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What Do These Following Lab Reports Indicate?
Question: Please provide an opinion over attached discharge summary. Known case of Sarcoidosis since 1995. In 2015 DM due to Wysolone induced
Brief Answer:
Patient was having gram positive bacterial pneumonia.
Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
I have gone through the summary you have attached.
Patient I a known case of sarcoidosis.
His presenting symptoms, Auscultation findings and chest x ray report is suggestive of pneumonia.
Pneumonia is further confirmed by gram positive cocci in chain.
So patient was treated with vancomycin (antibiotic) for five days.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks.
Patient was having gram positive bacterial pneumonia.
Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
I have gone through the summary you have attached.
Patient I a known case of sarcoidosis.
His presenting symptoms, Auscultation findings and chest x ray report is suggestive of pneumonia.
Pneumonia is further confirmed by gram positive cocci in chain.
So patient was treated with vancomycin (antibiotic) for five days.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Please provide prognosis, will it required frequent hospitalization or not, future treatment (If required).
Brief Answer:
During acute worsening, hospitalization is required in future.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Honestly speaking, it is very difficult to say accurately about all these.
In sarcoidosis, prognosis is usually good.
We need to keep sarcoidosis in remission stage.
If it flared up then hospitalization is required.
For remission, immuno modulator drugs like steroids, azoran, HCQs etc are required.
After acute worsening, we need to taper these drugs and continue one or two drug in maintainance phase.
Since these drugs alter immunity, there is always risk of infections. And hence infections are the most common cause for acute worsening in these patients.
So you can expect 1-2 admission in 1-2 years.
Overall life expectancy is good in sarcoidosis.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks.
During acute worsening, hospitalization is required in future.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Honestly speaking, it is very difficult to say accurately about all these.
In sarcoidosis, prognosis is usually good.
We need to keep sarcoidosis in remission stage.
If it flared up then hospitalization is required.
For remission, immuno modulator drugs like steroids, azoran, HCQs etc are required.
After acute worsening, we need to taper these drugs and continue one or two drug in maintainance phase.
Since these drugs alter immunity, there is always risk of infections. And hence infections are the most common cause for acute worsening in these patients.
So you can expect 1-2 admission in 1-2 years.
Overall life expectancy is good in sarcoidosis.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks.
Above answer was peer-reviewed by :
Dr. Prasad
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