Lecture 10.1 - COVID-19 in primary care

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Questions and Answers

What is a possible consequence of the activation of pro-coagulation factors in the endothelial cells?

Inflammation reduction
Shortness of breath
Bleeding (correct)
Immune system suppression

What is the result of the release of cytokines and chemokines in the body?

Increased urine output
Immune system suppression
Recruitment of leukocytes to any area of the body (correct)
Reduced body temperature

What is a characteristic of the immune suppression stage in the peripheral lymphocyte count?

Improved immune responses
Increased body temperature
Increased breathing rate
Decreased lymphocyte count (correct)

What is a possible symptom of the inflammatory response in the body?

All of the above (D) Signup and view all the answers

What is the role of cytokines in the inflammatory response?

To recruit leukocytes to any area of the body (B) Signup and view all the answers

What is a consequence of the immune system's response to an inflammatory stimulus?

Bleeding and immune responses (C) Signup and view all the answers

What is the primary consequence of pulmonary embolism in the bloodstream?

Formation of clots in the lungs (D) Signup and view all the answers

Which of the following is a complication of COVID-19 that can lead to pulmonary embolism?

Increased blood viscosity (C) Signup and view all the answers

What is the primary location where pulmonary embolism occurs?

Lungs (D) Signup and view all the answers

What is a potential complication of prolonged stasis in a patient?

Venous thrombosis (A) Signup and view all the answers

What is the term for the formation of blood clots in the bloodstream?

Thrombosis (D) Signup and view all the answers

What is the effect of pulmonary embolism on oxygen levels in the blood?

Decreases oxygen levels (A) Signup and view all the answers

Which of the following is a symptom of a low respiratory tract infection?

Pleuritic chest pain (D) Signup and view all the answers

What is the role of anticoagulation in a patient with thrombosis?

To prevent clot formation (C) Signup and view all the answers

What is the term for the blockage of blood flow in the lungs due to a blood clot?

Pulmonary embolism (A) Signup and view all the answers

What is a common cause of hemophysis?

Pneumonia (C) Signup and view all the answers

What is the relationship between COVID-19 and pulmonary embolism?

COVID-19 increases the risk of pulmonary embolism (A) Signup and view all the answers

What is the underlying mechanism that leads to pulmonary embolism in patients with COVID-19?

Increased blood viscosity and coagulability (B) Signup and view all the answers

What is the role of the medical professional in a patient's decision-making process?

To provide information to the patient (C) Signup and view all the answers

What is a complication of DIC?

Multiorgan failure (D) Signup and view all the answers

What is a symptom of COVID-19?

Fever (B) Signup and view all the answers

What is the goal of understanding and retaining information in a patient's decision-making process?

To weigh up the pros and cons of the decision (D) Signup and view all the answers

What is the primary goal of taking a nose swab and putting it into a reagent?

To diagnose respiratory problems (C) Signup and view all the answers

What is a symptom of the patient's condition mentioned in the text?

Cough (B) Signup and view all the answers

What is the significance of the 3-month period mentioned in the text?

It is the duration of chronic disease (C) Signup and view all the answers

What is the purpose of asking about the patient's antipyretic usage?

To assess the patient's medication intake (D) Signup and view all the answers

What is the significance of the number 1404691 in the text?

It is the patient's identification number (D) Signup and view all the answers

What is the relationship between the patient's symptoms and their daily activities?

The patient's symptoms are exacerbated by their daily activities (D) Signup and view all the answers

What is the purpose of giving oxygen to the patient?

To relieve symptoms of dyspnea (C) Signup and view all the answers

What is the significance of the phrase 'worse or better' in the text?

It refers to the patient's current symptoms compared to the past (B) Signup and view all the answers

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Study Notes

Pulmonary Embolism (PE)

PE occurs when a blood clot (thrombus) forms in one part of the body, breaks loose, and travels to the lungs, blocking a pulmonary artery.
COVID-19 increases the risk of PE due to increased coagulability of the blood.
Hypoxia, inflammation, and cytokine release can contribute to the development of PE.
Anticoagulation therapy is used to treat PE, but it can also lead to bleeding complications.

Respiratory Problems

Chest infections, COPD, asthma, and pneumonia are common respiratory problems that can be associated with PE.
Respiratory symptoms include cough, dyspnea, pleuritic chest pain, and shortness of breath.
Smoking is a major risk factor for respiratory problems.

Diagnosis and Treatment

A diagnosis of PE can be made using a combination of medical history, physical examination, and diagnostic tests such as CT scans and blood tests.
Treatment for PE includes anticoagulation therapy, oxygen therapy, and ventilatory support.
Hospital admission may be necessary for severe cases.

COVID-19 Complications

COVID-19 can cause a range of complications, including respiratory failure, multi-organ failure, and disseminated intravascular coagulation (DIC).
The virus can trigger an immune response, leading to the release of inflammatory markers and cytokines.
This can lead to immune suppression, bleeding, and other complications.

Decision-Making

Understanding the patient's medical history and current symptoms is crucial for making informed decisions about diagnosis and treatment.
Weighing the pros and cons of different treatment options is essential for making an effective decision.
Patients should be involved in the decision-making process and informed about their treatment options.

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Lecture 10.1 - COVID-19 in primary care - two case studies

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