Talk to Pathologist on Chronicgranulomatousinflammation

i want to discuss her case in detial and want appointment because all her tb tests are negative

Sarcoidosis has 4 stages
0
BHL
BHL plus infiltrates
Infiltrates only
Very difficult to say only by x rays fr a proper diagnosis need full history ,evaluation plus further test to c9nfirm

dr.rashid i have alot of reports to share kindly share ur email adress

doc i need ur help can i ask few questions ???

want to share her reports than u recommend wht should we do for further evaluation or treatment

i can come to lahore but i i want to send all her reports to u so that u can do accurate diagnosis and than we come to u for treatment because we will have just one day

U can share the chest X RAYS n other tests .must be evaluated by a chest physician / PULMONOLOGIST either in islamabad near to you or in lahore .

can u give me ur email adress

mkhan145@yahoo.co.uk

Assoc. Prof. Dr. Rashid Usman - Vascular Surgeon

MBBS (KEMU) , FRCS (Vascular Surgery) , MRCS (UK) , MCEM (UK), FCPS (Pak) , FRCS (Vascular Surgery) (UK) | Lahore | Book Appointment

219 Positive Reviews

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dear dr M Khan, thank u for yr replies. I strongly diasgree with what u said, sarciodosis is a disease of young ppl and its an autoimmune disorder with mutiorgan imvolvement commonly lungs. this pt is 50+ in age and has no other problems apart from palpable nonpainful lymph node groups in cervical area. being in Pakistan TB is a common diagnosis and thats what she has. however i did say get her xrays and if need HRCT can be done later if any suspecion noted. regards.

Dear um not saying it s definitely sarcoidosis .indeed she need proper further evaluation , as proper history not given here she might have other signs and sypmtoms which can be dig only on examination .I was commenting that sarcoidosis can present with out lymph node enlargement too .secondly it s no more a disease of young .there are case reports even after 40s too .
Regarding this patient it will be unethical to start on ATT with out proper diagnosis ,I know most of physicians doing this practice here in pak .
There s a long list of DD of cervical lymphodenopatgy but still I will go only with detail history ,examination and if needed further test .

Assoc. Prof. Dr. Rashid Usman - Vascular Surgeon

MBBS (KEMU) , FRCS (Vascular Surgery) , MRCS (UK) , MCEM (UK), FCPS (Pak) , FRCS (Vascular Surgery) (UK) | Lahore | Book Appointment

219 Positive Reviews

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Agreed. She needs full assessment.
I would go for a lymph node biopsy first, then decide further.
Regards

her lymphnodes are getting larger they are moveable but very hard and they are multiple on collerbone benind the ear
she has not started medicine yet