Non resolving chest infection - Part 4

So this patient after ruling out sputum for AFB, CBNAAT which was negative, this patient got her HRCT Thorax done Chief Complaints She has been having fevers still on and off, and her pulse has always been 130+ and BP on a lower side like 90/60 Investigations Advised for RT PCR for SARS Cov-2 Management Referred the case to higher centre for pulmonologist opinion

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Very good follow up Dr. Ajeet Pal Singh This patient has initially presented on 30th March Her chest infection has progressed over 16 days It appears to be ? Covid 19 ? Bacterial infection with pneumonia ? Tuberculosis It's a very good decision to refer the patient to pulmonologist

Thanks
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? COVID-19 .. ? PNEUMONITIS.. NEED'S.. RT..PCR..COVID-19.. MANAGEMENT AS PER PROTOCOLS FOR COVID-19 BY..ICMR..

Thank you doctor
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Typical GGOs bilateral in xray chest with ground glass appearance Hrct shows lobulated swellings in upper zones b/l with opacities CORAD score according to me is above 9 Pt is a c/o covid19 pneumonitis with pulmonary oedema and need to be under ICMR protocols irrespective of RT pcr report Subject to cbc esr crp sr ferritin and D-dimer

Thanx dr Pushkar ji Bhomia
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Its covid pneumonia.Whats CT score?spo2?Seems his CT score above 10 .Admit and Start inj remdesvir,dexa.

Looks like sarscov2 Rt pcr negative Repeat after 4 days Cbc crp il6 ddimer ferritin ldh Opinion of chest specialist

COVID 19 infection Treatment on guidelines of ICMR Ref patient to COVID hospital

Thank you doctor
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Atypical pneumonia -start Azithromycin and doxycycline.kindly provide occupational history ,past history,comorbidity and CRP level.

Thank you doctor
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Koch,s lesion in the rt.middle and lt.lower zones. Adv.check x- Ray after 10 days for further evaluation.

Thank you doctor
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post tb sequelae

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