Sandbox:Mitra2: Difference between revisions

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! rowspan="2" |<small>Other Findings</small>
! rowspan="2" |<small>Other Findings</small>
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
!<small>[[Dyspnea on Exertion]]</small>
!<small>Dyspnea on Exertion</small>
!<small>[[Chest Pain]]</small>
!<small>Chest Pain</small>
!<small>[[Hemoptysis]]</small>
!<small>Hemoptysis</small>
!<small>[[Fever]]</small>
!<small>Fever</small>
!<small>[[Tachypnea]]</small>
!<small>Tachypnea</small>
!<small>[[Tachycardia]]</small>
!<small>Tachycardia</small>
!<small>[[Chest X-ray]]</small>   
!<small>Chest X-ray</small>   
!<small>[[ECG]]</small>
!<small>ECG</small>
!<small>[[Echocardiography]]>  
!<small>Echocardiography>  
!<small>[[CT scan]] and [[MRI]]</small>  
!<small>CT scan and CMRI</small>  
|-
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |[[COVID-19-associated heart failure|COVID-19-associated heart failure]]
|style="background: #DCDCDC; padding: 5px; text-align: center;" |[[COVID-19-associated heart failure|COVID-19-associated heart failure]]
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| style="background: #F5F5F5; padding: 5px;" | Increased [[NT-proBNP]] and cardiac [[troponin]]s levels
| style="background: #F5F5F5; padding: 5px;" | Increased [[NT-proBNP]] and cardiac [[troponin]]s levels
|-
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |[[COVID-associated pneumonia]]
|style="background: #DCDCDC; padding: 5px; text-align: center;" |[[COVID-19-associated pneumonia]]
| style="background: #F5F5F5; padding: 5px;" |✔ (Usually high)
| style="background: #F5F5F5; padding: 5px;" |✔ (Usually high)
| style="background: #F5F5F5; padding: 5px;" |✔ ([[Pleuritic]])
| style="background: #F5F5F5; padding: 5px;" |✔ ([[Pleuritic]])
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| style="background: #F5F5F5; padding: 5px;" |✔
| style="background: #F5F5F5; padding: 5px;" |✔
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
*Consalidation
*[[Lobar Consalidation]]
| style="background: #F5F5F5; padding: 5px;" |  
| style="background: #F5F5F5; padding: 5px;" |  
*Prolonged PR interval
*Prolonged PR interval
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| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |  
| style="background: #F5F5F5; padding: 5px;" |  
*CT: Consalidation, reticulonodular pattern
*CT: [[Lobar Consalidation]]
| style="background: #F5F5F5; padding: 5px;" | Increased inflammatory markers, including [[ESR]], [[hs-CRP]]
| style="background: #F5F5F5; padding: 5px;" | Increased inflammatory markers, including [[ESR]], [[hs-CRP]]
|-
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |[[COVID-associated ARDS]]
|style="background: #DCDCDC; padding: 5px; text-align: center;" |[[COVID-19-associated ARDS]]
| style="background: #F5F5F5; padding: 5px;" |✔  
| style="background: #F5F5F5; padding: 5px;" |✔  
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |-
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| style="background: #F5F5F5; padding: 5px;" |✔
| style="background: #F5F5F5; padding: 5px;" |✔
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
*Bilateral ground-glass opacities
*Bilateral [[ground-glass opacities]]
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" |  
| style="background: #F5F5F5; padding: 5px;" |  
*Signs of RV dysfunction/RV dilatation may be seen
*Signs of RV dysfunction/RV dilatation may be seen.
| style="background: #F5F5F5; padding: 5px;" |  
| style="background: #F5F5F5; padding: 5px;" |  
*CT: Bilateral intesrtitial edema
*CT: *Bilateral [[ground-glass opacities]]
| style="background: #F5F5F5; padding: 5px;" | -
| style="background: #F5F5F5; padding: 5px;" | -
|-
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |[[COVID-associated myocarditis]]
|style="background: #DCDCDC; padding: 5px; text-align: center;" |[[COVID-19-associated myocarditis]]
| style="background: #F5F5F5; padding: 5px;" |✔  
| style="background: #F5F5F5; padding: 5px;" |✔  
| style="background: #F5F5F5; padding: 5px;" |✔
| style="background: #F5F5F5; padding: 5px;" |✔
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| style="background: #F5F5F5; padding: 5px;" |✔
| style="background: #F5F5F5; padding: 5px;" |✔
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
*Pericardial effusion may be detectable
*[[Pericardial effusion]] may be detectable
| style="background: #F5F5F5; padding: 5px;" |  
| style="background: #F5F5F5; padding: 5px;" |  
* Non-specific:may show nonspecific ST-T abnormalities, sinus tachycardia and conduction abnormalities (such as bundle-branch blocks or atrioventricular conduction delays)
* Non-specific:may show nonspecific ST-T abnormalities, [[sinus tachycardia]] and [[conduction abnormalities]] (such as bundle-branch blocks or atrioventricular conduction delays)
| style="background: #F5F5F5; padding: 5px;" |  
| style="background: #F5F5F5; padding: 5px;" |  
*Non-specific: In fulminant myocarditis cardiac chamber sizes are usually normal with an increased septal thickness (secondary to acute myocardial edema), whereas in acute myocarditis marked left ventricular dilation and normal wall thickness might be seen.  
*Non-specific: In [[fulminant myocarditis]], cardiac chamber sizes are usually normal with an increased septal thickness (secondary to acute myocardial edema), whereas in acute [[myocarditis]] marked left ventricular dilation and normal wall thickness might be seen.  
*Pericardial effusion may be be seen.
*[[Pericardial effusion]] may be be seen.
| style="background: #F5F5F5; padding: 5px;" |  
| style="background: #F5F5F5; padding: 5px;" |  
*CMR: T2-weighted edema imaging shows the presence of “acute myocardial inflammation”. "Late gadolinium enhancement (LGE) imaging” can demonstrate myocardial damage.  
*CMR: T2-weighted edema imaging shows the presence of “acute myocardial inflammation”. "[[Late gadolinium enhancement (LGE)]] imaging” can demonstrate myocardial damage.  
| style="background: #F5F5F5; padding: 5px;" | Increased cardiac [[troponin]]s level
| style="background: #F5F5F5; padding: 5px;" | Increased cardiac [[troponin]]s level
|-
|-
|style="background: #DCDCDC; padding: 5px; text-align: center;" |[[COVID-associated pulmonary embolism]]
|style="background: #DCDCDC; padding: 5px; text-align: center;" |[[COVID-19-associated pulmonary embolism]]
| style="background: #F5F5F5; padding: 5px;" |✔ (Usually sudden-onset)
| style="background: #F5F5F5; padding: 5px;" |✔ (Usually sudden-onset)
| style="background: #F5F5F5; padding: 5px;" |✔ (Pleauritic)
| style="background: #F5F5F5; padding: 5px;" |✔ ([[Pleauritic]])
| style="background: #F5F5F5; padding: 5px;" |✔ (If massive PE)
| style="background: #F5F5F5; padding: 5px;" |✔ (If massive PE)
| style="background: #F5F5F5; padding: 5px;" |✔ (Low-grade)
| style="background: #F5F5F5; padding: 5px;" |✔ (Low-grade)
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| style="background: #F5F5F5; padding: 5px;" |✔
| style="background: #F5F5F5; padding: 5px;" |✔
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
*May show Fleischner sign (enlarged pulmonary artery), [[Hampton hump]], [[Westermark's sign]]
*May show [[Fleischner sign]] (enlarged pulmonary artery), [[Hampton hump]], [[Westermark's sign]]
| style="background: #F5F5F5; padding: 5px;" |  
| style="background: #F5F5F5; padding: 5px;" |  
* Non-specific:may show S1Q3T3 pattern
* Non-specific:may show [[S1Q3T3]] pattern
| style="background: #F5F5F5; padding: 5px;" |  
| style="background: #F5F5F5; padding: 5px;" |  
*May show signs of RV strain, Rv dilatation, Rv dysfunction (if large PE)
*May show signs of RV strain, Rv dilatation, Rv dysfunction (if large PE)
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*Polo-mint sign (partial filling defect surrounded by contrast)
*Polo-mint sign (partial filling defect surrounded by contrast)
| style="background: #F5F5F5; padding: 5px;" |  
| style="background: #F5F5F5; padding: 5px;" |  
*Increased D-dimer, fibrinogen, fibrin degradation products
*Increased [[D-dimer]], [[fibrinogen]], and [[fibrin degradation products]] levels
*May have symptoms and/or signs of accompanying DVT
*May have symptoms and/or signs of accompanying [[DVT]]

Revision as of 16:54, 20 July 2020

Diseases Symptoms Physical Examination Diagnostic tests Other Findings
Dyspnea on Exertion Chest Pain Hemoptysis Fever Tachypnea Tachycardia Chest X-ray ECG Echocardiography> CT scan and CMRI
COVID-19-associated heart failure - - Increased NT-proBNP and cardiac troponins levels
COVID-19-associated pneumonia ✔ (Usually high) ✔ (Pleuritic)
  • Prolonged PR interval
  • Transient T wave inversions
- Increased inflammatory markers, including ESR, hs-CRP
COVID-19-associated ARDS - -
  • Signs of RV dysfunction/RV dilatation may be seen.
-
COVID-19-associated myocarditis -
  • Non-specific: In fulminant myocarditis, cardiac chamber sizes are usually normal with an increased septal thickness (secondary to acute myocardial edema), whereas in acute myocarditis marked left ventricular dilation and normal wall thickness might be seen.
  • Pericardial effusion may be be seen.
  • CMR: T2-weighted edema imaging shows the presence of “acute myocardial inflammation”. "Late gadolinium enhancement (LGE) imaging” can demonstrate myocardial damage.
Increased cardiac troponins level
COVID-19-associated pulmonary embolism ✔ (Usually sudden-onset) ✔ (Pleauritic) ✔ (If massive PE) ✔ (Low-grade)
  • Non-specific:may show S1Q3T3 pattern
  • May show signs of RV strain, Rv dilatation, Rv dysfunction (if large PE)
  • On CT angiography: Intra-luminal filling defect
  • On MRI: Narrowing of involved vessel
  • No contrast seen distal to obstruction
  • Polo-mint sign (partial filling defect surrounded by contrast)