lung hyperlucent.

consolidation of lower lobes of both lung. may be h/o untreated pneumonia. or hypostatic pneumonia. thanks

Load more answers