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35y/M covid positive. This time no fever. No cough. Only difficult in breathing. Admitted in ICU 10day Spo2 70-75%. D dimer 0.46. il6- 6.70 CRP 48 Ferritin 2000 LDH 774 Hb 15 TLC 20000 Pc 215 Suggest any treatment
Dr. Dinesh Rana0 Like6 Answers - Login to View the image
70 years old female k/c/o DM HTN COPD c/o breathlessness sweating admitted in hospital o/e pt.dyspnea PR 110/min BP 160/90 RS crepts + PA soft non tender investigation done Hb 12.6 PCV 32.3 RBC 5.06 MCV 63.83 MCH 24.9 MCHC 39.01 RDW -CV 16.9 Platelet 2.2million PCT 0.210% MPV 6.8 PDW 7.7 TWBC 12600 Neutrophils 83 lympho 16 eosino 01 baso 01 ESR 48 neutrophillic leucocytosis normocytic normochromic Random Sugar 293 blood urea 16 BUN 7.48 Sr. Creat 0.5 LFT normal Na+ 127 K+ 3.7 ionised Ca++ 3.9(4.2 to 5.5) ECG sinus tachy.with non specific ST -T changes 2D echo shows IHD with LV systolic dysfunction treatment on which she was human mixtard 16------------13 glycomet 250 tds concor 5 od telsartan 40 bd CTD 6.25 od clodrel forte od X tor 10 od imdur 30 1/2 od (morning) deriphylline R 150 tds ferium xt od alternate day shelcal 500 od alternate day stiloz 50 bd neurobion forte od attaching photos of ct thorax and ECG kindly give your expert opinion and treatment
Dr. Aniruddha Lele2 Likes30 Answers - Login to View the image
60yrs/M known case of ILD presented with 5 days history of fever associated with Shortness of breath, malaise and fatigue since 2days.Three days ago patient visited his family doctor who prescribed him acetaminophen and azithromycin but without improvement of his symptoms. WHAT IS THE MOST LIKELY DIAGNOSIS,SUGGEST TREATMENT PLAN? *Chief Complaints* Fever with SOB *Vitals* O/e - Patient looks I'll, dyspnea, tachypneic,No cyanosis,Chest - B/l crepitation.BP - 160/90,PR - 120,RR -38,Spo2 -91%,Temp -99°F *Lab Report* Lab - ABG - pH -7.09,Pco2 -78,Po2 - 82,S.Ferritin > 1200,LDH -645,WBC - 19000,PCT -12,D-dimer,CRP normal,Urea -120,Creat - 2.2,Output normal.COVID 19 AWAITED
Dr. Prashant Vedwan6 Likes17 Answers - Login to View the image
34yrs/M presented with 2 days Dyspnea and dry cough and wheezing with mild fever.No documented medical history.O/e - Spo2 -78%,Temp -100°F.INTERPRET CXR WITH MANAGEMENT PLAN? *Chief Complaints* Dyspnea and dry cough and wheezing with mild fever *Lab Report* ABG - pH -7.02,Hco3 - 15,Na -145,K -3.2,Ca - 0.67,Lac -4
Dr. Prashant Vedwan1 Like17 Answers - Login to View the image
5 yrs old female c/o rhinitis ,cough ,off and on fever with normal apetite since last 8days. clinical examination insignificant wt 15 kg. Rv neg ,ESR 93, creat 0.84, urine nil. BSL 46. plz comment on approach to this case.
Dr. Sandeep Ghodekar3 Likes21 Answers