Different types of presentation of covid 19:

-

Different types of presentation of covid:

- Asymptomatic - We encounter these type of cases when testing the contacts of positive persons.

- Upper Respiratorytrack  Inflamatary Symptoms -

     Some covid patients present with predominant symptoms of URI like stuffy nose, throat pain, anosmia (loss of smell ), myalgia with or without a brief and  mild fever. Usually these people have a benign course of illness. Still they need to be observed for atleast one week

-The Classical type -

      This type is the most aggressive form of illness and carry a high mortality rate.   The typical symptoms are one or two days of fever followed by a cough which is usually a dry cough. On the second of cough,  pt starts developing breathing difficulty on exertion. Breathing difficulty slowly progresses over the next one or two days.   

     By this time they would have developed severe hypoxia which is disproportionately severe to the degree of symptoms(Silent Hypoxia ).If neglected further they end up with sudden cardiac arrest and death  which usually  happens towards the end of first week or beginning of second week.

      So cough is an ominous symptom of severe covid. The mortality can be greately reduced if they present early to the hospital.

- Persistent Fever -

        These type of patients have fever for more than 2days and many a times it can be upto 12 days. This type is  comparatively less aggressive than the classical type. Some patients do not develop further illness once fever is stopped.   

       But many will develop cytokine storm and death which usually happen little late (later than the classical type). In survivers the recovery is slow and prolonged ( usually 3-5 weeks).Actually we see more number of these kind of patients nowadays.

This type had fever initially, Once the fever got over, they would develop extreme weakness over the next three to five days. They didn't have the  complaints of breathing difficulty.

       If evaluated further  they would have hypoxia and radiological evidence of Pneumonia. Of course they developed  breathing difficulty later and by this time they had developed  severe disease.

        So any patient with H/O  extreme tiredness following a fever ( in some cases  myalgia) should be evaluated further even if he does not have dyspnea.

-G I Symptoms -

      Few patients  present with  anorexia,,vomiting, diarrhea and abdominal pain as the presenting complaints.  These patients if not suspected and treated earlier would  develop severe Acute Respiratory Distress Syndrome. They carry a poor prognosis usually.

Comments

Post a Comment

Popular posts from this blog

-
  POLYCYSTIC OVARIAN SYNDROME (PCOS) ·         Women with PCOS have a hormonal imbalance and metabolism problems that may affect their overall health, appearance and confidence. ·         Polycystic ovary syndrome (PCOS) is an imbalance in reproductive hormones common among women of reproductive age. ·         Women with PCOS may have irregular or missed periods or excess male hormone (androgen) levels. ·         The ovaries may develop numerous small collections of fluid (cyst) and fail to regularly release eggs (an ovulation). ·         Symptoms of PCOS may begin shortly after puberty, but can also develop during the later teen years and early adulthood. ·         Most women with PCOS grow many small cysts on their ovaries. That is why it is called polycystic ...
Read more
-
  Sinusitis Sinusitis is an inflammation or swelling of the tissue lining the sinuses. Healthy sinuses are filled with air. But when they become blocked and filled with fluid, germs can grow and cause an infection. Acute sinusitis can be triggered by a cold or allergies and may resolve on its own. Chronic sinusitis lasts up to eight weeks and may be caused by an infection. Symptoms Bad breath or loss of smell. Cough, often worse at night. Fatigue and general feeling of being ill. Fever. Headache. Pressure-like pain, pain behind the eyes, toothache, or tenderness of the face. Nasal stuffiness and discharge. Sore throat and postnasal drip. A feeling of congestion or fullness in your face and head A nasal obstruction or nasal blockage Mouth breathing         Homeopathic Treatment of Sinusitis Conventional treatment uses decongestants, nasal sprays, nebulizers, antibiotics and surgery in advanced cases with developed path...
Read more
-
  Answers to Gastro-intestinal disorders in Homeopathy Why GI disorders…? ·         The gastro-intestinal tract helps digests the food that we consume and supplies nutritional elements to the intern al organs and cells maintaining the balance in the normal metabolic activities to sustain life. ·         Any interference in this process can result in ill health. Any disturbances in the health of gastro-intestinal system will affect the body as a whole. ·         Changing life styles habits and unhealthy dietary habits causes indigestion along with gastric other metabolic disturbances to arise. In fact, the number of such problems has increased in our country to a dangerous level. ·         A deviation in the normal functioning of the gastro-intestinal tract causes irritable bowel syndrome (IBS). Metabolic activity disturbances lead to ...
Read more