Case-Copd - Leukemia
Case-Copd - Leukemia
Case-Copd - Leukemia
Name – dhapa
Age- 61
Sex- f
Residnce- bassi
Occupation- farmer
Chief complain-
1. Shortness of breath- since 4 year
2. Cough- since 4 year
• Pt has 4 yr long H/o sob, on & off, which was increased 7 day back.
Which Gradually increased, not relieved by taking rest. Sob increase in
rainy season. Initially she walk slowly, and sob increase on walking
faster. Now she has sob only on doing strenuous exercise. Sob not a/w
fever/chest pain/ vertigo/syncope.
She has h/o occasional cough on & off since 4 year, slight decrease by
medication and reoccur. Which is occasionally productive, mucoid
sputum, in slight amount. Not a/w seasonal variation or change in
body position.
Past history-
She has h/o pulmo. TB, 4 yr back, she taken 6 month course and
completed it.
She has no h/o HTN/DM/CAD/BT
She taking medication for sob since 4 year & non compliant to rhem.
She has no h/o of any surgery.
Personal history-
Smoker, take cigar 6-7/day since 6 month
And bidi one packet /day, since 30 yr
Non alcoholic
Non vegetarian
Normal bowel/bladder/sleep
Adventitious sound-
Inspiratory and expiratory, polyphonic rhonchi present all over the
chest.
Other system examination-
Cardiac- normal apical impulse, JVP not dilated, no thrill/ murmur
GI- no organomegaly/ ascities, no tenderness/ guarding
Neuro- not significant
Diagnosis-
B/L obstructive lung disease, secondary to smoking.
test 7-3-24
hb 7
lymphocyte 30%
neutrophil 56%
monocyte 10%
plat 34000
hct 25
mcv 114
Total wbc 1300
LDH 620
LFT N
RFT N
ESR 27