Coronavirus Disease 2019 - COVID 19
Clinical features
Symptomatology
Mild cases: Category A- cough
- Malaise
- Sore throat without shortness of breath
- Rhinitis
- Diarrhea
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Moderate to severe cases:
Categeroy B
Fever and or severe sorethroat/cough/diarrheaOR
Category A plus two or more of the following:
- Lung / heart / liver / kidney / neurological disease / Hypertension / haematalogical disorders / uncontrolled Diabetes / Cancer / HIV-AIDS
- On long term steroids / immunosuppressive drugs
- Pregnant lady
- Age – more than 60 years
OR
Category A plus cardiovascular disease
Categeroy C
- Breathlessness, chest pain, drowsiness, fall in blood pressure, haemoptysis, cyanosis(red flag signs)
- Children with ILI(influenza like illness) with red flag signs(somnolence, high/persistent fever, inability to feed well, convulsions, dyspnea / respiratory distress etc
Identification of high risk Patients
Comorbidities
- Uncontrolled Diabetes
- Hypertension
- Cardiovascular disease
- Lung Disease
- CKD
- CLD
- On immunosuppressives
- HIV/congenital immunodeficiency disorders
- Age > 60 years
Clinical assessment
- Hypoxia – SpO2 < 93% on room air
- Tachycardia PR >125/min
- Respiratory distress
- RR> 30/min
- Hypotension BP:Systolic < 90mmHg Diastolic < 60mmHg
- Altered sensorium
Laboratory values
- CRP>100mg/L
- CPK>twice upper limit of normal
- Ferritin>300mcg/L
- Trop T elevation
- LDH>245U/L
- D Dimer>1000ng/ml
- Multi organ dysfunction
- ALC <0.8
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