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Criteria for Patients Under Investigation for 2019 Novel Coronavirus (2019-nCoV) / COVID-19

Fever or signs/symptoms of lower
/ COVID-19 Fever ... or signs/symptoms ... onset Fever ... and signs/symptoms ... and signs/symptoms
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... • Rickettsial diseases ... falls (like a wave ... Brucellosis Faget's Sign ... #Patterns #Differential
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Amyloid - Diagnosis, Signs ... , Symptoms and Management ... pseudoinfarct pattern (Q-waves ... - conduction disease ... #Symptoms #Cardiology
Fever in Returning Traveler - ABCDE Mnemonic
A - Adventure - Where did the patient travel? 
B
Fever in Returning ... did the patient travel ... Undifferentiated fever ... exposures to onset of symptoms ... Contacts Infectious Diseases
Erythematous Rashes - THE ALGORITHMIC APPROACH

Characterized by diffuse redness of the skin due to
capillary congestion, erythematous
the Nikolsky sign ... , the differential ... includes Kawasaki disease ... or Nikolsky sign ... #Differential
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... infection Cardinal Symptoms ... localizing signs ... or symptoms - Malaria ... Returning #Traveler #differential
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Fever of Unknown ... Workup • CNS symptoms ... Refer to your ‘Fever ... algorithm • Travel ... thin smear • Signs
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... symmetrical T-waves ... V2 • Wellens sign ... pain • Wellens sign ... EKG #diagnosis #differential
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... T waves - starts ... triple vessel disease ... Interpretation #differential
Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
Diseases of the ... nausea, vomiting, fever ... , Murphy sign Chronic ... pain, jaundice, fever ... #differential #