COVID-19: Difference between revisions

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==Differential Diagnosis==
==Differential Diagnosis==
 
*[[Influenza]]
*[[Pneumonia]]
*[[Sinusitis]]


==Evaluation==
==Evaluation==
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==Management==
==Management==
 
*Supportive care is mainstay of therapy
*Most patients will do well enough for discharge home
*Discuss with LA Dept of Public Health, who will guide testing and, if discharging, help patient remain in isolation at home


==Disposition==
==Disposition==
 
*Usually home, but decision needs to be made in conjunction with LA Dept. of Public Health
*If admitting, needs to be placed in negative pressure isolation room with airborne and droplet precautions


==See Also==
==See Also==

Revision as of 22:27, 16 February 2020

Background

  • Also known as "2019 Novel Coronavirus"
  • First detected in Wuhan, China

Specific Coronavirus Sub-Types of Clinical Importance

Clinical Features

Case definition (Jan, 2020)

  • Patients with (must have ALL 3 criteria):
  1. Travel to Wuhan China is past 14 days OR Exposure to Known Corona Virus Patient AND
  2. Fever AND
  3. Lower respiratory symptoms (cough or shortness of breath)

Differential Diagnosis

Evaluation

  • BIOFIRE RESP PANEL Corona Virus assay does NOT detect this subtype - DO NOT USE

Management

  • Supportive care is mainstay of therapy
  • Most patients will do well enough for discharge home
  • Discuss with LA Dept of Public Health, who will guide testing and, if discharging, help patient remain in isolation at home

Disposition

  • Usually home, but decision needs to be made in conjunction with LA Dept. of Public Health
  • If admitting, needs to be placed in negative pressure isolation room with airborne and droplet precautions

See Also

External Links

References