Concluded Case

ATYPICAL RESPIRATORY CO-INFECTION IN COVID 19 PATIENT

A 53yrs male patient brought to the emergency department with fever,shortness of breath.The Patient developed fever 6 days ago,and noticed a dry cough just the day before coming to the hospital,also a known case of HTN on medication.The Patient past medical history include HTN,Obesity, Hyperlipidemia. Chief Complaints SOB,Fever,Dry cough History HTN,Obesity, Hyperlipidemia Vitals BP -150/90,HR -110,Spo2 - 82% on room air improved with oxygen through nasal cannula to 95% @ 10L/min,RR -32,Temp -101°F Physical Examination Chest - B/l wheeze Investigations oronasal swab positive for SARS-CoV-2. Management INTERPRET X RAY CHEST AND HRCT chest and Suggest proper management plan?

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A case of SARS - COV 2 viral atypical pneumonia with characteristic X - ray chest and HRCT chest findings. Chest severity score is 12 / 25 or 20 / 40 . Treatment 1.High flow nasal flow oxygenation or non - invasive ventilation 2. Inj LMWH 3.Inj Dexamethasone 6 mg / day 4.Parenteral antibiotics- 3rd generation cephalosporins. 5.Bronchodilator 6.Tab FAVIPIRAVIR as per the protocol 7.IV fluids just enough to maintain IV line 750 ml in 24 hours 8.Control of hypertension

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Bil inhomogenous opacities seen, sugg of organising pneumonia. Bil pleural effusion more on rt side. Needs to see for associated Pulmonary embolism. Treat for SARS cov 2 infection as per moderate disease protocol.

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A case of SARS - COV 2 viral atypical pneumonia with characteristic X - ray chest and HRCT chest findings. Chest severity score is 12 / 25 or 20 / 40 . Treatment 1.High flow nasal flow oxygenation or non - invasive ventilation 2. Inj LMWH 3.Inj Dexamethasone 6 mg / day 4.Parenteral antibiotics- 3rd generation cephalosporins. 5.Bronchodilator 6.Tab FAVIPIRAVIR as per the protocol 7.IV fluids just enough to maintain IV line 750 ml in 24 hours 8.Control of hypertension

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* CXR..HRCT .. STUDY.. GGO.. RT..PCR..COVID-19..POSITIVE.. NEED'S.. MANAGEMENT AS PER PROTOCOLS FOR COVID-19.. HOSPITALIZATION IN COVID CENTERS.. AZITHROMYCIN.. IVERMECTIN.. DEXAMETHASONE.. REMDESEVIR.. BRONCHODILATORS .. ANTIHYPERTENSIVE MEDICATIONS.. O2.. AND..LIFE SUPPORTIVE MEASURES..SOS..

Tnx Dr Pranab Bera
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Pure case of sarscov2 Rt pcr positive Ground glass basal pneumonitis Ct score important Admit as per icmr Rx Oxygen lmwh antiviral Antibacterial steriod

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CT scan is suggestive of bilateral pneumonic consolidation in the lower lobes in consistent with covid.19 pneumonia. Pt should be on high concentration O2 mask to improve spo 2 more than 94percent if he is not maintain ing the SPO2 LEVEL then he should be on NIV START HIM ON BROAD SPECTRUM ANTI BIOTICS I.V. IV RAMIDESVIR IV STEROIDS CLEXANE 0.4 ML (40 mg) sc once a day Iv fluids to maitain hydration Note his Hb and Hct are high consider phlebotomy and take out 200 ml of blood target Hd around 15 grams andHct45

Add Azithromycin or Doxy as per your choice
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I am agree with@Dr. Sandeep Ghodekar Sir, and@Dr. Parveen Yograj Sir, And@Dr. Kute Ankush Sir, And @Dr. Mansukh Shah Sir.

Bilateral pneumonitis ? Covid

Isolation Suggest remedisivir

Isolation,//spo2 regular check up. Remedesivir helpful. Coconut water..

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