A Distance Runner - Sequelae Of Exercising During Active Covid Infection

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A Distance Runner - Sequelae Of Exercising During Active Covid Infection - Page #3

Lab Studies: Complete blood count (CBC) with differential and basic metabolic panel (BMP) both within normal limits Other Studies: Transthoracic echocardiogram (TTE) was unremarkable with normal intracardiac anatomy, chamber sizes and function and no pericardial effusion. Exercise treadmill stress test was appropriate heart rate and blood pressure response. Computed tomography (CT) chest without contrast revealed no evidence of scarring, interstitial disease or bronchiectasis. However, did reveal mild focal air trapping in the superior segment of left lower lobe. Pulmonary function test (PFT) revealed low vital capacity, no bronchodilator response, partly restrictive (low total lung capacity) and partly obstructive (elevated residual volume/ total lung capacity). Normal diffusion and oximetry. Pulmonary function test (PFT) after 1 week of daily prednisone and albuterol was unchanged. Consultations: Given our greater concern with cardiac etiologies such as cardiac thrombus, myocarditis, pericarditis, heart failure, ischemia, the athlete was first referred to cardiology. Cardiology cleared her given unremarkable transthoracic echocardiogram and appropriate exercise treadmill stress test. Patient then had pulmonology evaluation given shortness of breath and exercise intolerance. From further workup, CT chest without contrast and repeat pulmonary function test confirmed focal air trapping in left lower lobe. Pulmonary function test (PFT) after 1 week of daily prednisone and albuterol was unchanged which ruled out asthma. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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