COVID-19?

50's male presented to the ER with shortness of breath and fevers for the last 2+ weeks. Fevers resolving in the last 3 days reportedly per patient. I became more Breathlessness prior to ER. No significant PMH. D-Dimer >20.

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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

Thanx dr Pushkar ji Bhomia
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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 .

Thanks Dr Shivraj Agarwal
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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

Thanks Dr. Sandeep Ghodekar
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COVID 19 infection Ad nasopharyngeal swab to confirm the diagnosis Admit in COVID ward

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