What does clinical diagnosis mean? How should clinical diagnosis be isolated and treated?

The latest news is that the number of new cases of COVID-19 in Hubei Province has exceeded 10,000 today. This surge has caused a lot of panic. In fact, the increase in the number of cases is due to the increase in clinically diagnosed cases. If you don’t know what clinically diagnosed cases mean and how to isolate and treat them, you can take a look at the detailed introduction provided by this website!

What does clinical diagnosis mean?

"Clinical diagnosis" means "what disease the doctor thinks it is." Compared with taking nucleic acid positivity as the only criterion and turning doctors into "tools" waiting for test kits, "clinically diagnosed cases" are much closer to the real situation and can provide us with a more objective understanding of the epidemic.

The fifth edition of the guidelines defines "clinically diagnosed cases" as "suspected cases with radiological features of pneumonia", which can also be simply understood as "suspected cases + CT pneumonia manifestations". As for the criteria for suspected cases, different criteria are used for different situations in Hubei Province and outside the province. The criteria in Hubei Province are more relaxed, faster and simpler. The fifth edition of the guidelines has a clear description:

How should clinically diagnosed cases be isolated and treated?

Taking clinical diagnosis as the standard for admission, we should really admit all patients who should be admitted, without missing a single one. In this way, all clinically diagnosed cases are isolated and treated, which can prevent further spread, and the sooner the better. Otherwise, a large number of patients will stay outside the hospital. On the one hand, their condition cannot be treated in time, and it is easy for it to become serious. More importantly, they will infect more people.

Hubei adds 14,840 new cases of COVID-19, what's going on?

It is equivalent to that all the "suspected" people in Hubei have been arranged! Carpet-style investigation! It is to further speed up the diagnosis and treatment efforts.

Previously, we relied on nucleic acid testing, which was limited by the testing capacity and cycle, and also resulted in a large number of false negatives. Now, we do not need a positive nucleic acid test, and can be diagnosed based on contact history + clinical symptoms + CT. If we want to admit all patients, we should stop deceiving ourselves. The new figures are terrifying, but they are the truth that we have to face sooner or later. If we do not admit all patients, the community will continue to circulate infection, and the end of the epidemic will be a long way off.

Related News

From 0:00 to 24:00 on February 12, 2020, Hubei Province added 14,840 new cases of COVID-19 (including 13,332 clinically diagnosed cases). Currently, 33,693 cases are still being treated in hospitals, including 5,647 severe cases and 1,437 critical cases, all of whom are receiving isolated treatment in designated medical institutions. There are 9,028 suspected cases, 3,317 of whom were ruled out on the same day and 6,126 were quarantined. This new number is not a real increase, but a stock that is mostly being taken seriously. There is no need to panic, and we must do a good job of daily protection.