A 40 year old female with left sided pleural effusion( multiloculated) with right upper lobe fibrosis( sec to TB??)
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A 41 year old female with
C/o fever since 10- 15 days
C/o loss of appetite since 10- 15 days
C/o generalised weakness since 10-15 days
Cough with expectoration since 10-15 days
HOPI: The patient was apparently asymptomatic 15 days back then she developed fever low grade a/w loss of appetite and genralised waekness.Cough with expectoration.
No H/o weight loss
No H/o night sweats, evening rise of temperature.
Past history
Not a k/c/o DM HTN TB CAD CVA Epilepsy Asthma
Personal history
Diet: Mixed
Appetite: Decreased since 15 days
B&B: Regular
Addictions: No addictions
O/E
General examination
Patient is C/C
BP: 120/80 mm hg
PR: 90 bpm
RR: 19 cpm
Temp: 97 F
GRBS: 121 mg/dl
SpO2: 98 % @ RA
Systemic examination
CVS-S1S2 +, No Murmurs
RS- BAE+ , left ISA Crepts +
P/A: Soft , NT
CNS: No FND
INVESTIGATIONS
TREATMENT
Tab PCM 650 mg PO/SOS
Tab.PAN 40 mg PO/OD
Tab. ZINCOVIT PO/BD
Tab. LIMCEE PO/BD
Syp GRILLINCTUS 10 ml PO/TID
