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

Clinical Presentation
• Fever: hospitalized pts but
Clinical Evaluation ... single study) Labs ... • WBC usually normal ... #Evaluation #Guide ... #Diagnosis #Algorithm
Hypoglycemia - Evaluation Algorithm
Interpreting Hypoglycemia Labs - the patient must be hypoglycemic at the time of
Hypoglycemia - Evaluation ... Algorithm Interpreting ... Hypoglycemia Labs ... #Hypoglycemia #Evaluation ... #Algorithm #workup
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... monitoring ABG values ... ), not the ABG values ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Function Tests in the Evaluation ... • Low TSH, Low normal ... • Low TSH, normal ... Can repeat labs ... Hyperthyroidism #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... • Target tidal volumes ... respiratory #support #COVID19 ... management #schema #criticalcare ... hypoxia #failure #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 ... R-time low or normal ... anticoagulation #COVID19 ... management #schema #criticalcare ... #algorithm #SARSCOV2
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
include Crackles/Rales ... are excellent at evaluating ... is vital while lab ... #differential #algorithm ... heartfailure #chf #criticalcare
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... neuroexam - Oral ... event, follow ACC algorithm ... Determine if any labs ... perioperative #Risk #Evaluation
Approach to using the perfusion scan in Brain Death Evaluation

Like any diagnostic test, a flow scan
in Brain Death Evaluation ... A normal scan should ... #Diagnosis #CriticalCare ... Perfusion #Scan #Algorithm