By vgreene, 23 March, 2020 Contact includes travel to affected geographies;1 or w/in 14 days of pt’s sx onset, having travelled in close proximity (1 m) w/ COVID-19 pt in any conveyance3
By vgreene, 23 March, 2020 Close contacts = w/in 6 ft of COVID-19 case for prolonged period (eg, in living space, waiting room) or direct contact w/ infectious secretions (eg, coughed on while not wearing PPE)1
By vgreene, 23 March, 2020 Assess signs sx reflects sx over dz course and exposure hx Non resp sx may precede fever resp sx 1 Asymptomatic 35 per CDC of SNF pts asymptomatic presymptomatic 1 81 of cruise ship cohort had no sx2
By vgreene, 23 March, 2020 Course may deteriorate wk 2; half of pts w/ severe dz had dyspnea @ 5-8 days after sx onset.1 Some pts develop hypercoagulability w/ ↑risk for venous/arterial thrombosis
By vgreene, 23 March, 2020 Pregnant pts’ sx not different, but sx like SOB, GI sx, fatigue may overlap w/ pregnancy sx3,6
By vgreene, 23 March, 2020 Atypical presentations may be seen in pts who are older or have underlying conditions,6 (eg, fatigue, ↓alertness/mobility, appetite loss, delirium, diarrhea, absent fever).3 Multisystem Inflammatory Syndrome w/ multi-organ involvement reported in pts