Monday, August 17, 2020

SARS-CoV-2    CLINICAL CLUES...basic findings


Covid-19 related symptoms vary from quite atypical (anecdotal)  to "classic" clinical presentations in the emergency department setting, requiring a high degree of suspicion.

The following are a short list of symptoms--presentations to consider:

Classic presentations are: 1. Dyspnea with hypoxia (pulse oximetry < 92% on room air)
                                             2. Tachypnea-tachycardia
                                             3. Fever, chills, night sweats
                                             4. Cough
                                             5. Myalgias

Atypical presentations:     1. Profound malaise-physical exhaustion
                                             2. Lack of appetite
                                             3. Insomnia
                                             4. Dysgeusia (altered-impaired sense of taste)
                                             5. Anosmia-hyposmia  (altered sense of smell)
                                             6. Nausea-diarrhea
                                             7. Delirium
                                             8. Embolic-thrombotic events in younger pationts
                                             9. Headache-vertigo

Laboratory data:               1. CBC with differential--lymphopenia
                                             2. Elevated ALT/AST
                                             3. Elevated LDH
                                             4. Elevated CRP
                                             5. Elevated serum Ferritin
                                             6. ABG--hypoxemia

Chest x-ray:                        1. Bilateral basilar infiltares to ARDS finding

CT scan chest:                    1, Ground glass appearance







              

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