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Showing posts from March, 2020

Correlation between universal BCG vaccination policy and reduced morbidity and mortality for COVID-19: an epidemiological study

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Discussion from original article

COVID-19: general template for hypoxemic, non-intubated patients

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daily examination:  focus on Physical exam probably doesn't add much for most patients who are mentating normally and able to report symptoms accurately. Do not use a stethescope  (this is a fomite that poses risk of disease transmission). Cardiac and lung ultrasonography may be performed as indicated for changes in clinical status. Lung ultrasonography ( not  ascultation) is the preferred modality for evaluating pulmonary status.

COVID-19: BRONCHOSCOPY

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source: emcrit.org COVID-19: BRONCHOSCOPY Risks of bronchoscopy: May cause some deterioration in clinical condition (due to instillation of saline and sedation). Enormous risk of transmission to providers. Considerable resource allocation (requires N95 respirators, physicians, respiratory therapists) – all resources which will be in slim supply during an epidemic.

COVID-19: lung ultrasonography

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lung ultrasonography technique

COVID-19: CXR & CT scan

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CXR & CT scan general description of imaging findings on chest x-ray and CT scan The typical finding is patchy ground glass opacities, which tend to be predominantly peripheral and basal ( Shi et al 2/24 ).  The number of involved lung segments increases with more severe disease.  Over time, patchy ground glass opacities may coalesce into more dense consolidation.

COVID-19: labs

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  Table  of general laboratory findings described in several studies.

COVID-19: Signs and Symptoms

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source: emcrit.org signs & symptoms COVID-19 may cause constitutional symptoms, upper respiratory symptoms,

COVID-19: transmission

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source: emcrit.org large droplet transmission COVID-19 transmission can occur via  large  droplet transmission (with a risk limited to