41 year old female with pleural effusion

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 

ESR =90




PLEURAL FLUID

T.C:- 12,000 CELLS

D.C :- 80%

PLEURAL FLUID SUGARS - 97

PLEURAL FLUID PROTEIN = 5.5

SERUM PROTEIN = 7.8

SERUM LDH = 145

2D ECHO ON 26/1/2022:-

IMPRESSION:- EF:- 58% REMAINING NORMAL

PLEURAL FLUID ADA OUTSIDE 97 U/L

PLEURAL FLUID ADA = 23 U/L

PLEURAL FLUID CBNAAT = NEGATIVE

PLEURAL FLUID CYTOLOGY :-

IMPRESSION:- FEATURES ARE SUGGESTIVE OF INFLAMMATORY SMEAR

USG ABDOMEN ON 27/1/2022

IMPRESSION:- NO SONOLOGICAL ABNORMALITY

USG CHEST ON 27/1/2022:-

IMPRESSION:- LEFT MODERATE PLEURAL EFFUSION WITH UNDERLINING PASSIVE ATELACTASIS

CULTURE AND SENSITIVITY :- NO GROWTH AFTER 48HRS OF AEROBIC INCUBATION



PULMONOLOGY REFERRAL DONE ON 29/1/2022 I/V/O STARTING ATT

ADVICED:-

THEREPEUTIC THORACOCENTESIS

 CST

 ATT - 2 TABLETS /DAY

2 EGG WHITES/ DAY

HIGH PROTEIN DIET




TREATMENT 

2 TABLETS OF ATT DAILY:-

RIFAMPICIN:- 150MG

ISONIAZID:- 75MG

PYRAZINAMIDE:- 400MG

ETHAMBUTOL HYDROCHLORIDE:- 275MG

TOTAL - 900MG

EACH TABLET - 900MG

TWO TABLETS - 1800MG

COMBINATIONS OF 4 DRUGS

Tab PCM 650 mg PO/SOS

Tab.PAN 40 mg PO/OD

Tab. ZINCOVIT PO/BD

Tab. LIMCEE PO/BD

Tab BENADON 40mg PO/OD

Syp GRILLINCTUS 10 ml PO/TID








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