51yrs/F known Diabetic/Hypothroid/RHD Mild MR presented to E | Figure 1

ray007

Anesthesiology Resident

51yrs/F known Diabetic/Hypothroid/RHD Mild MR presented to ED with 5days history of dry cough and fever that associated with fatigue, over the last 2 days patient start to develop DOE. Treated as a COVID case, FIRST COVID RT PCR TEST WAS FALSE NEGATIVE AFTER 48hrs REPEAT COVID PCR SEND WHICH TURNED OUT TO BE POSITIVE.

O/e - BP - 130/90, PR - 110, RR - 32, Spo2 - 87%, Temp - Normal

Chest - Crepitation present on the right side, ABG - Ph - 7.3, Pco2 - 58, Po2 - 44, Na - 149, K - 3.2, Hco3 - 18, D dimer - 546, CRP - 116, LDH - 646, S.ferritin - 188 MP Antigen - Negative, Widal test - NEGATIVE. INTERPRET CXR AND HRCT CHEST, WHAT IS THE NEXT STEP IN THE MANAGEMENT OF THIS PATIENT?

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Case Summaries

Case 1: 51yrs/F with diabetic history, experiencing respiratory symptoms, tested false negative for COVID.

Case 2: 45y/F with mild COVID symptoms, tested negative but presents painful chilblains.

Case 3: Patient tested negative for SARS-CoV-2 but CT findings raise concerns.

Case 4: 34y/M with general symptoms, tested negative for COVID but positive for Dengue.

Case 5: 52y/M with chest pain and dyspnea, referred for emergency assessment.

Case 6: 28y/F with severe pruritus and skin lesions, no recent travel history.

Case 7: 4-month-old infant with pustules on the chin and chest lesions.

Case 8: Teenager with collapse, no clear cardiac history, needing further assessment.