Recurrent cough!

Chief Complaint A 17 y/o male presents with recurrent productive cough. Vitals All vitals are wnl. Examination Physical examination is normal. Chest examination shows few inspiratory crackles in upper zones. Rest of the examination is normal. Investigations Chest x ray shows abnormal shadow in b/l lungs with thickened bronchial walls. Sputum is positive for Haemophilus influenzae. Treatment What are your comments on management plan?

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Check Eosinophilia in WBC..And treat accordingly... Continue broad spectrum. antibiotics.... Fexafenedine... Ambroxyl... Broncho dilator..

chronic cough RASINDOOR 2.5GM+VASA MOOL CHURAN-10 GM+SITOPLADI-20 GMS=41 D0SES 1 TID+VASA SYRUP(SANDU) WITHIN 15 DAYS YOUR CHILD WILL BE FREE FROM DISEASE.........MERE LIYE DUVA MANGNA.BHAGWAN SE...................BAS AUR KYA...................

Look H influenza pneumonia Start Moxikind CV 625 bd Tab Azithral Mucolytic agents Add steroid and bronchodilator if required

3 weeks antibiotics therapy. Consider mucolytics. Pneumococcal vaccination.

Chest xay chest ? Tubercular

Adv Hrct chest,r/o covid.Give antibiotics

Bronchitis/ chronic cough. Antibiotics, mucolytic agents, steroids, steam inhalation..

POSSIBLY P. TB SECONDARY INFECTION

H. Influenza +ve ?Pneumonia CXR shows Bilateral bronchial Wall thickness ? Bronchiolitis Management :- Antibiotics , Mucolytics agent , Serve pneumonia Steroid should be use

Steam inhalation and Tab. Kafketu Ras 2-2 tabs bid + luxmi Vilash Ras 2-2 tabs bid + Mall Sindur Ras 1-1 Ratti tid with honey. Definitely pt. will get relief soon. Yours Dr. Prajesh Dixit from Gurgaon. WhatsApp is 9711031551

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