SOB and cough

Chief Complaint A 37 y/o female presented with SOB with cough for the past 2 weeks which has increased since 2 days. History 1 month back she was diagnosed with hypertension and is on medication for the same. He also history of asthma and takes oral inhaler. Vitals BP- 110/70 mmHg, Resp rate- 35 breaths/min, HR- 137 beats/min, Oxygen saturation 98% Investigations Lab report shows leukocytosis Chest X-ray shows air in the pleural space on left side & opacity in the upper lobe of the left lung. Serum urea - 52 mg/dL Creatinine - 1.39 mg/dL Treatment Advise your valuable opinion.

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Needs further investigation and evaluation to conclude particularly HRCT,SPUTUM EXAM.. Antibiotics orally Nebulization with steam Cough expectorant. Tapering dose of steroid orally. O2 support SOS. ICD for Pneumothorax. Regular monitoring and constant evaluation required.

Thanks Dr Pushkar Bhomia
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Avoid ACE inhibitors. Adv HRCT thorax to rule out lesion in left upper lung field. Also treat the pneumothorax with ICD/ oxygen support as per the quantity.

NEED'S.. HOSPITALIZATION IN HIGHER CENTERS.. HRCT STUDY.. SPUTUM STUDY.. HEMOGRAM.. BS..ANTIBIOTICS.. WYMESONE.. DERIPHYLLINE.. NEBULIZATION.. O2 .. SUPPORT.. SOS.. ICD ..

Tnx Dr Ashok Leel sir
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HRCT TO SEE PARENCHYMAL LISION BOUNDERY AND NATUR CBC ESR SPUTUM.AFB PT MIGHT HAVR KOCH'S CHEST RESULTING PNEUMOTHORAX TT PNEUMOTHORAX BY CLOSED CECLE ICST TUBIMG INJ PPERACILLNN INJ DEXA NBULISATION O2IFSPO2 SUGGEST ATT IF INVEST FEVERS

Pt is adthamatic and on inhelar. X ray shows pneumothorax. So ICD is needed,so admit in the hospital Pt may b COPD Leucocytosis suggests bacterial infection. So may not b TB Still HRCT Sputum TB gold tests.

Antibiotics orally Seroflo & Duoline rotacap inhalation through rotahaler sos Nabulization with steam Cough expectorant Nsaid orally CBNAAT Sputum exam HRCT thorax

Through investigation to rule out Pulmonary Koch's lesion. Antibiotic. Bronchodilator + steroid inhaler.. Steam inhaler. Ambroxyl .

Patient is hypertensive... It would be better if you can get an ECG of this patient. And treat pneumothorax with ICD. Patient is tachypneic but saturation is 98% on room air ?? Upper lobe opacity can be TB. Sputum for AFB/CBNAAT and C/S

Rx Sanjivani vati 2bd SH tab 1bd Sudarshan ghanvati 2bd Sitopaladi powder + Honey sunthi dhanyak fant sos

pulmonary tuberculosis with left upper lobe bronchostenosis

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