50/ female No ho -DM HTN or thyroid disorder Fever on and off for last 10 days Afebrile for last 2 days Nausea.. 4-5 episodes of vomiting Severe weakness Metallic taste ...anosmia No Anorexia Bp- 120/76 Pulse-84 Spo2- 96-97% CBC- WBC -2800 lymphocytes-61% Hb-12.2 Peripheral smear - normal TYPHIDOT igm- negative Dengue igM - negative Malaria dual antigen- negative Crp - 0.61mg/ dl Ferritin - WNL LDH - WNL D-DIMER - 1.1 microgram / ml Patient unwilling to go for RTPCR COVID Now in home isolation with 6 hrly spo2 monitoring and following medications - vit c zinc D3 ivermectin doxycycline ondem zincovit and pcm sos Chest xray - bilateral ground glass opacity in lower lobes ....are there any other findings(?) How to manage further?

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All symptoms clearly s/o Covid related LRTI If pt not willing for test, consider him positive & treat him on the same line

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CXR..STUDY .. BASAL HAZINESS .. ON RT..SIDE .. NEED'S .. HRCT THORAX.. RT..PCR..COVID-19..

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Rt lower zonal inhomogenous heziness seen. Possibly Infective etiology. Adv HRCT thorax and swab RT PCR for SARS cov 2 considering viral etiology.

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Rt sided basal haziness present. NEEDS further investigation and evaluation to conclude particularly HRCT Thorax and RT -PCR test to prove otherwise.

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B/L lower lobes haziness ? COVID infection Ad HRCT thorax RT PCR for COVID

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WELCOME. DR NICELY MANAGED ADVISABLE WAIT. AND. WATCH... NEEDS MONITORING

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Normal

Bilateral HEZINESS may be due to infection need to rule out covid 19 wbc is lower side . Management is to treat pneumonia.

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Add T.Ecospirin 75 mg 0-1-0 x 3 months

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CXR STUDY - HAZINESS Lower Rt lobe Cxr not preferable for covid 19 infection. Go for HRCT & RT- PCR .... Keep Rx as mild covid 19 pt

Yes but patient not willing...keeping in mind very weak economic condition of patient and reluctant attitude of patient had to go for cxr
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