Respiratory Disease Summary / Summary Of Respiratory System
| Pleural effusion | Dyspnea, cough, chest pain, fever Mediastinal shift to opposite side of pl. effusion Stony Dull percussion note over pleural effusion Decreased Breath sound Decreased Vocal Resonance (VF/VR both) No added sound. Treatment according to pleural fluid culture sensitivity, frequent thoracentesis/ Tube thoracostomy+ Sclerosing agent, etc. |
| Pneumo Thorax | Chest pain, Dyspnea Medical shift-opposite side of pneumothorax Hyper-resonant percussion Note Absent Breath Sound Absent vocal Resonance Coin sound+ Treatment simple aspiration,(ICD) tube thoracostomy, open thoracostomy, etc. |
| Hydro Pneumo Thorax (HPT) | Chest pain, Dyspnea Mediastinal shift to opposite side of HPT Hyperresonant percussion Note Decreased Breath sound Decreased vocal Resonance. Coin sound+ Amphoric Breath Sound. Positive Succusion Splash. Positive Shifting Dullness. Horizontal level of dullness. Treatment- Intercostal drainage, antibiotic, ATT, surgery, etc. |
| Fibrosis | Dyspnea More than 6 months. Mediastinal shift & volume loss signs to same side of fibrosis Impaired percussion Note Decreased Breath Sound (crepts +) Treatment ATT, supportive, etc |
| Collapse | Cough, dyspnea Less than 6 month Mediastinal Shift & volume loss signs to same side of collapse Impaired percussion Note Decreased Breath Sound in partial collapse Decreased vocal Resonance Absent AE/BS if complete collapse. Treatment- removal of foreign body/ tumor neoplasm treatment |
| Consolidation | Fever, cough, chest pain, dyspnea Tubular Bronchial Breathing (HPBB) Bronchophony Whispering pectoriloquy(WP). Treatment- Antibiotics (Levofloxacin / Ceftriaxone + Azithromycin), cough syrup, etc |
| Cavity | Hemoptysis, cough, dyspnea Cavernous Bronchial Breathing over cavity Whispering pectoriloquy(WP) Post Tussive Suction cracked post Resonance (increased VR) Treatment- antibiotic,ATT, etc |
| Mass Lesion | Tracheal shift upper lobe mass. Dull percussion Note. Decreased Breath Sound Decreased Vocal Resonance. Treatment- removal |
| Bronchiectasis | Cough, Dyspnea, wheezing Coarse Leathery midinspiratory crepitation Treatment- amoxicillin-clavulanate 625 mg TID, Treatment of complications, etc |
| Interstitial lung Disease | Dyspnea, cough Late Inspiratory Fine crepitations (Velco crepitation) Treatment- Corticosteroid, Pirfenidone, lung transplantation, etc. |
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Very easy to understand about respiratory diseases diagnosis and treatment, great informaton, loved.
Respected sir
I have Dry cough , Breathlessness with wheezing saund for one month ,
In X-Ray Consolidation in L lung Base .
I have taken Azithromycin 500 mg od and Amoxi cv 625 , Doxophyllin 400 mg BD for 5 days , By Dr P Jethani sir
Than Gudcef cv and Pulmoclear Bd for 5 days . But S/s persist .
What should i do . Thank u very much
please update me if any previous allergy to drug or food, before treatment.
what is SPO2 reading,
CBC, ESR and X ray report
start
1) T. CEFTUM 500 MG BD
2) T. LEVOMAC 750 MG HS
3) T. DOXOLIN 400 MG TID
4) NEBULISE WITH DUOLINE AND BUDECORT Q 8 HOURLY
keep TAB. AVIL & TAB. IVEPRED 4MG WITH YOU IF ANY ALLERGY OCCURS
still persisting we have to consider for intravenous antibiotics.
inform me after 24 hour
Thank you so much get well soon.