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radiology and covid-19
Posted on 4/3/20 at 9:33 pm
Posted on 4/3/20 at 9:33 pm
I ran across some tweets put out by doctors a couple of days ago that were really focused on chest x-rays and covid-19. Didn't think much about it at the time but I started wondering if maybe all symptomatic people should do a test along with a chest x-ray to determine if they are infected.
I've been hearing about inaccuracies of tests, could be an agenda i don't know. Just thought it was interesting..it seems there is a distinct indicator of infection when using radiology.
I've been hearing about inaccuracies of tests, could be an agenda i don't know. Just thought it was interesting..it seems there is a distinct indicator of infection when using radiology.
This post was edited on 4/3/20 at 9:34 pm
5
Posted on 4/3/20 at 9:43 pm to beezy
Yea rad techs don’t get much mention in this whole thing but they are walking into this mess to get a shot of the lungs to coincide with diagnostic testing.
Posted on 4/3/20 at 10:48 pm to Cwar11
quote:
Yea rad techs don’t get much mention in this whole thing but they are walking into this mess to get a shot of the lungs to coincide with diagnostic testing.
Wife and I were talking about this today. Apparently the pneumonia caused by COVID is more physically widespread than other pneumonias. She said she couldn't tell the difference, but the ER docs are able to. Not to take away from the rad techs.
Also, during autopsy the COVID pneumonia is supposedly more sticky than other kinds.
Posted on 4/3/20 at 11:28 pm to beezy
No. The chest x-ray findings are nonspecific. And not all patients who are covid positive have chest x-ray findings.
Posted on 4/3/20 at 11:33 pm to MrSpock
quote:
No. The chest x-ray findings are nonspecific. And not all patients who are covid positive have chest x-ray findings.
This. And we saw a shitload of atypical pneumonias November-February. Textbook symptoms in hindsight. No mass die off.
Posted on 4/3/20 at 11:36 pm to SmackoverHawg
quote:
This. And we saw a shitload of atypical pneumonias November-February. Textbook symptoms in hindsight. No mass die off.
Not to mention the massive increased risk of exposure to patients and staff alike for no significant clinical utility.
Posted on 4/3/20 at 11:56 pm to beezy
quote:Another tweet (take it for what it's worth) making the rounds today cited a study that indicates respiratory is a lagging symptom. Reportedly some patients are hypoxic before respiratory symptoms. The theory goes the virus attacks hemoglobin cells first. They compared it altitude sickness (HAPE).
all symptomatic people should do a test along with a chest x-ray to determine if they are infected.
Don't know enough about the medical side to know if that's all BS or not?
Posted on 4/4/20 at 12:01 am to Taxing Authority
quote:
Don't know enough about the medical side to know if that's all BS or not?
I haven't seen much hypoxemia with a clear x-ray yet.
Haven't seen a ton in general, though.
Posted on 4/4/20 at 12:08 am to beezy
(no message)
This post was edited on 4/4/20 at 10:05 am
Posted on 4/4/20 at 12:16 am to Ann Arbor Tiger
quote:
competent radiologist
"Differential includes"
"Correlate clinically"
"May be seen in"
"May represent but does not exclude"
"dictated but not read"
Masters of diplomatic speak, they are.
ETA: only kidding of course. A good radiologist is one of the most valuable things a hospital can have.
This post was edited on 4/4/20 at 1:19 am
Posted on 4/4/20 at 12:18 am to SmackoverHawg
Edward Aschoff died of pneumonia on Christmas Eve. I wonder if he had CV and no one knew?
Posted on 4/4/20 at 12:18 am to Ann Arbor Tiger
All of our radiologists are saying “bilateral infiltrates, likely viral.” We have good radiologists at my hospital, too.
Posted on 4/4/20 at 12:20 am to Hopeful Doc
(no message)
This post was edited on 4/4/20 at 1:00 am
Posted on 4/4/20 at 12:24 am to AndyJ
(no message)
This post was edited on 4/4/20 at 10:04 am
Posted on 4/4/20 at 12:24 am to beezy
I may be wrong but I thought that I read that there were countries that were actually using ct scans as diagnosfor covid to speed things up because tests weren’t available. And they were very accurate.
Posted on 4/4/20 at 12:26 am to AaronDeTiger
quote:
Edward Aschoff died of pneumonia on Christmas Eve. I wonder if he had CV and no one knew?
While entirely possible, pneumonia is the cause of 1.3MM ER visits and 49,000+ deaths annually. It is possible that it was pneumonia from another source. Many other viruses and several bacteria can cause pneumonia and ARDS.
The world will likely never know. But if he had no close contacts who became ill around the same time, it would make COVID19 less likely. If there was a spike in unidentified pneumonia/resp illnesses, it may have indeed been this virus.
This is where stats get shitty and guessing takes over.
Posted on 4/4/20 at 12:31 am to Ann Arbor Tiger
(no message)
This post was edited on 4/4/20 at 1:05 am
Posted on 4/4/20 at 12:32 am to TerryDawg03
Rather be a rad tech than a resp therapist!
Posted on 4/4/20 at 12:32 am to MississippiTigerGirl
Referenced NOLA.com article
If you read that then the reporter is spreading fake news. There was some ER doc of a small hospital in the NOLA area who was quoted in an article in NOLA.com a week or two ago who was advocating CT use for diagnosis. Guy had no clue what he was talking about. The article did quote the head of LSU’s radiology dept, Dr Bok, who clearly said that CT findings are non specific. Of course the sloppy reporter didn’t even mention Dr. Bok’s credentials in the article. Just quoted him as a LSUHSC physician. So when the CT scanner scans the one positive patient, then it has to be shut down for 1-2 hours to decontaminate the whole CT suite. As most Large hospitals only have 2 or 3 scanners, it would really be stupid to put that out of commission and unable to screen for patients having stroke symptoms - a true medical emergency that can be diagnosed with specificity by CT
If you read that then the reporter is spreading fake news. There was some ER doc of a small hospital in the NOLA area who was quoted in an article in NOLA.com a week or two ago who was advocating CT use for diagnosis. Guy had no clue what he was talking about. The article did quote the head of LSU’s radiology dept, Dr Bok, who clearly said that CT findings are non specific. Of course the sloppy reporter didn’t even mention Dr. Bok’s credentials in the article. Just quoted him as a LSUHSC physician. So when the CT scanner scans the one positive patient, then it has to be shut down for 1-2 hours to decontaminate the whole CT suite. As most Large hospitals only have 2 or 3 scanners, it would really be stupid to put that out of commission and unable to screen for patients having stroke symptoms - a true medical emergency that can be diagnosed with specificity by CT
This post was edited on 4/4/20 at 10:12 am
Posted on 4/4/20 at 12:36 am to Hopeful Doc
(no message)
This post was edited on 4/4/20 at 10:04 am
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