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UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
Evaluation Guide ... Presentation • Fever ... associated w severe disease ... UCSF #COVID19 #Evaluation ... Guide #Diagnosis #Algorithm
Clinical Algorithm for Emergency Department Evaluation and Management of UTI in Febrile Infants and Young Children

Urinary
Clinical Algorithm ... Emergency Department Evaluation ... department with fever ... , in whom UTI can ... do not replace clinical
Petechial/Purpuric Rashes- THE ALGORITHMIC APPROACH 

These rashes can be especially challenging and are
associated with devastating differential
in vasculitic diseases ... petechiae/purpura with fever ... require emergent evaluation ... disseminated gonococcal disease ... petechiae/purpura with fever
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
Evaluation of suspected ... incomplete Kawasaki Disease ... old on day ≥7 of fever ... if they have no clinical ... within 10 d of fever
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Function Tests in the Evaluation ... Can repeat labs ... of pregnancy, critical ... ophthalmopathy → Graves' Disease ... Hyperthyroidism #algorithm
Drugs Used for the Treatment of COVID-19 Infection

** Editor Note (from ophthalmology MD input) - Hydroxychloroquine/chloroquine
in someone who had ... Even with macular disease ... highlighted circle= clinical ... trial Ever Arias ... #Pharmacology #Table
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
BP stable, HR 115 ... The table below ... 800K U IM – LBRF can ... Infectious Diseases ... microscopy #pathology #clinical
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... or family - Ever ... event, follow ACC algorithm ... Change in clinical ... perioperative #Risk #Evaluation
Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and
Normal: < 1% Clinically ... • Autoimmune diseases ... tachycardia or fever ... likelihood of negative clinical ... count on initial evaluation
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
and diagnosis can ... features: Fever ... features: Fever ... - Infectious Diseases ... Marantic #diagnosis #table