Covid-19 updates and some Recommendations:-
1- The problem with PCR is that:-
-delayed:- at least 72 hours
-if negative it doesn’t exclude Covid-19
During this 72 hour period the patient is suspected covid and after positive result the patient is confirmed Covid-19...
So, you need to isolate every patient with:-
Fever
Cough
CXR infiltration
Lymphopenia
Plus epidemiological risk factor.
Even if negative PCR do not come in close contact with suspected patients.
2- We noticed that CXR finding may be minimal but the CT scan usually have extensive ground glass opacities..
3- lymphopenia is strongly predictive for Covid-19. This is the way by which the virus take over the control of immunity.
4- In severe cases, patients present with type1 Respiratory failure.. and early intubation is necessary..
5-High troponin I and D- dimer are bad prognostic features
6- Some patients present with hemoptysis..
7- If you do not respect the frontline Healthcare workers and provide the needed protection, you will end up with a real disaster..
8- NSAID are contraindicated in Covid-19
9- Avoid the Sensationalism and being alarmist but at the same time let people realize the danger of the situation
10- We know that there are people who are usually SKILLFULL in taking advantages of any disaster.. We need to pull together in facing this situation.
1- The problem with PCR is that:-
-delayed:- at least 72 hours
-if negative it doesn’t exclude Covid-19
During this 72 hour period the patient is suspected covid and after positive result the patient is confirmed Covid-19...
So, you need to isolate every patient with:-
Fever
Cough
CXR infiltration
Lymphopenia
Plus epidemiological risk factor.
Even if negative PCR do not come in close contact with suspected patients.
2- We noticed that CXR finding may be minimal but the CT scan usually have extensive ground glass opacities..
3- lymphopenia is strongly predictive for Covid-19. This is the way by which the virus take over the control of immunity.
4- In severe cases, patients present with type1 Respiratory failure.. and early intubation is necessary..
5-High troponin I and D- dimer are bad prognostic features
6- Some patients present with hemoptysis..
7- If you do not respect the frontline Healthcare workers and provide the needed protection, you will end up with a real disaster..
8- NSAID are contraindicated in Covid-19
9- Avoid the Sensationalism and being alarmist but at the same time let people realize the danger of the situation
10- We know that there are people who are usually SKILLFULL in taking advantages of any disaster.. We need to pull together in facing this situation.