Bleeding & Bruising
COVID-19 clinical presentation
<div class="redbox">
<p style="text-size:12px;">COVID-19 can present with a myriad of symptoms so should probably be on most differential diagnosis lists during the pandemic</p>
<li><a href="https://productivemedic.com/covid-remote-assessment/" target="_blank">COVID assessment, DDx and complications</a></li>
<li><a href="https://www.google.com/imgres?imgurl=https%3A%2F%2Ff6publishing.blob.core.windows.net%2F2ab0884c-0618-4586-aaf1-41004e6ad656%2FWJCC-8-3956-g002.png&imgrefurl=https%3A%2F%2Fwww.wjgnet.com%2F2307-8960%2Ffull%2Fv8%2Fi18%2F3956.htm&tbnid=I0G0VvXcx_akPM&vet=12ahUKEwj1_43FsrnuAhUH-YUKHSoZAFQQMygYegUIARCwAQ..i&docid=IBDQMbzRItpvKM&w=3307&h=2168&q=covid%2019%20presentation&safe=strict&ved=2ahUKEwj1_43FsrnuAhUH-YUKHSoZAFQQMygYegUIARCwAQ" target="_blank">Clinical presentation summary infographic</a></li>
<div>
*Common causes
- Trauma
- Age related purpura
- Anticoagulants and Antiplatelets
*Must not miss!
- Sepsis
- Liver cirrhosis
- Haematological disease
Red flags
- Sepsis
- Petechial rash of meningitis / sepsis
- Systemic symptoms (fever, weight loss, lethargy, bone pain)
- Symptoms of anaemia
Investigations to consider
- FBC + film, CRP/ESR, clotting screen
- U+Es, LFTs, LDH
- Myeloma screen
- Auto-antibody screen
- Urinalysis
- CXR
- CT scan (Head, chest, abdomen & pelvis)
- Lumbar Puncture
- Bone scan
- Bone marrow analysis