54% of asymptomatic Diamond Princess patients had ground glass abnormalities on CT
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My concern is whether there are any long term effects of this. Right now the feeling is there are at least as many “asymptomatic” people as symptomatic, and that other than a temporary contagion threat they’re fine. What if that isn’t true?
@jon-nyc said in 54% of asymptomatic Diamond Princess patients had ground glass abnormalities on CT:
My concern is whether there are any long term effects of this. Right now the feeling is there are at least as many “asymptomatic” people as symptomatic, and that other than a temporary contagion threat they’re fine. What if that isn’t true?
It’s not even discussed in the piece. If 100% of mildly symptomatic have “ground glass” your concern would be for anyone who had come into contact with CV. Eventually that will be almost the entire planet.
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@Jolly said in 54% of asymptomatic Diamond Princess patients had ground glass abnormalities on CT:
No.
But I'm no doc...
What Jolly said. Very unusual to see this.
However, an x-ray (and that's really what a CT scan is) is a picture, not a diagnosis. "Ground glass" is a sign of COVID-19, as well as ARDS and other pulmonary pathologies. Without knowing how symptomatic these people are, or without following them for a long time, it's impossible to make any kind of judgment. Also, it's not uncommon for X-Ray to lag behind symptoms for several days.
@George-K said in 54% of asymptomatic Diamond Princess patients had ground glass abnormalities on CT:
@Jolly said in 54% of asymptomatic Diamond Princess patients had ground glass abnormalities on CT:
No.
But I'm no doc...
What Jolly said. Very unusual to see this.
However, an x-ray (and that's really what a CT scan is) is a picture, not a diagnosis. "Ground glass" is a sign of COVID-19, as well as ARDS and other pulmonary pathologies. Without knowing how symptomatic these people are, or without following them for a long time, it's impossible to make any kind of judgment. Also, it's not uncommon for X-Ray to lag behind symptoms for several days.
I've heard some docs say they trust their ears as much as the xray in some early pneumonia cases.
How effective is a stethoscope on lung sounds?
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@George-K said in 54% of asymptomatic Diamond Princess patients had ground glass abnormalities on CT:
@Jolly said in 54% of asymptomatic Diamond Princess patients had ground glass abnormalities on CT:
No.
But I'm no doc...
What Jolly said. Very unusual to see this.
However, an x-ray (and that's really what a CT scan is) is a picture, not a diagnosis. "Ground glass" is a sign of COVID-19, as well as ARDS and other pulmonary pathologies. Without knowing how symptomatic these people are, or without following them for a long time, it's impossible to make any kind of judgment. Also, it's not uncommon for X-Ray to lag behind symptoms for several days.
I've heard some docs say they trust their ears as much as the xray in some early pneumonia cases.
How effective is a stethoscope on lung sounds?
@Jolly said in 54% of asymptomatic Diamond Princess patients had ground glass abnormalities on CT:
I've heard some docs say they trust their ears as much as the xray in some early pneumonia cases.
How effective is a stethoscope on lung sounds?
Depends on the user. However, it's a lot easier to hear stuff in the lungs with a stethoscope than in the heart, which tends to be more subtle in the "less severe" conditions. At least, that was the case for me. There are all kinds of different sounds that may represent different things: rales, rhochi, wheezes, crackles.
That said, if you want to listen to lungs, you have to listen to lungs. That means a lot more than putting a stethoscope on someones back and listening through his shirt in four spots. Listen, for several breaths to each lobe in the back. Then do it all again from the front.
Basically, you have to pay attention, and take your time.
"Now look here, you Baltic gas passer... " - Mik, 6/14/08
The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.
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When my lungs were at their worst, I remember several times when some GP would listen to them for a long time. There was no diagnosis to be preformed, I was on a transplant list. They just had never, or rarely, heard such damaged lungs and were satisfying their curiosity. It didn't really bother me.
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@Jolly said in 54% of asymptomatic Diamond Princess patients had ground glass abnormalities on CT:
I've heard some docs say they trust their ears as much as the xray in some early pneumonia cases.
How effective is a stethoscope on lung sounds?
Depends on the user. However, it's a lot easier to hear stuff in the lungs with a stethoscope than in the heart, which tends to be more subtle in the "less severe" conditions. At least, that was the case for me. There are all kinds of different sounds that may represent different things: rales, rhochi, wheezes, crackles.
That said, if you want to listen to lungs, you have to listen to lungs. That means a lot more than putting a stethoscope on someones back and listening through his shirt in four spots. Listen, for several breaths to each lobe in the back. Then do it all again from the front.
Basically, you have to pay attention, and take your time.
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Radiologist friend who read article said trouble is these findings are non specific and can be seen with any viral pneumonia and even non infectious conditions...been seeing ground GGO in asymptotic patients who had scans for other reasons long before this outbreak.
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A google search found this.
https://www.ncbi.nlm.nih.gov/pubmed/25082478
Most common cause of GGO is pulmonary edema aka fluid in the lungs. Often CHF.
Now if you had the breakout of the crew that had GGO you might be on to something more significant.
I have no idea if GGO goes away naturally. I guess someone can google that.
