How to manage diabetes, BP, and CKD in an elderly woman?

Question

Hello doctor,

My mother's present complaint is weakness. She is also suffering from diabetes, high blood pressure, chronic kidney disease, and a heart problem. We have done the CT scan. The CT scan shows shortness of breath in the lungs. I am sending the report of a CT scan and other prescriptions.

Please advise.

Answer 1

Hi,

Welcome to icliniq.com.

I have read all the reports attached here (attachment removed to protect patient identity). Your mother is a known case of diabetes mellitus, chronic kidney disease, and high blood pressure. Her CT chest is suggestive of left upper lobe density. Here, the question is whether it is an infection or malignant. As per the report, all tests for TB are negative. Markers for autoimmune diseases like Sjogren's disease are positive with antinuclear antibody (ANA). So, the best idea would be to go ahead with computed tomography (CT) guided biopsy of the lesion.

It will tell us more about the mass, whether it is an infection or malignant. Let us wait and see the biopsy report. By now, all the reports are pointing to lung cancer. But as I said, it can also be infectious or some autoimmune problem. Once the biopsy report is ready, we can say the diagnosis for sure. I hope the biopsy turns out to be benign. About the treatment, the current treatment is standard according to her problem of diabetes mellitus (DM) and chronic kidney disease (CKD).

I hope this helps.

Feel free to reach out in case of any further queries.

Thank you.