Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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COVID-19 Signs and Symptoms at the time of Presentation

Fever
Myalgia
Headache
Rinorrhea
Sore Throat
Dyspnea
Chest Tightness
Cough
Sputum
Hemoptysis
Nausea/Vomiting
Diarrhea

Dr. Josh Farkas @pulmcrit via Internet
COVID-19 Signs and ... Symptoms at the ... time of Presentation ... #Signs #Symptoms ... #Diagnosis #Presentation
COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
COVID-19 Findings ... on Lung ultrasound ... #Lung #ultrasound ... #POCUS #Diagnosis ... #Signs
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
sliding/barcode sign ... Consolidations - "Shred" sign ... #pulmonary #differential ... #diagnosis #signs ... #Lung #POCUS #ultrasound
Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms
 β€’
Main Lung Ultrasound ... differences between COVID ... yield respiratory symptoms ... #POCUS #Lung #Ultrasound ... Comparison #Table #Diagnosis
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... Differential Bilat ... partially seen shred sign ... NOT definitively diagnose ... #clinical #ultrasound
β–Ί
Day 10 after COVID diagnosis. Less tired, but more cough, ageusia & anosmia. No dyspnea or
Day 10 after COVID ... diagnosis. ... dyspnea or red flag symptoms ... clinical #lung #ultrasound ... #POCUS
β–Ί
SNOOP mnemonic may catch potentially life-threatening headaches
Systemic signs and disorders
Neurologic symptoms
Onset new or changed & patient
headaches Systemic signs ... disorders Neurologic symptoms ... in thunderclap presentation ... mnemonic #headaches #Differential ... #Diagnosis #headache
Symptoms of Hypophosphatemia
 β€’ CNS: Seizures, Delirium, Paresthesias, Central & extrapontine myelinolysis, Hallucinations, Fatigue
 β€’ Hematologic:
Symptoms of Hypophosphatemia ... Heart failure β€’ Bones ... Bone pain β€’ MSK ... Hypophosphatemia #Phosphate #Symptoms ... #Signs #Diagnosis
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
emergency 2020-3-12 Diagnosis ... /Presentation Symptoms ... 45% febrile on presentation ... unilateral* β€’ POCUS ... #Cheatsheet #Diagnosis
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... based on three lines ... e.g., CXR, CT, ultrasound ... - Pulmonary symptoms ... chest pain) and signs