Difference between revisions of "COVID-19"

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[[File:COVID-19.jpg|500px|thumb|right|"Close-up of a**hole COVID-19'']]
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[[File:COVID-19.jpg|500px|thumb|right|''Close-up of a**hole COVID-19'']]
  
 
'''COVID-19''', also known as the novel coronavirus, was discovered in Wuhan, China in December 2019 and has been a goddamn pain-in-the-ass ever since.
 
'''COVID-19''', also known as the novel coronavirus, was discovered in Wuhan, China in December 2019 and has been a goddamn pain-in-the-ass ever since.
  
  
'''Definition'''
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'''Symptoms'''
 
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According to the [[American Thoracic Society]], '''dyspnea''' is a "subjective experience of breathing discomfort that is comprised of qualitatively distinct sensations that very in intensity." Wow, that's a mouthful.  Saying that definition out loud definitely can cause '''dyspnea'''.  Have an inhaler ready.   
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Symptoms can range from no to yes.  The most common include fever, nonproductive [[Cough|cough]], [[Dyspnea|shortness of breath]]In very rare instances, it can present as a scrotal abscess.   
  
  
'''Symptoms'''
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'''Signs'''
 
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Well, the main symptom for '''dyspnea''' is '''dyspnea''', sometimes shortness of breath, maybe even feeling a little winded tooOnset can be sudden or gradual, range from mild to severe, intermittent or nocturnal, and can be caused by anything from bad lungs (COPD exacerbation) to [[July Intern|bad interns]] ("You gave the patient ''how'' much insulin?!?").
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Don't be fooled: though the documented [[Respiratory Rate|respiratory rate]] reads as 16, it is most likely 17.  Objective fever supports subjective fevers and hypoxemia supports a patient's complaint of "I'm feeling hypoxemic." [[Chest X-Ray|Chest X-ray]] is an important diagnostic tool.  If [[Radiology's Circle of Tests|Radiology]] recommends [[Clinical Correlation|clinical correlation]], please defriend them.  
  
  
'''Signs'''
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'''Differential Diagnosis'''
 
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Oxygen saturation is the most helpful of the [[Vital Signs|vital signs]]; [[Respiratory Rate|respiratory rate]], not so much, since it'll be documented as 16 breaths/min anyway.  [[Physical Exam|Physical exam]] has been replaced by [[Radiology's Circle of Tests|radiology]], but should you do a [[Physical Exam|physical exam]], it is helpful to see how many lungs the patient has.  [[Stethoscope|Stethoscopes]] are relics of the past, but should you find one, you can try to listen to some lung sounds.  If you do so, we recommend absolutely crushing the lung exam.<ref>[http://gomerblog.com/2017/08/crushes-lung-exam-morning/ Doctor Absolutely Crushes the Lung Exam This Morning (Gomerblog)]</ref>  (''For a helpful guide on the lung exam, see [http://gomerblog.com/2016/02/physical-exam-tips-the-lungs/ Gomerblog's Physical Exam Tips: The Lung].'')  [[Clubbing]] is something that can only be picked up on a Friday or Saturday night.  [[JVD]] may suggest the presence of JVP.  Distant heart sounds suggest that you should move in a bit closer.
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#Upper GI bleed
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#Lower GI bleed
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#Diabetic foot ulcer
  
  
'''Common Causes in the General Population'''
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'''Treatments'''
 
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#Asthma
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Treatment is largely supportive as there are no known treatments for COVID-19.  Other interventions such as prayer, screaming "WHY GOD WHY?!" and remdesivir are currently going.
#COPD
 
#Interstitial lung disease
 
#Cardiovascular such as congestive heart failure or acute coronary syndrome
 
#Obesity or deconditioning
 
#[[Anemia]]
 
  
 
[[Category:Infectious Disease]]
 
[[Category:Infectious Disease]]
 
[[Category:Pulmonology]]
 
[[Category:Pulmonology]]

Revision as of 09:52, 20 March 2020

Close-up of a**hole COVID-19

COVID-19, also known as the novel coronavirus, was discovered in Wuhan, China in December 2019 and has been a goddamn pain-in-the-ass ever since.


Symptoms


Symptoms can range from no to yes. The most common include fever, nonproductive cough, shortness of breath. In very rare instances, it can present as a scrotal abscess.


Signs


Don't be fooled: though the documented respiratory rate reads as 16, it is most likely 17. Objective fever supports subjective fevers and hypoxemia supports a patient's complaint of "I'm feeling hypoxemic." Chest X-ray is an important diagnostic tool. If Radiology recommends clinical correlation, please defriend them.


Differential Diagnosis


  1. Upper GI bleed
  2. Lower GI bleed
  3. Diabetic foot ulcer


Treatments


Treatment is largely supportive as there are no known treatments for COVID-19. Other interventions such as prayer, screaming "WHY GOD WHY?!" and remdesivir are currently going.


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