COVID 19 (Corona Virus)

Your Path

  • COVID 19 (Corona Virus)

Etiology

  • Viral infection that likely started in animals (Bats) and crossed over to humans

Risk Factors

  • Spread mostly by droplets, when then enter the body when hands touch the mouth, nose, eyes
  • Might also spread (minority of instances) thru aersolization
  • Risk factors for severe disease: Age > 60, underlying comorbid diseases: diabetes, htn, chronic lung disease, obesity, other

Symptoms

  • Most common symptoms are: cough, fever, and shortness of breath
  • Loss of taste and smell
  • Fatigue, chills, headache, muscle aches
  • Time from exposure to onset of symptoms is typically 5d (range 3-14)
  • Time from initial symptoms to severe disease (if that's to occur) is 7-8d
  • 80% will not require hospitalizaiton
  • Of those who require hospitalization, 25% will require ICU care
  • Can rapidly progress (ie from minimal O2 requirements to profound hypoxemia) in hours
  • High mortality if intubation required (> 50%), and typical ICU stay is 2+ weeks
  • Higher risk for venous thromboembolic disease (VTE) and stroke (arterial disease)

Physical Exam Findings

  • Mild to moderate disease: fever
  • Severe disease: fever, tachycardia, tachypnea, hypoexmia; rales

Tests