GROUND GLASS OPACITIES seen pictures no 1 &2 in peripheral lung areas suggest pneumonitis H/o fever and breathlessness 2+weeks long history as per precedents of covid19 Sill dx goes in favour of covid19
Points in favour of COVID- 19 1.Fever 2.Shortness of breath 3.D- Dimer >20 4.CT images - reveals peripheral ground glass appearance and patchy right side infiltrates with consolidation and left side infiltrates. Further investigations required are 1.A nasal and oropharyngeal swabs for RT - PCR 2.CBC - to look for relative lymphocytopenia . 3.Blood gas analysis including PaO2 , FiO2 Patient needs to be treated in an ICU setting. Oxygen requirement depends upon the blood gas analysis reports
Case of central Pulmonary arterial embolism. Also associated with GGos in dependent parenchyma along with septal involvement. Findings sugg of ARDS with PAE. In case of covid 19 infections rounded areas of GGos in nondependant areas . But in present situation can consider as a DD as early stage of disease.
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Image 1 shows classical feature of COVID 19 There is peripheral ground glass appearance seen Please send nasopharyngeal swab for RT PCR
Most probably COVID 19 typical case. Send nasopharyngeal swab for testing and isolation and physical or social distancing. Act as per physician direction and reports .
COVID 19 PADDAMIC PRESENT DAYS ELDERLY MALE GENDER PTESENTATION TYPOCAL AS COVID 19 FEVER AT ONSET LASTED FEW DAYS FOLLOWED BY SEVERE RESPIRATORY DISTRESS AFTER SOME DAYS PERIPHERAL HROUNDGLASS OPACITY BOTH SIDES IN CXR D DIMER = RAISED
Probably covid19 patient,take precautions ownself and advice throat and nasopharyngeal swab and admit the patient
GGO PATCHY RT SIDE INFILTRATION AND CONSOLIDATION ARDS PAE RULE OUT COVID-19
COVID 19 infection Ad nasopharyngeal swab to confirm the diagnosis Admit in COVID ward
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Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women Background Previous studies on the pneumonia outbreak caused by the 2019 novel coronavirus disease (COVID-19) were based on information from the general population. Limited data are available for pregnant women with COVID-19 pneumonia. This study aimed to evaluate the clinical characteristics of COVID-19 in pregnancy and the intrauterine vertical transmission potential of COVID-19 infection. Methods Clinical records, laboratory results, and chest CT scans were retrospectively reviewed for nine pregnant women with laboratory-confirmed COVID-19 pneumonia (ie, with maternal throat swab samples that were positive for severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2]) who were admitted to Zhongnan Hospital of Wuhan University, Wuhan, China, from Jan 20 to Jan 31, 2020. Evidence of intrauterine vertical transmission was assessed by testing for the presence of SARS-CoV-2 in amniotic fluid, cord blood, and neonatal throat swab samples. Breastmilk samples were also collected and tested from patients after the first lactation. Findings All nine patients had a caesarean section in their third trimester. Seven patients presented with a fever. Other symptoms, including cough (in four of nine patients), myalgia (in three), sore throat (in two), and malaise (in two), were also observed. Fetal distress was monitored in two cases. Five of nine patients had lymphopenia (<1·0 × 10⁹ cells per L). Three patients had increased aminotransferase concentrations. None of the patients developed severe COVID-19 pneumonia or died, as of Feb 4, 2020. Nine livebirths were recorded. No neonatal asphyxia was observed in newborn babies. All nine livebirths had a 1-min Apgar score of 8–9 and a 5-min Apgar score of 9–10. Amniotic fluid, cord blood, neonatal throat swab, and breastmilk samples from six patients were tested for SARS-CoV-2, and all samples tested negative for the virus. Interpretation The clinical characteristics of COVID-19 pneumonia in pregnant women were similar to those reported for non-pregnant adult patients who developed COVID-19 pneumonia. Findings from this small group of cases suggest that there is currently no evidence for intrauterine infection caused by vertical transmission in women who develop COVID-19 pneumonia in late pregnancy. To read more- https://www.sciencedirect.com/science/article/pii/S0140673620303603 Source-sciencedirectDr. Pushker Mehra11 Likes18 Answers