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Table 1 Characteristics, testing status, and clinical outcomes for N = 25 patients

From: Efficacy of clinical evaluations for COVID-19 on the front line

Age Sex Major comorbidities Presenting symptoms Vital signs Lab/imaging findings Most likely differential/explanation COVID-19 index of suspicion COVID-19 test status Outcome(s)
40 F Malignancy with pulmonary metastasis SOB, cough Afebrile
Baseline oxygen saturation
CT with progression of pulmonary metastasis Progression of pulmonary metastasis LOW NOT DONE Deceased—unclear whether due to metastasis or undiagnosed COVID-19
80 M Malignancy with pulmonary metastasis SOB, cough Afebrile
Baseline oxygen saturation
Elevated D dimer
CXR with unilateral infiltrates
CT with pulmonary embolism
PE with possible post-obstructive pneumonia LOW NEG Anticoagulated
Given antibiotics
Discharged home
77 F End stage renal disease
Heart failure
SOB, cough Afebrile
Baseline oxygen saturation
CXR with bilateral infiltrates BUT
Elevated BNP
Heart failure exacerbation LOW NOT DONE Diuresed
Discharged home
65 F Breast cancer
Nephrostomy tubes
Chronic pleural effusion
Fevers, SOB, flank pain Hypotension
Afebrile
Normal oxygen saturation
UTI
CXR unchanged
Urosepsis LOW NOT DONE Given antibiotics
Nephrostomy tubes replaced
Discharged home
63 F Hyponatremia Subjective fevers, weakness Afebrile
Normal oxygen saturation
Acute on chronic hyponatremia Acute on chronic hyponatremia due to increased dose of thiazide LOW NOT DONE Intravenous fluids given
Thiazide discontinued
Discharged home
105 M Large pulmonary nodules SOB, cough, coryza Afebrile
Baseline oxygen saturation
CXR and CT unchanged Respiratory bronchiolitis LOW NOT DONE Given PRN antitussives and nebulizer treatments
Discharged home
77 F Renal transplant
Diabetes mellitus
Coronary artery disease
Encephalopathy Hypotension
Afebrile
Normal oxygen saturation
Flu positive
CXR and CT unchanged
Flu vs. BK viremia LOW NEG Given Tamiflu
Discharged home
Delay in neurologic evaluation (lumbar puncture, EEG) while PUI
86 F Diabetes mellitus
Chronic kidney disease
SOB, cough Afebrile
Normal oxygen saturation
CXR with unilateral infiltrates
Elevated procalcitonin
Community-acquired pneumonia LOW NOT DONE Given antibiotics
Discharged home
45 M Pancreatic cancer Cough Febrile
Hypotensive
Hypoxic
CXR with unilateral infiltrates
D dimer elevated
Lactic acidosis
Community-acquired pneumonia LOW NEG Given antibiotics
Discharged home
65 F Lupus
Active recurrent pericarditis
SOB, weakness Afebrile (though on steroids for pericarditis)
Normal oxygen saturation
Leukocytosis BUT
CXR unchanged
Sequela of active pericarditis vs. steroid use LOW NEG Given empiric antibiotics
Discharged home
TTE deferred while PUI
71 F Chronic angina
Chronic SOB
Myocardial infarction
Hypertension
Acute on chronic angina, SOB, pharyngitis Afebrile
Normal oxygen saturation
CXR unchanged
Troponemia
ECG unchanged
Acute coronary syndrome vs. anxiety LOW NEG Discharged home
CCTA was done, but this was deferred while PUI
46 F Heart failure
Anxiety
Acute on chronic SOB Afebrile
Normal oxygen saturation
CXR unchanged
Elevated BNP
Heart failure exacerbation LOW NEG Diuresed
Discharged home
60 F Diverticulitis
Partial bowel resection with ostomy
Abdominal pain, nausea, vomiting Afebrile
Normal oxygen saturation
CXR unchanged
Severe acute kidney injury
Severe hyperkalemia
Metabolic derangement due to delayed ostomy revision LOW NEG Hyperkalemia treated
Given fluids
Ostomy bag revised
Discharged home
Ostomy bag revision had been delayed while PUI
75 F Irritable bowel syndrome – diarrhea type Nausea, acute on chronic diarrhea Afebrile
Normal oxygen saturation
CXR unchanged
Hypokalemia
Viral enteritis LOW NEG Given fluids
Potassium repleted
Discharged home
83 M Atrial fibrillation
Heart failure
Chronic sinusitis
SOB, abdominal pain, diarrhea, fall Afebrile
Normal oxygen saturation
Lymphopenia BUT
CT with stercoral colitis
Acute hyponatremia
CXR unchanged
Stercoral colitis LOW NEG Given fluids
Discharged home
PT/OT needed for fall deferred while PUI
49 M Bronchiectasis
Multiple myeloma
Fever, cough, SOB Febrile
Baseline oxygen saturation
Lymphopenia BUT
CXR unchanged
Community-acquired pneumonia MOD NEG Improved on antibiotics
Discharged home
66 M End stage renal disease on peritoneal dialysis
Coronary artery disease
Diabetes mellitus
Abdominal pain nausea, vomiting Afebrile
Baseline oxygen saturation
CT with ground glass opacities concerning for pulmonary edema
Normal BNP
Peritonitis LOW NEG Given antibiotics
Discharged home
Testing ordered on basis of CT results, not symptoms
53 F Heart transplant SOB, abdominal pain Afebrile
Baseline oxygen saturation
CXR with bilateral infiltrates BUT
Elevated BNP
Heart failure LOW NEG Diuresed
Admission to transplant service delayed while PUI
90 F Chronic bilateral pleural effusions
Failure to thrive
SOB, weakness, dysuria Afebrile
Baseline oxygen saturation
CXR unchanged
UTI
UTI
Deconditioning
LOW NEG Given antibiotics
PT/OT needed for deconditioning deferred while PUI
84 F Shoulder dislocation
Mitral regurgitation
Shoulder pain Afebrile
Normal oxygen saturation
XRAY with shoulder dislocation Shoulder dislocation LOW NEG Orthopedic surgery delayed while PUI
78 M Hypertension Cough, melena Afebrile
Normal oxygen saturation
Acute blood loss anemia
CXR unchanged
Acute blood loss anemia LOW NEG Given blood transfusion
Esophagogastroduodenoscopy delayed while PUI
72 M Invasive gastric cancer
Diabetes mellitus
Chest pain Afebrile
Baseline oxygen saturation
CXR unchanged
No troponemia
No ECG changes
Deconditioning LOW NEG Admitted to discuss treatment for gastric cancer
Treatment delayed while PUI
30 F Portal vein thrombosis Nausea, abdominal pain Afebrile
Normal oxygen saturation
Elevated liver enzymes
US and CT with gallbladder sludge
Cholecystitis LOW NEG Given fluids
Cholecystectomy deferred while PUI
81 F Dementia with psychosis
Recurrent UTI
Diabetes mellitus
Aspiration pneumonia
Altered mental status, displaced G-tube Afebrile
Normal oxygen saturation
UTI
CXR unchanged
UTI
Displaced G-tube
LOW NEG Given fluids and antibiotics
G-tube replaced
54 F Poorly controlled hypertension Angina Severe hypertension
Afebrile
Normal oxygen saturation
Troponemia
CXR unchanged
Hypertensive emergency with NSTEMI LOW NEG Controlled blood pressure
Catheterization delayed while PUI
  1. SOB shortness of breath, NEG negative, CXR chest xray, UTI urinary tract infection, CT computed tomography, PRN as needed, PE pulmonary embolism, PPE personal protective equipment, PUI person under investigation, TTE transthoracic echocardiogram, PT/OT physical therapy/occupational therapy, US ultrasound, NSTEMI non-ST elevation myocardial infarction