52 /F Obese ,non thyroid ,non diabetic Has seasonal(winter) sob with fever(very mild) and cough mostly non productive. All vitals normal ,spo2-97 on RA Mild chest pain intermittent. Chronic bronchitis? Sputum for gram staining and afb sent Taken azithromycin 500 od for 5 days Medrol 16 in tappered dose Neb with duolin and Budate given for 2 days. Levocetrizine +montelukast given for 10 days Sob reduced,fever subsided...

(Edited)

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X-RAY OF CHEST NAD . I'm agree with @Kute Ankush sir

CXR..STUDY .. LOOKS NORMAL .. ECG STUDY .. NORMAL TRACING .. ? URTI .. LRTI .. ? BRONCHITIS ..

Normal

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Agree with @Dr. Dinesh Gupta sir

Thank you @Dr. Dinesh Gupta sir
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Normal chest X Ray and Normal ECG ? Upper respiratory tract infection

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She k/c/of seasonal bronchitis ie probably asthmatic Present condition is acute on chronic bronchitis My suggestion Rx tab pulmoclear bd Tab deriphyline tds Low maintenance dose of medrol Put pt on rotacaps foracort 400ug bd or tds once resolved maintain on 200ug Tab Levocetrizine montelukast10mg1od Symptomatic treatment for fever Cough syps like Ascoril-LS Steaming Spirometry Consider amoxyclav if antibiotics are to be given

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Acute exacerbation of bronchitis.. Further evaluation needed like spirometry, blood investigations

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Obesity Acute bronchitis Continue Same treatment

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3

POSSIBLY ACUTE EXACERBATION. OF BRONCHITIS. IN . . COPD ?? CARDIOMEGALY NEEDS ALL. ROUTINE. EVALUATION USG....CHEST. ABDOMEN

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Looking Allergic

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