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

Clinical Presentation
• Fever: hospitalized pts but
COVID-19 Adult Clinical ... April 10 2020 Clinical ... 30%; can be only symptom ... occur before other symptoms ... UCSF COVID-19 ID Clinical
Primary Hyperthyroidism - Pathogenesis and Clinical Findings

Note: Although rare, gestational diseases can lead to thyrotoxicosis due
Pathogenesis and Clinical ... Signs/Symptoms: ... attention - Incr ... intolerance - Incr ... appetite - Incr
Lower Urinary Tract Infection: Pathogenesis and Clinical Findings

- Predisposing Factors:  Immunocompromised state, diabetes, elderly, female
Pathogenesis and Clinical ... epithelium and causing symptoms ... Signs/Symptoms ... Findings: Incr ... Pathophysiology #Signs #Symptoms
Somatoform Disorders - Differential Diagnosis Algorithm
 - Patient presents with complex medical problem or symptoms that
medical problem or symptoms ... secondary gain Symptoms ... Anxiety Disorder - Focus ... Dysmorphic Disorder - Focus ... significant distress Focus
Bipolar Disorder: Pathogenesis and Clinical Findings
 • Disruption of emotional homeostasis
 • Oscillation between mood states
Pathogenesis and Clinical ... euphoria - Incr ... grandiosity - Incr ... withdrawal - Incr ... Pathophysiology #Signs #Symptoms
Feedback Loop: Growth Hormone (GH)
Growth Hormone:
 • Liver -> GHR activates JAK-STAT pathway -> Incr IGF1
JAK-STAT pathway -> Incr ... chondrocytes -> Incr ... AKT pathway -> Incr ... lipolysis Signs/Symptoms ... strength - Incr
ICU Hypotension - Evaluation Algorithm

OFTEN Mnemonic:

OWN THE PULSE PRESSURE 

FEEL YOUR PATIENT'S LEGS 

TEST FOR FLUID
ICU Hypotension ... RESPONSIVENESS ECHO/POCUS ... MD @vmoitra #ICU
Estimated Timeline for Detection of SARS-CoV-2 Infection Relative to Symptom Onset

#COVID19 #SARSCOV2 #PCR #Serology #Antibodies #Antibody
Infection Relative to Symptom ... COVID19 #SARSCOV2 #PCR
Serotonin-Norepinephrine Reuptake Inhibitors(SNRIs): Mechanisms and Side Effects

Withdrawal: Dizziness, Diarrhea, Insomnia, Nausea, Vomiting
Serotonin Syndrome - Potentially Life
Agitation, Akathisia Incr ... , Weight gain Incr ... Diagnosis #Signs #Symptoms
Differentiating Pacemaker vs ICD on Chest XRay
 - Single Chamber PPM
 - Single Chamber ICD
 -
Differentiating Pacemaker vs ICD ... Single Chamber ICD ... - BiV-ICD by ... KhurrumKhanMD #Pacemaker #ICD ... Radiology #comparison #clinical