COVID Flashcards

1
Q

What is the name of COVID virus

A

SARS COV-2 beta coronavirus

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2
Q

What type of virus

A

RNA

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3
Q

What other epidemics have been caused by coronavirus

A

SARS - SARS-COV

MERS

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4
Q

What is a pandemic

A

Worldwide spread

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5
Q

How is COVID spread

A

Droplet

Has been detected in stool / ocular secretion / blood

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6
Q

When are you infectious

A

6 days prior to Sx

Declines after 7 days of symptoms

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7
Q

When is peak infectious

A

1 day of symptoms

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8
Q

What is incubation

A

14 days but majority = 4

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9
Q

What can occur after infection

A

RNA sheeding

Not infectious when this happens but may be V+e

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10
Q

What are Sx

A
Asymptomatic
Pneumonia - cough / SOB / fever
Myalgia
Headache
Sore throat
Anosmia
N+V
Diarrhoea
Covid toe due to clot in microvascular
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11
Q

What is 3 different courses

A

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

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12
Q

Who is at increased risk

A

CO-morbid
CVS
DM
HTN

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13
Q

What is associated with poor prognosis

A
Lymphopenia (low lymphocyte even if high WCC)
AKI 
Elevated liver enzyme
Increased lDH
Raised inflammatory - CRP / ferritin
D-dimer increased
Increased PT
Increased troponin
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14
Q

How do you image

A

CXR

CT if stable

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15
Q

What would you see

A

Bilateral
Lower zone
Ground class appearance
Consolidation

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16
Q

What multi-system involvement

A
Pneumonia
ARDS
VTE 
Cardiomyopathy in heart - may think MI but don't respond
Kawasaki in children 
Transamintiis in liver
Delerium 
Stroke
Anosmia
GBS
17
Q

How do you test

A

Nasopharyngeal swab - detect RNA on PCR

Ab testing

18
Q

How do you treat

A
Largely supportive
O2
High flow nasal 
CPAP or BiPAP
Invasive 
VTE prophylaxis 
Nutrition
Dexamethasone
Early mobilisation
Proning
19
Q

What is more used CPAP or BiPAP

A

CPAP as COVID causes type 1 resp failure

BiPAP more used in type 2

20
Q

What is danger

A

Risk of aerosol generation as not closed circuit like intubation

21
Q

What does pneumonitis cause

A

Fine inspiratory crackles in check like fibrosis

22
Q

What else can you give

A

Ax incase bacterial infection underneath

23
Q

If worsening but CXR normal what would you expect

A

PE

Treat as may not be stable enough for CTPA

24
Q

What are CI to posing

A

Unstable cervical spine
Pregnancy
Unable to get into position indepently
More

25
Q

Would you treat if -ve swab

A

If Sx suggestive e.g. lymphopenia