Covid cases_May

 

9


https://gsuhithagnaneswar.blogspot.com/2021/05/29-year-old-male-patient-with-viral.html?m=1





1. Is the elevated esr due to covid related inflammation? 


Ans;


High Erythrocyte sedimentation rate (ESR) brings a negative effect on covid-19 patints prognosis




However the elevation in esr cannot be explained by all existing evidence,it possibly links abnormal pathological change in some covid-19 patients






2. What was the reason for this patient's admission with mild covid? What are the challenges in home isolation and harms of hospitalization? 


Ans;


after 14 days of isolation he got tested again for COVID-19 which was positive . He then developed fever since 4 days, cough which was productive since 4 days and shortness of breath grade 3 since 2 days. He also had fatigue.He lost the sense of taste and smell. 


Since the patient has SOB of grade 3. This poses a challenge for home isolation.






5)https://anuragreddy72.blogspot.com/2021/05/case-discussion-on-hypokalemic-periodic.htm


https://anuragreddy72.blogspot.com/2021/05/case-discussion-on-hypokalemic-periodic.html



1) What was the reason for coma in this patient? 




The patient has an spo2 of 20%. This might have lead to cerebral hypoxia thus leading to coma.


Also, low blood potassium can make you short of breath, as it can cause the heart to beat abnormally. This means less blood is pumped from your heart to the rest of your body


Thus low spo2 and thus coma






2) What were the competency gaps in hospital 1 Team to manage this intubated comatose patient that he had to be sent to hospital 2? Why and how did hospital 2 make a diagnosis of hypokalemic periodic paralysis? Was the coma related? 




Hospital 1 might not have correlated Severe weakness of 4 limbs with low values of potassium which hospital 2 has diagnosed.


Yes, coma is related to Hypokalemia periodic paralysis as it might have caused cerebral hypoxia.






3) How may covid 19 cause coma? 


After cessation of sedatives, the described cases all showed a prolonged comatose state. 


unconsciousness after prolonged periods of mechanical ventilation in the ICU.










6)https://vijaykumarkasturi.blogspot.com/2021/05/65-years-old-male-with-viral-pneumonia.html


https://vijaykumarkasturi.blogspot.com/2021/05/65-years-old-male-with-viral-pneumonia.html



1. What was the cause of his altered sensorium?




increased hospital stay


 psychological-mental depression due to isolation


Hospital stay


pharmacological- drugs of covid






2. What was the cause of death in this patient?




This patient is an elderly chronic alcoholic and


 smoker, elevated RFT,LFT values


This might have delayed his healing process thus causing death




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