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Regarding chest infection
I am asking this question of behalf of my grandmother.2 days back her oxygen saturation is hovering around 76 to 85.We immediately took her to the hospital where o2 level was 86 at night.She is asthmatic from past 35 years.She is having high bp ,sugar and thyroid for which take regular medicines.Bp recorded at hospital initially  was 216/84 then had come down to 168/82.Ecg and echos was normal .Troponin was also normal. Chest x ray was not good so doctor suggested hs ct scan for which i am attaching her report.Her tlc count at the time of admission was 15700 as of today tlc count was 14500.Bp and sugar are now controlled as of today.But she is feeling better talking to us but doctor said next 48 hours are critical and crucial.Please suggest something.
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Hi. I understand your concern. Do a online consult for a detailed analysis of your symptoms and reports to suggest you further management plan and treatment prescription for the same
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Asthmatic pt which i presume was not compliant with inhalers may cause permanent lung function decline. Together with old age can cause a disease called COPD. Such a patient will be prone for pulmonary embolism (clot in lung blood vessels) which should be ruled out with a Ddimer blood test. Cavitating lung lesions most commonly caused by tuberculosis for which sputum and mantoux tests has to be done. She requires nebulisations (whoch will be started by any hospitals) , blood thinners and antibiotic courses.
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Ddimer sputum AFB mantoux sputum culture
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Pl test her for Tb.pl consult.
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She will need bronchoscopy , once stable to r/o tuberculosis
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Rule out tuberculosis
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You would have attached ct film too. Wait till infection aetiology found.
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Follow your doctors order
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get her tested for tuberculosis
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.