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

Clinical Presentation
• Fever: hospitalized pts but
Evaluation Guide ... markers (CRP, D-dimer ... UCSF #COVID19 #Evaluation ... Guide #Diagnosis #Algorithm ... Protocol #SARSCoV2 #Coronavirus
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
-19 Initial evaluation ... diagnostics as clinically ... Internet Book of Critical ... iBookCC #COVID19 #algorithm ... Diagnosis #SARSCoV2 #Coronavirus
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
COVID-19 Is D-dimer ... hyper-coagulable pattern ... Internet Book of Critical ... #criticalcare #algorithm ... #SARSCOV2 #Coronavirus
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... indicate the initial evaluation ... history alongside evaluation ... of the pattern ... LFTs #Abnormal #Algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... event, follow ACC algorithm ... Change in clinical ... Stable patients ... perioperative #Risk #Evaluation
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... range of possible clinical ... are excellent at evaluating ... #differential #algorithm ... cardiology #treatment #table