Is this COVID-19 Patient?

COVID-19?? 68 year old male with no significant past medical history or surgical history. Presented with shortness of breath, and chest pain. In the emergency department, the patient has a saturation of 79% on room air and is in Moderat respiratory distress. It requires 10 L of nasal oxygen high flow to obtain 93% oxygen saturation. The patient is also febrile to 101°F. Social history: non-smoker, non-drinker. Surgical history: no surgical history. What do you say about the case?

3 Likes

LikeAnswersShare
Ground glass floppy haziness or opacities bilateral in peripheral lung fields with calcified arch of aorta and cardiomegaly Bilateral pulmonary pneumonitis with pulmonary oedema Covid19 /ARDS
Thanx dr Pushkar ji Bhomia
0

View 5 other replies

Aortic knuckle calcification seen. Peripherally placed densed and confluent shadows seen. Needs to compare previous cxrays. Either klebsiella pneumonia. Adv Sputum examination and throat swab for influenza typing. Adv Echo CD. CBC, creat, ABG. Medical management accordingly.
Check RT PCR. There are no specific signs in chest x ray in early COVID at least. CT chest would help. And of course is there any history of contact with COVID? Let us fulfill the criteria here or lots on non COVID patients will be badly treated
Shortness of breath, chest pain, febrile 101°f Saturation 79% ,non smoker non alcoholic Ground glass haziness rt middle and left lower half with cardiomegaly Suggests ARDS ?COVID-19
Typical feature of covid 19 on x ray with bilateral opacities lateral at the bases Cadiomegaly with calcified aortic knuckle COVID 19 RT PCR
X ray : typical ground glass opacity Atypical viral pneumonitis ? Covid 19 virus infection Critical complicated stage Shift to ICU
Definitely Covid + As elderly pt Shortness of breath Fever Decrease O2 saturation even with nasal O2 ( I mean 93% with O2)
BILTERAL GROUND GLASS APPEARANCE SHOWING CONSOLIDATION. DEFINITELY A CASE OF COVID 19. GET TESTED IMMEDIATELY
B/l Bronchopneumonia Need PCR and CT chest to exclude covid 19
Copd Emphysema B/L Pneumonitis ARDS
Load more answers

Cases that would interest you