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

Clinical Presentation
• Fever: hospitalized pts but
Evaluation Guide ... 30%; can be only symptom ... Cardiac: multiple case ... occur before other symptoms ... Guide #Diagnosis #Algorithm
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs/symptoms ... high index of clinical ... -(rare), Valve dysfunction ... in up to 30% of cases ... Marantic #diagnosis #table
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... Performance thorough ... event, follow ACC algorithm ... or LV dysfunction ... Change in clinical
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Pathophysiology: 1) T-cell dysfunction ... renal failure Clinical ... Features: • Many symptoms ... patients have no symptoms ... Self-limiting, chronic but stable
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 • Epidemiology: -10% of all lupus cases, drug-dependent,
to 1:1 F:M • Clinical ... Constitutional symptoms ... constitutional symptoms ... 40, F:M 9:1 • Clinical ... sle #comparison #table
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
neurological lesion: Clinical ... findings: • Symptoms ... Non-compressive Spinal Cord Causes ... Bowel and bladder dysfunction ... differential #algorithm
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... medications, pancreatic dysfunction ... intrinsic factor, IF) Clinical ... total body stores Evaluation ... , alcohol use, symptoms
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... are excellent at evaluating ... the determined cause ... #differential #algorithm ... cardiology #treatment #table
Bladder outlet obstruction (BOO)

Functional obstruction may be caused by detrusor-sphincter dyssynergia (DSD), either at the level
obstruction may be caused ... or pelvic floor dysfunction ... and severity of symptoms ... is critical in ... the most common cause