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Mar 31, 2020
2:50
:41
pm
Littlerich
All-American
We are seeing the same things but are trying to use CT as little as possible
For Covid-19 patients and just use radiographs (yes, I am a radiologist)
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Littlerich
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Littlerich
Joined
Apr 8, 2003
Last login
Jun 26, 2024
Total posts
20,315 (977 FO)
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Messages
Author
Time
I just read a CT scan on someone in the ER with headache and fever
GRCoug
3/31/20 2:29pm
Where?
Samsonite
3/31/20 2:31pm
In the lungs
Hinta
3/31/20 5:29pm
How did they not suspect it? Let me clarify
Littlerich
3/31/20 2:31pm
What is the potential for permanent lung damage with that degree of infection?
delux_247
3/31/20 2:32pm
Can you tell it is COVID-19 from a scan? Does it present differently than
TerribleOpinionsGuy
3/31/20 2:32pm
it has a pretty characteristic appearance - different than lobar pneumonia
GRCoug
3/31/20 2:33pm
Where? And how old?
macdizzle
3/31/20 2:32pm
So CT scans look different for Covid 19 people?
ReggaeCoug
3/31/20 2:32pm
Not necessarily, but given our current situation, findings suggestive of
Littlerich
3/31/20 2:34pm
just to be clear - I am not criticizing anyone, just realizing that some
GRCoug
3/31/20 2:39pm
For us lay people it just seems crazy you can have pneumonia and not know it
rcbyufan
3/31/20 2:42pm
"walking pneumonia"
TN_Coug
3/31/20 2:43pm
In general, viral pneumonia can be pretty mild.
bluecheese
3/31/20 2:46pm
I’ve had this happen too. Found bibasilar infiltrates on an abdominal CT....
Virginia Ute
3/31/20 2:44pm
and the chest Xray was completely normal.
GRCoug
3/31/20 2:46pm
I'm up to 10 or so CTs on known or presumed COVID patients
bocadillotortuga
3/31/20 2:48pm
We are seeing the same things but are trying to use CT as little as possible
Littlerich
3/31/20 2:50pm
Interesting. This is probably the right approach
bocadillotortuga
3/31/20 3:00pm
Downtime is a huge reason we aren’t doing them a lot
Littlerich
3/31/20 3:23pm
Harborview in Seattle ditched their downtime once COVID volumes jumped.
maizecoug
3/31/20 5:30pm
Our time is still around an hour, I think. They looked at getting a CT in a
Littlerich
3/31/20 5:45pm
my case looked exactly like the cases in the article. I also watched a lecture
GRCoug
3/31/20 2:51pm
May have been on the milder side since it was unsuspected.
bocadillotortuga
3/31/20 3:03pm
People need to stop getting CTs for these things so early.
IGlowInTheDark
3/31/20 3:12pm
ER doc bro in Tx says same thing. So many with no symptoms have CT positive
HoustonCougar
3/31/20 2:54pm
With no symptoms, are those incidental findings on CT's done for other causes?
bluecheese
3/31/20 2:56pm
From what I understand, yes
HoustonCougar
3/31/20 2:57pm
theoretically yes, but seeing that pattern of pneumonia used to be really rare
GRCoug
3/31/20 2:58pm
"tests are rationed... electricity is not"
HoustonCougar
3/31/20 5:38pm
<< Deleted >>
doctorcoug
3/31/20 3:27pm
Yeah, it's spreading because people are dumb. We have to live with draconian
Kerbouchard
3/31/20 3:33pm
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