Tuesday, 19 November 2024

The Chest and Radiological Features of Covid-19 | Chapter 9 | Clinical Manifestations of Covid-19: A Multi-Disciplinary Approach

 

Originally reported as a respiratory disease, but with more understanding of the condition, systemic components have been fairly described. Features could be mild, moderate and severe. SARS-CoV-2 has been reported to bind ACE 2 receptors which ultimately results and in an eventual ARDS due to increased pulmonary surface tension.

Radiologic features are essential of the chest and serve as surrogate diagnostic markers and for prognostication. Computed tomography (CT) is the radiological test. Conventional X-ray on the other hand is less sensitive and specific compared to the former but usually, it is the first-line imaging modality used for suspected Covid-19 cases. Findings may be normal in early or mild disease severe cases show abnormal signs which may be categorized as probable/classic, intermediate for Covid-19, non-Covid-19, or normal (note that normal does not exclude Covid-19). These abnormalities are usually bilateral, involving the lower lobes with predominant air space opacification, interstitial infiltrates, or patchy consolidation.

 

Author(s) Details:

 

Kenis Shedrack Felangu
X-Ray Group, A Subsidiary of Integral Diagnostics, Victoria, Australia.

 

Chidozie Valentine Adiukwu
Pulmonology Subdivision Department of Internal Medicine, Dalhatu Araf Specialist Hospital, Lafia, Nigeria.

 

Abdulkarim Ibrahim Dahiru
National Health Insurance Scheme (NHIS), Nasarawa State Office, Nigeria.

 

Khadija Abimbola Abdulraheem
Department of Medical Microbiology, National Hospital Abuja, Nigeria.

 

Ugochukwu Anthony Eze
Department of Ophthalmology, Federal Medical Centre, Asaba, Nigeria and Honorary Supervisor University of Edinburgh Masters of Surgery Program in Clinical Ophthalmology, United Kingdom.

 

Please see the book here:  https://doi.org/10.9734/bpi/mono/978-81-973195-5-6/CH9

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