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  • NHSE - BSTI - APPROVED - Radiology - On - CoVid19 OKI

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    Monica Hernandez Monroy
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    This decision tool provides guidance for radiologists on assessing suspected COVID-19 cases based on chest x-ray and CT scan findings. Patients presenting with a classic bilateral peripheral opacification pattern on imaging should be isolated as a confirmed COVID-19 case. An uncertain or normal chest x-ray warrants a CT scan to determine if findings are indeterminate or indicate an alternative diagnosis. Patients who are seriously ill based on oxygen saturation levels or clinical score should also be isolated, while those who are stable can self-isolate with follow up based on abnormal or normal chest x-ray findings.

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    NHSE_BSTI_APPROVED_Radiology_on_CoVid19 OKI

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    This decision tool provides guidance for radiologists on assessing suspected COVID-19 cases based on chest x-ray and CT scan findings. Patients presenting with a classic bilateral peripheral opacification pattern on imaging should be isolated as a confirmed COVID-19 case. An uncertain or normal chest x-ray warrants a CT scan to determine if findings are indeterminate or indicate an alternative diagnosis. Patients who are seriously ill based on oxygen saturation levels or clinical score should also be isolated, while those who are stable can self-isolate with follow up based on abnormal or normal chest x-ray findings.

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    17 views1 page

    NHSE - BSTI - APPROVED - Radiology - On - CoVid19 OKI

    Uploaded by

    Monica Hernandez Monroy
    This decision tool provides guidance for radiologists on assessing suspected COVID-19 cases based on chest x-ray and CT scan findings. Patients presenting with a classic bilateral peripheral opacification pattern on imaging should be isolated as a confirmed COVID-19 case. An uncertain or normal chest x-ray warrants a CT scan to determine if findings are indeterminate or indicate an alternative diagnosis. Patients who are seriously ill based on oxygen saturation levels or clinical score should also be isolated, while those who are stable can self-isolate with follow up based on abnormal or normal chest x-ray findings.

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    © All Rights Reserved
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    Radiology decision tool for suspected COVID-19

    Bilateral (peripheral) Classic COVID-19


    Isolate
    opacification pattern

    Seriously ill CT SCAN*


    Uncertain/ Normal Indeterminate
    Sats <94%** or CXR (Unenhanced ± CTPA)
    NEWS>=3
    Clinical assessment and Clinico-radiological
    labs Don't isolate review
    Non-COVID-19 disease
    Suspected COVID-19 Unsuspected COVID-19
    < 50% have fever but > CXR suspicious
    80% have lymphopenia
    Self isolate with follow
    Abnormal CXR ? COVID-19
    up
    Stable
    CXR
    Sats > 94%. NEWS <3
    Normal CXR home with advice Self Isolate

    If neither COVID-19 less


    likely

    * Classic and Indeterminate CTs should be scored either: ‘mild’ or ‘moderate/severe’


    **94% unless known COPD in which case > 90%
    ***Please upload all COVID 19 cases to BSTI database

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