COVID complication

60-year-old male... complications from COVID. PMH Hyperlipidemia otherwise fit and healthy individual. Expired after over a month of hospitalization. what do you see in these images?

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SUGGESTIVE. OF COLLAPSE CONSOLIDATION.. D. I. C....IN COVID 19. ...PNEUMONIA

X-ray changes starting from bilateral pneumonitis gradually increasing and finally progressing to extensive cavitation and lung tissue destruction.

GGOs bilateral destroying pulmonary tissues ie pneumonitis and successive xray shows progressive disease As pt is covid19 positive and expired there remains nothing more specific Yes recent developments are suggesting these changes in lungs are bcz of DIC as covid19 attacking more coagulation system and reduces perfusion hence ventilation is not improved despite of ventilator as line of treatment based on pneumonitis While pathogenesis is at coagulation and hence it is to treat DIC These facts are from italy after study of 50 PM Paper is vary much available on this portal posted by dr Dineshchandra Sharma

Thanx dr Pushkar ji Bhomia
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* B/L .. PNEUMONITIS.. * SARI.. * NEED'S CLINICOPATHOLOGICAL EVALUATION TO CONCLUDE DIAGNOSIS AND TREATMENT..

Tnx Dr Ashok Leel sir
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B/L Pneumonitis ( viral ) Test For COVID 19 and treat in ICU with due Protocols .

Thanks Dr kute Ankush
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Pic 1. There bilateral signs of pneumonitis Rt side more than left Pic 2. Extensive pneumonitis both lungs leading to pulmonary oedema Pic 3 consolidation of mid zone rt side . and lower part of the upper zone. There encysted cavity formation both lungs

Known pt of covid bilateral pneumonia is thrombosis phenomema try anti inflamatorry azithro antiviral ramibivir anticoagulant asprin Or heparin pt responds quick less of oxygen latest report from Italy pneumonia is thrombosis

Very sad that this otherwise fit gentleman could not make it First X ray shows ground glass appearance typical of COVID 19 Last X ray shows complete destruction of lungs on both sides with cavitation secondary to destruction

RT ETT Left IJV in situ. Bil diffuse parenchymal inhomogenous fluffy opacities seen likely ARDS. Left sided encysted Hydropneumothorax noted. Left sided kinked opacities seen possibly pig tail catheter.

Pneumonitis right lung Pneumonitis Lt lung mid & lower zone COVID infection

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