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Respiratory System Diagnosis
1.
RESPIRATORY DIAGNOSIS DR.
S. ASWINI KUMAR. MD. PROFESSOR OF MEDICINE THIRUVANANTHAPURAM 1
2.
3.
Pleural Effusion –Tuberculous
4.
Pneumothorax – Spontaneous
5.
Hydro/hemo-pneumothorax
6.
Tuberculosis – Cavity
Upper Lobe
7.
Tuberculosis – Fibrosis
Upper
8.
Tuberculosis - Miliary
9.
Suppurative – Bronchiectasis
10.
Suppurative – Lung
Abscess
11.
Suppurative – Empyema
12.
Pulmonary Collapse
13.
Pulmonary Embolism
14.
Bronchogenic Carcinoma
15.
Interstitial Lung Disease2
16.
17.
Steam inhalation -
Conzo
18.
Antipyretics - Acetaminophen
19.
Antihistamines -
CPM
20.
Nasal decongestant -
PPA
21.
No antibiotics required3
22.
23.
Steam inhalation -
Karvol
24.
Antipyretics – Not
required
25.
Antihistamines -
CPM
26.
Non-sedative - Cetrizine
27.
Nasal sprays -
Flohale4
28.
29.
Cap Amoxiclav 375mg
TID
30.
Anti-inflammatory drugs
31.
Antipyretics - Acetaminophen
32.
Antihistamines - CPM
33.
Steam inhalation mandatory5
34.
35.
Viral - Warm
saline gargles
36.
Bacterial - Amoxycillin
500 TID
37.
Antipyretics - Acetaminophen
38.
Antiinflammatory - Diclofenac
39.
B complex tablets
1 OD6
40.
41.
Tab Roxithromycin 150mg
BID
42.
Diclofenac 50mg BID
43.
Acetaminophen 500mg TID
44.
B complex tablets
1 OD
45.
Betadine throat gargles7
46.
47.
Steam inhalation of
value
48.
Tab Diclofenac 50mg
BID
49.
Tab Acetaminophen 500
TID
50.
Cap B complex
forte 1 OD
51.
Complete voice rest8
52.
53.
Tab Acetaminophen 500
TID
54.
Tab Deriphyllin100mg TID
55.
Steam inhalation twice
daily
56.
Cap B Complex
forte OD
57.
SypLinctusCodiene 1 tsp
TID9
58.
59.
Short acting B2
agonists
60.
Long acting B2
agonists
61.
Anticholinergic drugs
62.
Xanthine derivatives
63.
Inhaled corticosteroids by
MDI10
64.
65.
Treat acute exacerbation
66.
Appropriate antibiotics
67.
Increased dose of
drugs
68.
Short course oral
steroids
69.
Nebulization with salbutamol11
70.
71.
Beta agonists
72.
Corticosteroids
73.
Rotacap devices
74.
Metered dose inhalers
75.
Nebulization in hospital12
76.
77.
Temp. Pulse, BP
monitoring
78.
Inj. Benzyl
Penicillin 10L IVQ6
79.
Tab.Clarithromycin 500mg BID
80.
Tab Azithromycin 500mg
BID
81.
Tab Levofloxacin 500mg
BID13
82.
83.
ICU admission required
84.
Temp. Pulse, BP
monitoring
85.
Inj. Amoxiclav 500mg
TID
86.
Tab Levofloxacin 500mg
BID
87.
Watch for complication
ARDS14
88.
89.
Often life threatening
illness
90.
Intensive medical care
91.
Inj Methyl Prednisolone
0.5g
92.
Tab.Clarithromycin 500mg BID
93.
Tab Levofloxacin 500mg
BID15
94.
95.
Antibiotics not needed
96.
Analgesics needed
97.
Acetaminophen high dose
98.
Splinting of the
chest
99.
Watch for complications16
100.
101.
Temp. Pulse BP
monitoring
102.
Inj. Benzyl
Penicillin 10L IVQ6
103.
Tab.Clarithromycin 500mg BID
104.
Therapeutic aspiration
105.
Chest tube drainage17
106.
107.
Therapeutic aspiration
108.
Anti-tuberculous treatment
109.
Corticosteroid - Prednisolone
110.
Respiratory physiotherapy
111.
Watch for complications18
112.
113.
Therapeutic aspiration
114.
Closed pleural aspiration
115.
Intercostal tube drain
116.
Anti-tuberculous treatment
117.
Watch for complications19
118.
119.
Therapeutic aspiration
120.
Intercostal tube drain
121.
Mediciser breath exercises
122.
Antibiotics needed
123.
Anti-tuberculous treatment20
124.
125.
Confirmation of Diagnosis
126.
Anti-tuberculous treatment
127.
Register in RNTCP
128.
Administer Category 1
ATT
129.
Review with Sputum
AFB21 Isoniazid Pyrazinamide Ethambutol Rifampicin
130.
131.
Therapeutic aspiration
132.
Intercostal tube drain
133.
Mediciser breath exercises
134.
Antibiotics needed
135.
Anti-tuberculous treatment22
136.
137.
Life threatening illness
138.
Intensive medical care
needed
139.
Anti-tuberculous treatment
140.
Corticosteroids
141.
Anti-tuberculous treatment23
142.
143.
Steam inhalation
144.
Lung physiotherapy
145.
Postural drainage
146.
Appropriate Antibiotics needed
147.
As per culture
reports obtained24
148.
149.
Steam inhalation
150.
Lung physiotherapy
151.
Postural drainage
152.
Appropriate Antibiotics needed
153.
As per culture
reports obtained25
154.
155.
Intercostal tube drainage
156.
Under water seal
ensured
157.
Appropriate Antibiotics needed
158.
As per culture
reports obtained
159.
Decortication of the
pleura26
160.
161.
Lung physiotherapy/suction
162.
Bronchoscopic aspiration
163.
Foreign body/mass removal
164.
Continuous positive pressure
165.
Mechanical ventilation27
166.
167.
Inj. Heparin or
Warfarin
168.
Thrombolyitic Therapy
169.
Inferior venacaval Filter
170.
Pulmonary Thrombectomy
171.
Prevention is better
than cure28
172.
173.
Brachitherapy /radiotherapy
174.
SCLC -Cisplatin and
Etoposide
175.
NSCLC respond to
surgery
176.
Wedge or segment
resection
177.
Lobectomy or Pneumonectomy29
178.
179.
Different for each
disease
180.
Avoid occupational exposure
181.
Corticosteroids Prednisolone
182.
Immunosuppressant drugs
183.
Hypoxemia - Supplement
O230
184.
Summary 31
185.
Thank You 32