Scilife

A 65-year-old patient with severe emphysema, heterogeneous upper lobe disease, and poor exercise capacity (FEV1 < 30%) is being evaluated for surgical options. What is the most appropriate next step?

A 55-year-old male, non-smoker, presents with a 3 cm peripheral lung mass in the right upper lobe, diagnosed as adenocarcinoma of lung
His PFTs are adequate (FEV1 80% predicted). What is the most appropriate treatment?

25 year old male , known case of type 1 DM,
admitted with complaints of high grade fever
and right side chest pain . After three days of
treatment his condition worsened, current
vitals are temp 102 f, bp 120/80, HR 110,
saturation 90 % on room air .
Further management ?

A 52-year-old non-smoker presents with progressive dyspnea and dry cough for 3 months.
HRCT shows multiple small nodules predominantly along the pleural surfaces, fissures, and
interlobular septa. Nodules are also seen along the bronchovascular bundles. There is no
centrilobular sparing, and many nodules are touching the pleura.

What is the MOST likely underlying disease process?|

A 56-year-old postoperative patient develops sudden dyspnea, pleuritic chest
pain, and tachycardia. CXR is normal. What is the next most appropriate imaging
test?

. 55 years old Male, Smoker 40 pack years, presented with
complains of increasing Shortness of breath for the last 2
months, now breathless on walking few steps. He had been
diagnosed as COPD, GOLD-1 as par Spirometry results and
had been doing good with good symptoms control except a
single episode of worsened SOB which needed hospital ER
management in past 1 year.
. He had been comfortable with Single Long Acting
Bronchodilator (LAMA).
. Clinical evaluation reveals BP 150/90 mmHg, Heart Rate of
90/min, SO, 96% at R.A. Chest Examination reveal Bilateral
Decreased intensity Breath sounds.
. CBC reveals Hb 13g/dl, TLC 10 with Eos 3%, Platelets 244
. CXR reveals hyperinflated lung fields.

. 60 years old Male, Ex-Smoker 60 pack years, having h/o
CABG in past, presented with complains of increasing
Shortness of breath for the last 1 month, now breathless on
minimal routine exertion. Clinical evaluation reveals BP
135/90 mmHg, Heart Rate of 60/min, SO2 98% at R.A. Chest
Examination reveal Bilateral Decreased intensity Breath
sounds.
. There is no reported hospitalization for SOB in past 1 year.
. He has been taking Inhalers casually.
. CBC reveals Hb 12 g/dl, TLC 8000 with Eos 4%, Platelets 297
· Spirometry results shows Moderate Obstruction without
Post BD Reversibility and diagnosed as COPD, GOLD-2.

which respiratory disease is the odd one out?

A 20 yrs old young boy, occasional smoker presents with recurrent chest & ENT
infections, specially wheezing of the chest is sometimes quite troublesome.

He has loss of appetite, nausea, vomiting, at times bloody which eventually has
resulted in gross wt.loss

He had even suffered from jaundice about 2 months ago

61 year old male, non smoker, no prior comorbids, admitted in hospital with complaints of fever for 4 days , Left side chest pain and Generalised body weakness and reduce appetite for 4 days.On chest auscultation coarse crepts over left lower chest. cbc and Ifts WNL.Crp 342.3.
- Current vitals afebrile, Bp130/80, saturation 95 %on room air.
- Today is day 3 of admittion. Further management?