6. Past history â no h/o DM, HTN & TB. Personnel history â Patient is chronic bidi smoker for 48 years, he used to smoke 30 bidi per day. Smoking index = 48 x 30 = 1440 i.e. > 300
7. General examination â Built â Average PR â 82/min BP- 110/80 mm of Hg RR â 16 / min Temp â afebrile Pallar--- ++ Cyanosis â absent Clubbing â absent Icterus â absent Lymph node enlargement â absent JVP â not raised
13. On the basis of above history, examination and investigations the presumptive diagnosis is------ Right middle and lower lobe consolidation with cavitation
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17. So we think in terms of lung malignancy, & go for HRCT which shows â
29. Past history â no h/o DM, HTN, TB Personnel history â Non bidi smoker Family history â not significant On Examination PR â 100/min, regular, normovolumic, normal in character without any radiofemoral and radioradial delay. BP â 90/60 mmHg in right arm in supine position. RR â 22/min, regular, thoracoabdominal Temp â N SpO2 â 86% without O2 Pallar-absent Cyanosis-absent Clubbing-absent Icterus-absent Lymphadenopathy-absent JVP â raised, cv wave present Pedal edema--- +