Talk to Internal Medicine on Pleural Infusion ( Cannot Find Root Cause So Far )
Asking For Mother, Female 61, layyah
2 November: Dry cough, intense left-side chest pain.
12 October 2024 (Royal Commission Jubail, KSA - Rheumatoid Arthritis Specialist):
Suspected sinus infection.
Prescribed Augmentin 10G (10 days), Prednisolone 20MG (7 days)—No improvement.
Badar Hospital, Dammam (General Physician):
Paracetamol 500MG (1 day)
Aromexine HCL 4MG/5ML Syrup (5 days)
Clarithromycin 500MG (5 days)
Esomeprazole 40MG (14 days)—No improvement.
Tadawi Hospital (Pulmonologist):
Prescribed Seretide 250 (4 weeks).
13 January (Multan, South Punjab Hospital - Dr. Zubair Sheikh):
600ML fluid drained from left side.
Ruled out lung issues.
25 January (Mukhtar A. Sheikh Hospital - IDC Scan):
Ruled out cancer.
26 January (Dr. Zubair Shaheen):
2-week meds: Cefspan 400MG, Tezlid 200MG, Nuberol Forte, Vonnp 20MG.
Paused: Methotrexate, Selecta Plus.
1 February (Dr. Saleem Akhtar):
200ML fluid drained—Pain in right ribs persists.
8 February: Completed meds, prescribed Synflex 550MG, X-ray.
10 Febru
Asst. Prof. Dr. Saadia Hussain - Internal Medicine Specialist
| MBBS | FCPS (Medicine) | | Lahore
30 Positive Reviews
Kindly share plural fluid report
without that no advice can be given
Asst. Prof. Dr. Saadia Hussain - Internal Medicine Specialist
| MBBS | FCPS (Medicine) | | Lahore
30 Positive Reviews
seems she had infection in pleural cavity which caused the fluid to collect . Appropriate antibiotic was given. She needs follow up with the same doctor that drained fluid and prescribed medicines . Sometimes antibiotics have to be given for longer than two weeks if the problem has not gone away completely . But only the physician who treated her should decide . Since she has rheumatoid arthritis/ autoimmune condition and was on methotrexate plus steroids .. such patients have severe infections and have to be treated by a multidisciplinary team ( means many doctors working together). She needs check up for bone health and diabetes in addition to anything the doctors finds on repeat consultation / examination.
Patient
Post Owner
where and how can I find multidisciplinary team of doctors ? Dr Zubair shaheen ( pulmonologist ) from south Punjab hospital Multan drained the fluid and he said it's not his case anymore as there is no issue with lungs.
10 months ago
| MBBS | FCPS (Medicine) | | Lahore | Book Appointment
1 Positive Reviews
get a cxr PA view
chest ultrasound
CBC
rfts
lfts
CRP
ECG
pro BNP levels
Vit D level
and then share them
10 months ago
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Patient
Post Owner
CYTOLOGY #:
SPECIMEN: PLEURAL FLUID
FINDINGS:
COLOUR: YELLOW
APPEARANCE: TURBID
COAGULUM: nil
VOLUME: 30 ml
BIOCHEMISTRY:
Protein: 5.7 G/dl
L.D.H: 212 U/L
MICROSCOPY:
R.B.Cs: 10,000 cells /cmm
W.B.Cs: 1300 cells /cmm
Neutrophils: 60%
Lymphocytes: 40%
Result Comments:
Comment:
Multiple large cohesive clusters of atypical cells seen.
Cytology for malignant cells advised.
10 months ago