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+--- Thread: pneumonia - zosima (/showthread.php?tid=149800)
pneumonia - zosima - ArchivalUser - 01-03-2007
Rxed but no improvement . what do u do next ???
0 - ArchivalUser - 01-03-2007
cd45---
0 - ArchivalUser - 01-03-2007
hmm i dont know
culture.. antibiotic sensitivty test
rule out immunosupression.... eg elisa for hiv
rule out bronchogenic Ca
0 - ArchivalUser - 01-03-2007
bronchoscopy to r/o bronchus not blocked
0 - ArchivalUser - 01-03-2007
thank u
0 - ArchivalUser - 01-03-2007
my master always told me first ask if the patient got his medicine or not
0 - ArchivalUser - 01-04-2007
no improvement radiologically or clinically.. if clinical improvement and radiologically same give 4- 6 wks it to resolve on the xray.. if no clinical improvement do cbc and sputum culture and treat with macrolde (azithro/clarithro to cover for atypical pneumonia) diagnostically u can do cold agglutinins for mycoplasma..if old age and strong smoking history think of alternate diagnosis like malignancy if no response to antibiotics..lastly u can plan a bronchoscopy for better culture sample after a HRCT chest