COVID Flashcards
What is the name of COVID virus
SARS COV-2 beta coronavirus
What type of virus
RNA
What other epidemics have been caused by coronavirus
SARS - SARS-COV
MERS
What is a pandemic
Worldwide spread
How is COVID spread
Droplet
Has been detected in stool / ocular secretion / blood
When are you infectious
6 days prior to Sx
Declines after 7 days of symptoms
When is peak infectious
1 day of symptoms
What is incubation
14 days but majority = 4
What can occur after infection
RNA sheeding
Not infectious when this happens but may be V+e
What are Sx
Asymptomatic Pneumonia - cough / SOB / fever Myalgia Headache Sore throat Anosmia N+V Diarrhoea Covid toe due to clot in microvascular
What is 3 different courses
Multi-organ failure with rapid deterioration at day 5-7 due to cytosine
Stable with asymptomatic hypoxia requiring CPAP or help
Delerium - common in elderly
Who is at increased risk
CO-morbid
CVS
DM
HTN
What is associated with poor prognosis
Lymphopenia (low lymphocyte even if high WCC) AKI Elevated liver enzyme Increased lDH Raised inflammatory - CRP / ferritin D-dimer increased Increased PT Increased troponin
How do you image
CXR
CT if stable
What would you see
Bilateral
Lower zone
Ground class appearance
Consolidation