sob under evalution with old pulmonary kochs
C/o sob grade 3 since 3 months
C/o chest tightnesss
Dry cough and low grade fever since 4 months
Pedal edema pitting type since 3 months
Pt was apparently asymptomatic 10 yrs back then he developed cough with expectoration
Low grade fever following which he was diagnosed with pulmonary tb and used att for 6 months now presented with sob on exertion,pedal edema ,dry cough,low grade fever since 3 months
History of tb 10 yrs back used att for 6 months
K/c/o DM Since 6 yrs and on gliclazide 80 mg metformin 500 mg not a k/c/o htn ,cva,ckd
Provisional diagnosis sob under evaluation with old pulmonary kochs with dm 2
Treatment
TAB .Lasix 40 mgPo bd
Tab.gliclazide 80 mg od
Tab metformin 500 mg od
Neb with budecort 12 th hrly
Inj hydrocort 100 mg iv stat