Don't Call It A Covid Comeback

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Don't Call It A Covid Comeback - Page #1

Author: Eric Friedman, MD Co Author #1: Eric R Friedman Senior Editor: Christian Fulmer, DO Editor: Michael Beasley, MD, FAMSSM Patient Presentation: An 18 yo African-American male, who is a Division-I college football offensive lineman with a history of asthma and obesity, presented to the emergency department (ED) with fever and myalgias. History: Patient had previously tested positive for COVID-19 approximately one month prior during routine screening and was asymptomatic at the time. Patient presented to the ED with 2 days of fever, headache, myalgias and generalized weakness. He also reported decreased appetite and a mild sore throat. He had documented temperatures for 2 days with a maximum temperature of 104 degrees F. His headache was described as frontal that radiates to the back of the head. He denied photophobia, phonophobia, nausea, vomiting, diarrhea, chest pain, shortness of breath, neck pain or neck stiffness. Physical Exam: Vitals: Temp: 98.3, HR: 91, BP: 116/90, RR: 20, SpO2: 98% Constitutional: AOx4, no apparent distress, intermittent rigors. Neck: supple, full range of motion, right anterior cervical chain palpable lymph node noted 1cm, mobile, and tender to palpation. CV: normal S1, S2, normal rate and rhythm, no murmurs. Pulmonary: No respiratory distress, lungs CTA bilaterally. Abdomen: soft, non-tender, non-distended, no peritoneal signs. Skin: warm and dry without rash. Extremities: strong distal pulses, soft compartments, neurovascularly intact. Neuro: no focal deficits, negative Kernig's and Brudzinski's signs, normal sensation bilaterally Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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