We are seeing the same things but are trying to use CT as little as possible

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Mar 31, 2020
2:50:41pm

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

Bio page: Littlerich
Joined: Apr 8, 2003
Last login: May 24, 2024
Total posts: 20,241 (970 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....

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.

3/31/20 3:12pm

ER doc bro in Tx says same thing. So many with no symptoms have CT positive

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

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"

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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