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

Clinical Presentation
• Fever: hospitalized pts but
UCSF COVID-19 Adult ... Clinical Evaluation ... Guide - Updated ... #Evaluation #Guide ... #Diagnosis #Algorithm
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
with possible COVID ... -19 Initial evaluation ... Nasopharyngeal PCR for COVID ... diagnostics as clinically ... #algorithm #schema
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
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
anticoagulation in COVID ... hyper-coagulable pattern ... Hypo-coagulable pattern ... Internet Book of Critical ... #criticalcare #algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... useful framework to guide ... are excellent at evaluating ... #differential #algorithm ... cardiology #treatment #table
General Approach to Anemia - Differential Diagnosis Framework
1) Check reticulocyte count to determine if hypo/hyper-proliferative
2) Exclude
) 3) Use MCV & clinical ... context to guide ... further evaluation ... diagnosis #hematology #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