A female aged 40 years came to me having cough with expectoration since her child hood. Sputum is copius in quantity, foul smelling, green or yellow colored. On examination coarse crepitations on left back infrascapular region. Comments on xray and management.

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bronchioctasis

Bronchiectasis in left lower zone

Left lower lobe bronchiectasis Antibiotics Steam Postural drainage Chest physiotherapt Last option left lower lobectomy

Bronchiectasis on the left lower zone..

Chest xray s/o cystic dilatation of left mz, lz...Also in rt lz...S/o bronchiectasis..Most propably post infective in etiology... Now since the sputum has features of infection send sputum for gram stain and culture.. Antibiotics,mucolytics... Hrct is the diagnostic invest of choice...after stabilisation adv spirometry, Ige levels.. Vaccination for prevention... Teach chest physio.. Postural drainage..

Respected Dr ..I wanna say smithing out of track. Pt came to Dr arjun sirji...and she is suffering from childhood and everybody of us sure that pt wud have visited to other doctors and big hospital too from childhood till now..n 90% of them supposed to give the same trtmnt,at least the specialist wud have done it... But pt is still same.. And again every of us said the same thing.. Why m saying all this thing..coz same s/s pt came to me too and was suffering from 26 yrs from same thing and she was very angry on medical science.. She was visited to all govt Hosp in Delhi n visited to specialist in pvt Hosp too...but she is same ..finally she set the all documents on fire after 25 yrs ... Moral of story--- r we really not still capable to get rid of this kinda issue of pt in 21 century... I hope..I di nt hurt anybdy... Thnq sirji
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Left mid and lower zone BxSis. May be congenital one as no prior H/o ATT and symptoms since childhood. Management as aptly described by Dr. Avinash Babu. May need inhalational therapy with bronchodilator if symptomatic for airflow limitation. People nowadays are also using long term Azithromycin although this intervention is classically described for CF-Bxsis.

Bronchiactasis left lower lung.

Bronchiectasis

Left lz bronchiectasis.. Postural drainage chest Physiotherapy Bronchodialators N acetyl cysteine Piptaz amikacin metrogyl

Ieft lz bronchiectasis
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bronchiectasis LT SPUTUM. CULTURE N SENSITIVE RULE OUT KOCHS START I INJ PEPPWRCILLON 4GM BDS×7DY METROGYL 4OOMG TDS 5DY BRONCHODOLATOR EXPECTORANT POSTURAL DRAINAGE

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