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Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... Nasopharyngeal PCR ... as clinically indicated ... iBookCC #COVID19 #algorithm ... #SARSCoV2 #Coronavirus
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
- Differential Diagnosis ... Algorithm Normal ... Syndrome • Prader-Willi ... #Algorithm #endocrinology ... #causes #pediatrics
Hyperglycemia - Differential Diagnosis Algorithm
Diabetes Mellitus:
 • Impaired Glucose Tolerance
 • Type I Diabetes
 • Type
- Differential Diagnosis ... Algorithm Diabetes ... Hyperglycemia (e.g ... #Algorithm #endocrinology ... #causes
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
Evaluation Guide ... Cardiac: multiple case ... incr in 27-75% • PCT ... #Diagnosis #Algorithm ... Protocol #SARSCoV2 #Coronavirus
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
- Differential Diagnosis ... Algorithm Fasting ... : • Critical Illness ... #Algorithm #endocrinology ... #causes
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
cryoglobulin (CG ... Infections including coronavirus ... Cryofibrinogenemia Clinical ... : • + Clinical ... cryoglobulins • Negative causes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Antibiotics (Bactrim, PCN ... tourniquet / IVF line draw ... heparinized tube) • ECG ... only if no clear cause ... for a definitive guide
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
diagnosis but rather ... useful framework to guide ... ECG is vital while ... the determined cause ... #algorithm #management
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
evaluate potential causes ... pathway that can cause ... #diagnosis waves ... Clinical Utility ... Syncope evaluation: Guides
Clinical Characteristics of Simple vs Complex Cutaneous Leishmaniasis 
Simple CL
 - Caused by a Leishmania species
Clinical Characteristics ... - Caused by a ... CL: Caused by a ... substantial size (eg ... Leishmaniasis #diagnosis