CMAAO IMA HCFI Corona Myth Buster 17 (For attention of Doctors) |
Clinical News
eMediNexus Coverage from: 
CMAAO IMA HCFI Corona Myth Buster 17 (For attention of Doctors)
Dr KK Aggarwal,  26 March 2020
Coronavirus Live Count Map India

remove_red_eye 950 Views

2 Read Comments                

D Dimer is the only lab criteria for severity: No, Absolute lymphocytic count < 800, D Dimer > 100, CPK > 2x ULN, CRP > 100, LDH > 245, Trop I rising, Ferritin > 300


There are no standard lab guidelines: Daily tests: CBC with differential lymphocytes, CMP, CPK

Risk stratification Q2-3 DAY PRN (as needed): D Dimer, Ferritin, ESR, CRP

Once: HBV, HCV, HIV, Influenza A/B, RSV, Resp Biofire profile, Tracheal aspirate if intubated



All pneumonia patients need admission


Admission is needed when:

Temperature > 38°C

Respiratory rate > 20

Heart rate > 100 with new confusion

Oxygen saturation < 94%


There are no clear cut red flags for COVID-19


Red flags include:

Severe shortness of breath at rest

Difficulty in breathing

Pain or pressure in the chest

Cold, clammy, pale and mottled skinNew confusion

Becoming difficult to rouse

Blue lips or face

Little or no urine output

Coughing up blood

Neck stiffness

Non blanching rash


Headache rules out COVID-19

It is present in 14% cases.


Fever with chills means flu

Chills are present in 12% cases


Cough with sputum rules out COVID-19

No, sputum may be present in 34% cases


Nasal congestion is common in COVID-19


No, it is present in only 5% of cases


Hydroxychloroquine can cause QT prolongation

No, it’s the combination with azithromycin.

[Input Dr Monica Vasudeva]


Dr KK Aggarwal

President CMAAO, HCFI and Past National President IMA

To comment on this article,
create a free account.
Sign Up to instantly read 30000+ free Articles & 1000+ Case Studies
Create Account

Already registered?

Login Now