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 |