Concluded Case

COVID_19 #IT'S_TIME

62/m severe breathless since last night. before had sore throat and fever for 1 wk.. SPO2 85%. BP -160/100. P- 120/MIN . no fever RS : B/L CREPTS ++++ Newly detected DM... can v suspect him as COVID19? known COPD since 4 yrs

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Concluded answer

Clinicoradiologicaly looks mixed picture. Hypertensive failure causing Pulmonary edema or Viral bronchopneumonia/ ARDS considering sore throat fever of 1 week. Needs routine lab work up and Echo CD. If inconclusive, may go ahead for throat and nasal swab for covid 19.

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RISK FACTORS COVID 19 IN THIS PT ---------------- 1 AGE - 60YRS 2COPD 3 UNCONTROLLED HTN .4 DM 5 RECENT = STORMY HISTORY FEVER ( SUBSIDED AFTER 1 WK ? ) SORE THROAT CHEST SIGNS CXR = BILATERAL PNEUMONIA PULMONARY ARTERIAL ENLARGEMENT HYPOXIA VERYMUCH SUGGESTIVE OF COVID 19 INFECTION & ISOLATED INVESTIGATED TREATED = O2 INHALATION AZITHROMYCIN TREATMENT FOR DM HTN LEVOSALBUTAMOL + IPERTROPIUM INHALER / NEBULISER INITIAL MANAGEMENT

Thank you doctor
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Clinicoradiologicaly looks mixed picture. Hypertensive failure causing Pulmonary edema or Viral bronchopneumonia/ ARDS considering sore throat fever of 1 week. Needs routine lab work up and Echo CD. If inconclusive, may go ahead for throat and nasal swab for covid 19.

Thank you doctor
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Floppy haziness opacities bilateral Comorbidies dm and htn Presenting with respiratory distress fever throat pain fever Tachycardia tachyapnea Hypoxia ARDS and should be placed under COVID19

Thanx dr Pushkar ji Bhomia
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B/L FLOPPY HAZINESS COPD/EMPHYSEMA FEVER AND ARDS CT THORAX,ECG,2D ECHO, SPUTUM FOR AFB AND C/S ROUTINE ALL HEMATOLOGICAL INVESTIGATIONS...AND DEFINITELY SHOULD GO FOR COVID-19 PCR TEST

Thanks Dr. Pushker Bhomia
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Fluffy opacities diffusely seen in both lung fields Bil CP angles hazy Cardiomegaly Bronchopneumonia, viral ,ARDS Covid 19 infection should be confirmed / ruled out by PCR

Thank you ,Doctor
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Biatrial enlargement Bilateral reticulonodular non-homogenous opacities Comorbidity with DM & HTN Complaints suggests SARI May think of COVID 19 Pneumonia

Thank you doctor
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Looking at the co morbidities and present symptoms and chest x-ray we can undergo for covid 19test

Hazy infiltration in the lungs like ARDS, COVID INFECTION

Thank you doctor
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YES SHOULD BE TESTED FOR COVID 19

Thank you doctor
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Yes should be ruled out COBID-19

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