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Tb doubtful?

2023-10-05 13:20:06
My 69 year old mother already has stage 3 lung cancer and is going through immunotherapy but suddenly since last 1 month she is coughing a lot, a lot, antibiotics didn't work, nebulizer didn't help so ct scan was done and there is a left upper lobe lesion being inflammatory or infective showing progression... Doctor doubts TB and want to do a broncoscopy but my mother has no fever or weight loss.. just coughing.. Is the broncoscopy really necessary? She is scared to get it done? Can this be tb?
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Answers (6)

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If sputum is negative Next best step is to go for bronchoscopy
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consult a pulmonologist with detailed history and reports and get evaluated

Answered2023-10-05 15:41:30

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get a consult with your ct films..could be a different etiology

Answered2023-10-05 15:22:39

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Hi Consult a pulmonologist As the left upper lobe lesion has increased, need to rule out active infection. As she is on immunotherapy, she can be prone for tuberculosis and fungal infections
Next Steps
If the sputum afb and culture is negative, will have to do diagnostic bronchoscopy to rule out infection

Answered2023-10-07 05:34:23

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Pl do basic test of sputum for Afb and cbnatt test. If necessary, bronchoscopy to be done. Pl consult pulmonologist with detailed history and reports and treatment taken for better evaluation and treatment.

Answered2023-10-07 01:42:54

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Get the sputum evaluated and take opinion of pulmonologist

Answered2023-10-05 15:08:52

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Hi. I understand your concern. Do a online consult for a detailed analysis of your symptoms and reports to suggest you further management plan and treatment prescription for the same

Answered2023-10-05 13:47:27

YESNO

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