Middle aged male presented with fever last 3 days ago. Then over next 2 days no fever. No history of cough. CBC normal Spo2 96% HR 105 Bp 160/90 As a routine protocol cxray done showed left basal heziness and then CT thorax done. Plz comment on further management approach
Definitely suspect SARS COV-2 in view of current pandemic first. Get a swab done as well as get inflammatory markers along with routine blood investigations. Isolate the patient n start management as per ICMR guidelines. If RT PCR turns negative twice, also get PNEUMOPANEL to rule out other common causes of Atypical Pneumonitis like Mycoplasma, Legionella, Influenza, etc. Regards sir.
Definitely suspect SARS COV-2 in view of current pandemic first. Get a swab done as well as get inflammatory markers along with routine blood investigations. Isolate the patient n start management as per ICMR guidelines. If RT PCR turns negative twice, also get PNEUMOPANEL to rule out other common causes of Atypical Pneumonitis like Mycoplasma, Legionella, Influenza, etc. Regards sir.
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HRCT part of CT THORAX showing halo sign ( area of consolidation surrounded by ground glass opacity) . In this covid pandemic need to rule it out ( but possibility is less likely) . Need to rule infection likely bacterial first . Sir , pls take history of hemoptysis because if it is present then we can easily explain this halo sign. Need to start broad spectrum antibiotics , repeat xray after 14 days .
Go for RT PCR for Corona first Otherwise for sputum or bronchial washing for pyogenic culture and gene expert also
Advise-SARS covid 19 RT-PCR test. Hospitalization urgently. Treat as ARDS. Clincally evaluate and investigate pt. As per reports treat. .
Lt basal haziness suggestive of pneumonitis GGOs are seen bilaterally likely pulmonary oedema R/o covid19
Go for Covid 19 sampling as pandemic today Give Rx on CAP line
Well explained Dr Viral
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