COVID PNEUMONITIS /ARDS

65 year male with only history of high grade fever. No cough or DOE. Spo2 was 86% on air. Temperature 102. BP was 110/70. Pulse 112/min. Chest auscultation revealed bilateral lower zone CREPITATIONS. CRP 119, FERRITIN raised. D Dimer mildly elevated. Lymphopenia present. Kindly go through HRCT image n give your valuable opinion for further management.

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Bil fluffy infiltration few destroyed tissues, and ground glass opacities seen. Mentioned lab parameters and Clinicoradiological status sugg of covid 19 pneumonia, needs confirmation. Management with broad spectrum antibiotics bronchodilators mucolytics oxygen NIV support. HCQS as per QTc status. Echo CD. Lesions are critical Poor prognosis needs to be explained to relatives.
I agree
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ECG N ECHO are OK. Presently pt is on following management :- Piperatazo IVERSCAB stat dose HCQS Methyl prednisolone LMWH OSELTAMAVIR Zinc VIT C Thiamine Paracetamol sos PPI Bronchodilator & Oxygen support with nasal cannula n maintaining spo2 around 94% Awake proning is also helping him. Thanks.
Bilateral basal patchy opacities with confluent air space Suggestive of pneumonitis RT-PCR Refer to SARI If confirmed send to COVID hospital Treatment as per protocol
Thanks Dr Ved Prakash Sharma
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B/L patchy opacities seen...send RT PCR for COVID -19....Inj meropenem and Inj azithromycin.... treatment as per protocol..o2 inhalation (keep SPO2 -- 88- 92%)... mechanical ventilation SOS....poor prognosis explained....keep an eye on BP and RR.
Typical case of sars covid19 with all pareter ferritin raised with d dimer lyumphomenia hrct bilateral basal pneumonitis do covid test
SUGGESTIVE OF GROUND. GLASS OPACITIES POSSIBLY COVID
RT PCR report is awaited

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