Question 1

I'm really worried about my uncle, he's 62 and has IHD. He's dealing with this massive left-sided pleural effusion and he's been in Railway hospital Bhaykhala with an ICD in place. We've been seeing a daily output of about 350-400ml of pleural fluid that's yellowish with a slight reddish tinge. The doctors at Tata hospital did two cytology tests for malignant cells and both came back negative. A PET-CT scan showed a small extra pleural nodule about 11x7mm at the pulmonary confluence, needing histopathological correlation, and the SUV max is 4.3. They've tried Augmentin and Magself Cefoperazone, but the fluid output hasn't changed. They've recommended a biopsy of the nodule. I'm just wondering if there are any other treatment options we could consider.

Accepted Answer

continue same

Question 2

My wife has been dealing with shortness of breath for about 8 months, and it's getting really bad now. She can't even sit still for 5 minutes without a fan or some air. What could be causing this, and is it something that can be cured? We're trying to find a solution quickly, so I'd appreciate any advice.

Accepted Answer

do chest x ray and take pantop 40mg

Question 3

I'm just getting over the flu, but now I've got this dull pain in my lower left rib area. It's mostly at the front, but I sometimes feel it at the back, and it gets really sharp when I lie down or take deep breaths. I'm also noticing that I'm getting out of breath really quickly and need to take deeper breaths than normal. What could be going on here?

Accepted Answer

take one chest xray

Breath sounds include crackles,wheezing and bronchial breathing . Patient is advised to continue ATT for 6 months.

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