Hello, Welcome to icliniq.com. I have gone through your query and understand your concerns. I assume you have two issues: 1. Lung nodules. 2.
Hi, Welcome to icliniq.com. Looking at the history, it is quite a high-level exposure and it can cause some kind of pneumonitis feature called hypersensitivity pneumonitis or toxic dust syndrome. If she develops symptoms of a cough, breathlessness, better to get a computed tomography (CT) thorax to see her lungs and if possible lung function tests also. Kindly get back if you need more information..
Hello, Welcome to icliniq.com. It looks like a relapse of your TB (tuberculosis) lymph node. As Rifampicin is sensitive, you can start on presumptive TB treatment for sensitive TB infection. The recommended regimen is category 2, according to revised national tuberculosis programme (RNTCP). And ask for DST (drug susceptibility testing) on culture and also send the pus for gram stain and c/s.
Hello, Welcome to icliniq.com. As you have mentioned, she is a known case of bronchitis and now having phlegm. It looks like she must be experiencing some lung attack, maybe due to some infection. Swelling of feet could be due to long-standing chronic bronchitis or heart ailment per se. She needs to test her phlegm for culture and start on empirical antibiotics and a short course of steroids along with diuretics.
Hello, Welcome to icliniq.com. ILD (interstitial lung disease) has many different types. What was her type of ILD when diagnosed and what treatment was given? Development of new nodules which are suspicious of sarcoidosis is quite rare, nevertheless if her condition permits which need to be evaluated by biopsy of the lungs, which might help in tailoring the treatment regimen. The investigations to be done are repeat sputum for acid-fast bacilli (AFB) smears, gram stain, C/S and GeneXPERT MTB/Rif. Treatment plan include 1.
Hello, Welcome to icliniq.com. Looking at your complaints and reports, you might be suffering from lower respiratory tract infection (attachment removed to protect patient identity). Kindly do the following tests and do get me back with chest X-ray posteroanterior (PA) view sputum for acid-fast bacillus (AFB), gram stain and culture. The medication that you received looked very small dose for your age. You might start tablet Amoxiclav 1 gm twice daily for seven days, tablet Levoflox 500 once daily for seven days till you get the reports.
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