WHAT SHOULD BE THE LINE OF INVESTIGATION IN COVID-19 DIAGNOSIS ?

GUIDELINES FOR DIAGNOSIS OF COVID-19 ... These days the role of hrct in covid is exploited to the highest degree. There are specific guidelines set up for referring patients to hrct in covid suspicion 1) get an RTPCR done first if you suspect covid. If it’s negative, 2) get blood markers of inflammation like crp, ferritin, IL6, lymphocyte-polymorph ratio, d-dimer etc. If negative, but symptoms persist, get a repeat RTPCR or antigen tests. If negative, but suspicion persists, then only get an hrct. The CT severity score is absolutely humbug. All one needs to mention in the report is CORADS score. Over last twenty odd days we get requests for hrct with just one episode of fever, which is completely unethical. Severity index is best judged by clinical acumen an inflammatory markers. But majority of the GPs and physicians are exploiting hrct which is not scientific. With minor symptoms and negative RTPCR and blood investigations, patients should be advised strict home quarantine and regular two hourly monitoring of temperature and SPO2. And asked to contact the nearest covid centre if there’s any drop in saturation or breathlessness. Just because RTPCR results take time and so does the blood markers doesn’t mean every suspected patient needs to be referred for an hrct. By referring the patients for hrct in every suspected case unnecessarily exposes fifty more patients to the infection including the radiologist and the staff. Give me one single reason for referring patients for a CT scan without thoroughly checking all the prerequisite monitoring investigations.

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You are right dr.. ICMR added one more test--True Nat test as their latest faster confirmatory test for covid - 19.

Valuable opinion
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Ya agree with Dr.George kurien sir...

Taste bud test also helpfulin COVID19

Absolutely true

Thank you doctor
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Informative

Thank you doctor
1

Useful post

Informative

Exactly

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