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Published on: December 19, 2020
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Does this patient have COVID-19? A practical guide for the internist.
Lorenzo Bertolino1, Martina Vitrone1, Emanuele Durante-Mangoni2,3
1Department of Precision Medicine, Section of Internal Medicine, University of Campania 'L. Vanvitelli', Napoli, Italy.
Internal and Emergency Medicine
|May 24, 2020
Summary
Recognizing Coronavirus disease 2019 (COVID-19) requires internists to develop specific skills for differential diagnosis. Understanding the disease
Area of Science:
- Internal Medicine
- Infectious Diseases
- Clinical Diagnosis
Background:
- Coronavirus disease 2019 (COVID-19) presents a significant diagnostic challenge for physicians, particularly in differentiating it from other respiratory illnesses.
- The ongoing pandemic necessitates improved clinical approaches to accurately identify COVID-19 cases.
Purpose of the Study:
- To review key clinical features aiding in the differentiation of COVID-19 from other upper respiratory and influenza-like illnesses.
- To provide guidance for internists on recognizing COVID-19 in both outpatient and inpatient settings.
Main Methods:
- Review of clinical features and natural history of COVID-19.
- Consideration of diagnostic strategies in different clinical settings (outpatient vs. inpatient).
Main Results:
- COVID-19 often lacks specific signs and symptoms, making clinical diagnosis difficult.
- Knowledge of the disease's natural history can help contextualize common, unspecific symptoms.
Conclusions:
- Developing specific skills in recognizing COVID-19's 'semeiotic' is crucial for internists.
- A balanced clinical approach, informed by disease knowledge, is essential for managing patients with flu-like symptoms.
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