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    JADE ASHLEY TORRES
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    A 70-year-old male smoker presented with chronic cough, exertional dyspnea, blood-tinged sputum, fever and night sweats. Examination found wheezing and decreased breath sounds. Tests showed anemia, elevated white blood cells and ESR, and a cavitary lung lesion with prior lung function impairment. The patient likely has chronic obstructive pulmonary disease (COPD) exacerbated by pulmonary tuberculosis (PTB). Treatment goals are to resolve the infection and exacerbation while managing COPD symptoms. A treatment plan includes antibiotics, bronchodilators, steroids and smoking cessation counseling, with monitoring of symptoms, adherence and follow-up testing.

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    Pharmacology case 1

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    A 70-year-old male smoker presented with chronic cough, exertional dyspnea, blood-tinged sputum, fever and night sweats. Examination found wheezing and decreased breath sounds. Tests showed anemia, elevated white blood cells and ESR, and a cavitary lung lesion with prior lung function impairment. The patient likely has chronic obstructive pulmonary disease (COPD) exacerbated by pulmonary tuberculosis (PTB). Treatment goals are to resolve the infection and exacerbation while managing COPD symptoms. A treatment plan includes antibiotics, bronchodilators, steroids and smoking cessation counseling, with monitoring of symptoms, adherence and follow-up testing.

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    © All Rights Reserved
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    2 views1 page

    Pharmacology Case 1

    Uploaded by

    JADE ASHLEY TORRES
    A 70-year-old male smoker presented with chronic cough, exertional dyspnea, blood-tinged sputum, fever and night sweats. Examination found wheezing and decreased breath sounds. Tests showed anemia, elevated white blood cells and ESR, and a cavitary lung lesion with prior lung function impairment. The patient likely has chronic obstructive pulmonary disease (COPD) exacerbated by pulmonary tuberculosis (PTB). Treatment goals are to resolve the infection and exacerbation while managing COPD symptoms. A treatment plan includes antibiotics, bronchodilators, steroids and smoking cessation counseling, with monitoring of symptoms, adherence and follow-up testing.

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    © All Rights Reserved
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    of 1

    Pharmacology

    Conference on Therapy

    Case 1. (COPD with PTB)

    A 70 years old engineer came in due to 1month history of chronic cough accompanied by
    exertional dyspnea. A week prior to admission he had blood-tinged sputum with
    intermittent fever and night sweats. He is a known smoker since 25 years of age, 1 pack
    a day. He has been admitted 5 years ago due to exertional dyspnea and has since then
    been maintained on salbutamol inhaler with irregular use. At the ER, Physical
    examination: BP: 120/80, CR: 82/min regular, RR: 24/min, T: 38.2C, BMI: 21. Lung PE
    showed intercostal retractions, symmetrical chest expansion with expiratory wheeze.
    CBC showed Hgb: 14g/dL, Hct: 40, WBC 13.000/μL, ESR 74mm/h. Chest X-ray
    revealed a cavitary lesion on the right upper lung with atelectasis. Spirometry done last
    year showed baseline FEV1/FVC ratio of 0.6 which improved to 0.75 postbronchodilator.
    ECG: unremarkable. Family history unremarkable.

    1. Give the most probable diagnosis/diagnoses.


    2. Explain the pathogenesis of the disease/s.
    3. Enumerate the treatment goals
    4. Enumerate the non-pharmacologic approaches for the disease
    5. Create a most logical pharmacologic treatment plan based on Efficacy, Suitability,
    Safety, Cost.
    6. Write prescription covering all the necessary drugs
    7. Explain how to monitor response to treatment and treatment adherence

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