Fever, dyspnea, and dry cough 7 days ago. Diagnosed with COVID-19 with positive nasal swab and IgM antibodies. Worsening dyspnea over the past 2 days. D-dimer 9.05. What are your suggestions on this?

(Edited)

5 Likes

LikeAnswersShare

Covid19 positive pneumonitis b/l GGOS PERIPHERAL AND BASAL AREAS OF CHEST BILATERAL BESIDE HCQS AZITHROMYCIN AND FAVIPORAVIR NIV Plasmapherasis is also available option

Thanx dr Pushkar ji Bhomia
0

View 9 other replies

CT thorax showing classical changes of organising pneumonia bilaterally. Etiology is confirmed as covid 19 swab positive. NIV sos Invasive ventilation. Plan to achieve hemodynamic stability. HCQS, azithromycin as per QTc. tocilizumab, Sarilumab are the available options in such conditions. Faviporavir has also used in some centers.

B/ L Pneumonitis COVID 19 Positive. Protocols sets by GOI or WHO must be followed under institution admission. Azithro,antiviral and ventilation can be used. Reassurance required.

Thanks Dr Pushkar Bhomia
0

View 6 other replies

Complications started of muliple organal involvement of corona started. Now every angle of prognosis depend on pt's auto immunity. You did not post the age and gender of patient and existing any auto immune disease or metabolic diorder.

previously any unilateral lung changes could think of P TB. Now Bilateral lung changes should look for COVID. We are submitting and paper on COVID and heart disease that there is connection between COVID and heart disease by reducing ACE2 receptors resulting in neutrophil rise and pulmonary edema , ARDS hypoxia and CVD we termed it as Myocardial oxygen mismatch

? B/L.. ILD..PNEUMONITIS.. ? SARI .. COVID-19..POSITIVE.. MANAGEMENT AS PER PROTOCOLS..

Tnx Dr Shivraj Agarwal sir
0

BLOOD = HB TLC DLC SERUM IRON ( LYMPHOCYTE COUNT ) COAGULATION PROFILE BLOOD ABG TROP I ECG RX NIV AZITHROMYCIN PCCKED CELL TRANSFUSION SOS PLASMA THERAPY ( DELHI MODEL ) PLASMA FROM COVID RECOVERED PATIENT HCQS = RESREVATION ( RECENT PAST AMERICAN STUDY ) FAVIPORAVIR& TOCILIZUMAB

One thought these changes are not pneumonitis but Thromboembolic patcy opacies causing Dysnoea Management Oxygenand accordingly.. May referor review.

Treat with drugs Hydroxychloroquine 5 days azithro500 od 10 days ranivir 10 days check so 2 give oxygen 90minutes bd bilateral pneumonia

Ground glass patchy PNEUMONITIS treat as per GUIDELINE

Load more answers

Diseases Related to Discussion

Cases that would interest you