Covid

HISTORY:

‍Covid-19 for ‍ ‍hoursdays

Covid test: ‍positivenegativenot performed

Exposure to Covid cases: ‍yesno

‍fever, up to ‍°, over ‍ ‍hoursdays

‍cough, ‍non-productiveproductive

‍sputum, ‍clearcolored

‍shortness of breath

‍fatigue

‍body aches

‍headache

‍loss of taste or smell

‍sore throat

‍congestion or runny nose

‍nausea or vomiting

‍diarrhea, ‍ episodes ‍per day, ‍

Worsening factors: ‍none

Treatments tried: ‍none, ‍effectiveineffective



EXAM:

General appearance: ‍well-appearing

Vital signs: ‍normal, BP ‍, HR ‍, RR ‍, SpO2 ‍ %, Temp ‍°

Ears: -R: ‍normal, -L: ‍normal

Nose: ‍normal

Throat: ‍normalrednessexudate

Neck: ‍normallymphadenopathy

Heart: ‍RRR, ‍normal S1 and S2

Lungs: ‍clearabnormal sounds, ‍retractions

Abdomen: ‍softsemi-softtense, ‍non-tender ‍, ‍non-distended, ‍

Skin: ‍no rash

Extremities: ‍edema, ‍warm, cap refill ‍< 3 sec> 3 sec, pulses ‍normal, ‍

Musculoskeletal: joints ‍ ‍normal, ‍no limited ROM



ASSESSMENT:

‍COVID-19 ‍likelysuspectedpossible

DDx: ‍



PLAN:

- Covid test

- Chest X-ray

- Blood work: ‍CBC, ‍CRP, ‍Ferritin, ‍LDH, ‍electrolytes, ‍creatinine, ‍LFTs, ‍D-dimer, ‍troponin

- CT chest

- Rest and hydration

- ‍Acetaminophen

- ‍Ibuprofen

- ‍Cough suppressants

- ‍Paxlovid if high risk

- ‍Remdesivir if hospitalized

- ‍Dexamethasone if hospitalized and requiring oxygen

- ‍Anticoagulants

- Oxygen therapy to maintain SpO2 > 90%

- Prone positioning

- Avoid contact with others

- Follow-up in ‍ ‍daysweeks

- Return if symptoms worsen or if new symptoms develop such as difficulty breathing or chest pain

- Go to ER if severe shortness of breath, chest pain, confusion, fainting or cyanosis