Post Covid-19: Outpatient Assessment: Difference between revisions
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Currently, there are no guidelines on probability of reinfection. It seems the best evidence we currently have focuses on viral loads. | Currently, there are no guidelines on probability of reinfection. It seems the best evidence we currently have focuses on viral loads. The highest level of viral shedding seems to occur when asymptomatic or with mild symptoms. Viral RNA can be found in oral swabs, anal swabs and blood of individuals who are infected with COVID-19.<ref name=":0">Zhang W, Du RH, Li B, Zheng XS, Yang XL, Hu B, Wang YY, Xiao GF, Yan B, Shi ZL, Zhou P. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048229/ Molecular and serological investigation of 2019-nCoV infected patients: implication of multiple shedding routes. Emerging microbes & infections.] 2020 Jan 1;9(1):386-9.</ref> A patient discharged with a negative oral swab may continue to be shedding the virus. The change in shedding may change from predominantly oral to fecal.<ref name=":0" /> Prior to treating a patient with post-COVID-19, the physical therapist may need to apply the responses about the | ||
== Subjective == | == Subjective == |
Revision as of 03:02, 7 April 2020
Original Editor -Selena Horner
Top Contributors - Selena Horner and Kim Jackson
Prior to Scheduling[edit | edit source]
Was the patient hospitalized? If no, when was the onset of symptoms? When was the last day of symptoms? If patient not sure of last day of symptoms, when was the last day of the fever?
If the patient was hospitalized, when was the patient discharged? Where diagnostic tests done to determine if the patient was COVID-19 negative?
Rationale[edit | edit source]
Currently, there are no guidelines on probability of reinfection. It seems the best evidence we currently have focuses on viral loads. The highest level of viral shedding seems to occur when asymptomatic or with mild symptoms. Viral RNA can be found in oral swabs, anal swabs and blood of individuals who are infected with COVID-19.[1] A patient discharged with a negative oral swab may continue to be shedding the virus. The change in shedding may change from predominantly oral to fecal.[1] Prior to treating a patient with post-COVID-19, the physical therapist may need to apply the responses about the
Subjective[edit | edit source]
Patient Intake[edit | edit source]
- Self‐report
- Performance‐based outcome measures
- Region‐specific historical examination
Special Questions[edit | edit source]
- Red Flags
- Yellow Flags
Investigations[edit | edit source]
- Radiological Considerations
Objective[edit | edit source]
Observation[edit | edit source]
- Posture
- Movement Patterns
Functional Tests[edit | edit source]
Palpation[edit | edit source]
- supine
- prone
- seated
Neurologic Assessment[edit | edit source]
Movement Testing[edit | edit source]
- AROM, PROM, and Overpressure
- Passive Intervertebral Motion
- Muscle Strength
Special Tests[edit | edit source]
References[edit | edit source]
- ↑ 1.0 1.1 Zhang W, Du RH, Li B, Zheng XS, Yang XL, Hu B, Wang YY, Xiao GF, Yan B, Shi ZL, Zhou P. Molecular and serological investigation of 2019-nCoV infected patients: implication of multiple shedding routes. Emerging microbes & infections. 2020 Jan 1;9(1):386-9.