COVID-19: to be or not to be; that is the diagnostic question.

Coleman, Jamie J, Manavi, Kaveh, Marson, Ella J, Botkai, Adam H and Sapey, Elizabeth (2020) COVID-19: to be or not to be; that is the diagnostic question. Postgraduate medical journal. ISSN 1469-0756. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Official URL: https://pmj.bmj.com/content/early/recent

Abstract

Since the first cases in December 2019, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has rapidly spread across the globe, resulting in the COVID-19 pandemic. Early clinical experiences have demonstrated the wide spectrum of SARS-CoV-2 presentations, including various reports of atypical presentations of COVID-19 and possible mimic conditions.This article summarises the current evidence surrounding atypical presentations of COVID-19 including neurological, cardiovascular, gastrointestinal, otorhinolaryngology and geriatric features. A case from our hospital of pneumocystis pneumonia initially suspected to be COVID-19 forms the basis for a discussion surrounding mimic conditions of COVID-19. The dual-process model of clinical reasoning is used to analyse the thought processes used to make a diagnosis of COVID-19, including consideration of the variety of differential diagnoses.While SARS-CoV-2 is likely to remain on the differential diagnostic list for a plethora of presentations for the foreseeable future, clinicians should be cautious of ignoring other potential diagnoses due to availability bias. An awareness of atypical presentations allows SARS-CoV-2 to be a differential so that it can be appropriately investigated. A knowledge of infectious mimics prevents COVID-19 from overshadowing other diagnoses, hence preventing delayed diagnosis or even misdiagnosis and consequent adverse outcomes for patients.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: WC Communicabable diseases
WF Respiratory system. Respiratory medicine
Divisions: Clinical Support > Infectious Diseases
Clinical Support > Pharmacy
Planned IP Care > Respiratory Medicine
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Depositing User: Mrs Yolande Brookes
Date Deposited: 19 Jun 2020 14:10
Last Modified: 19 Jun 2020 14:10
URI: http://www.repository.uhblibrary.co.uk/id/eprint/3188

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