COVID 19 Lung US Disease Progression
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Day 1
Day 1 after #COVID diagnosis. Sore throat, headache (strong!), dry cough but not shortness of breath. No lung US abnormalities. Will keep a #POCUS track of my lungs.
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Day 2
Day 2 after #COVID diagnosis. Less sore throat, cough & headache (thank God!), still no shortness of breath or pleuritic chest pain. #POCUS update: small bilateral pleural effusion, thickened pleural line & basal b-lines (plaps).
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Day 3
Day 3 after #COVID diagnosis. No sore throat/headache. Yesterday was cough day, still no shortness of breath/chest pain. Diarrhea started, lucky cough got better. #POCUS update: similar effusion, seems less thickened pleural line + no b-lines (PLAPS).
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Day 4
Day 4 after #COVID diagnosis. More cough & tiredness (very badly), still no dyspnea/chest pain. #POCUS update: Right side on resolution, Left side a more thickened pleural line + 2 subpleural consolidations.
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Day 5
Day 5 after #COVID diagnosis. Less cough & tired, still no dyspnea/chest pain. #POCUS update: Effusion resolved, as subpleural consolidations spread bilaterally on both posterior lower lobes.
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Day 6
Day 6 after #COVID diagnosis. Less cough, bit tired, still no dyspnea. No fever. Oxygen saturation 98%. #POCUS update: thick pleural line, b-lines and subpleural consolidations tend to resolve. Significant lung improve from yesterday.
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Day 7
Day 7 after #COVID diagnosis. Cough & weakness got worse (again), still no dyspnea. No fever. SpO2 96%. #POCUS update: similar to yesterday - thick pleural line, b-lines & consolidations tend to resolve.
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Day 8
Day 8 after #COVID diagnosis. Less Cough & similar weakness, still no dyspnea or red flag symptoms. No fever. SpO2 96%. #POCUS update: Right resolved. Left lower lobe much better. Left lateral appeared new focal B-lines.
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Day 9
Day 9 after #COVID diagnosis. Feeling slightly better. More cough. No dyspnea or red flag symptoms. No fever. SpO2 97%. #POCUS update: similar to yesterday. Left lower & lateral with thick pleural line & focal B-lines.
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Day 10
Day 10 after #COVID diagnosis. Less tired, but more cough, ageusia & anosmia. No dyspnea or red flag symptoms. No fever. SpO2 97%. #POCUS update: Right, Left lower & lateral with thick pleural line & focal B-lines.
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Day 11
Day 11 after #COVID diagnosis. Less tired & cough, unable to endure small efforts. No dyspnea or red flag symptoms. No fever. SpO2 98%. #POCUS update: Bilateral subpleural consolidations, thick pleura & focal B-lines.
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Day 12
Day 12 after #COVID diagnosis. Better, main symptoms cough, nausea & diarrhea. No dyspnea or red flag symptoms. No fever. SpO2 98%. #POCUS update: Subpleural consolidations resolving, thick pleura & B-lines, small effusion.
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Day 13
Day 13 after #COVID diagnosis. Lesser cough, weakness, nausea & diarrhea. No dyspnea or red flag symptoms. No fever. SpO2 97%. #POCUS update: 2 subpleural consolidations (resolving), thick pleura & bilateral scattered B-lines.
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Day 14
Day 14 after #COVID diagnosis. Less symptoms - cough, weakness, nausea, light headache. Regaining appetite/smell. No fever/dyspnea. SpO2 98%. #POCUS update: Improving - thick pleura & Bilateral scattered B-lines, no effusion.
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Day 15
Day 15 after #COVID diagnosis. Similar cough, less weakness. Diarrhea due azithromycin. No fever or shortness of breath. SpO2 97%. #POCUS update: Similar to yesterday, thick pleura & bilateral scattered B-lines.
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Day 16
Day 16 after #COVID diagnosis. Similar dry cough, but with good energy & high spirit. No fever or dyspnea. SpO2 97%. #POCUS update: Improved, less thickened pleura & less bilateral B-lines.
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Day 17
Day 17 after #COVID diagnosis. Less cough, nausea & more appetite, energy. No fever or dyspnea. SpO2 97%. #POCUS update: right side resolved, left lateral & lower less thickened pleura & B-lines.
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Day 18
Day 18 after #COVID diagnosis. Similar cough. No fever or dyspnea. SpO2 97%. #POCUS update: slight worsening. Bilateral thickened pleura & B-lines, subpleural consolidation reappeared. On HCQ (D14). Waiting to re-test on friday.
@yaletung
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Day 19
Day 19 after #COVID diagnosis. More cough & weakness. No fever or dyspnea. SpO2 97%. #POCUS update: Subpleural consolidation got bigger on left lower lobe. Yesterday started levofloxacin (bacterial super infection?).
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Day 20
Day 20 after #COVID diagnosis. Almost recovered. SpO2 96%. #POCUS update: Significant improvement, remains thick pleura & B-lines. Yesterday tested NEGATIVE. I will try update a lung scan every week. FINALLY, I am returning to the TRENCHES.
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