covid Flashcards

(14 cards)

1
Q

What receptor does SARS-CoV primarily bind to in human cells?

A

ACE2 receptor

The ACE2 receptor is especially present in the lungs.

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2
Q

What protein does the virus use to attach to the ACE2 receptor?

A

spike (S) protein

The spike protein is crucial for the virus’s ability to infect cells.

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3
Q

How does SARS-CoV enter the host cell?

A

Direct fusion with the cell membrane or via endocytosis

Both processes allow the virus to release its RNA into the host cell.

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4
Q

What can COVID-19 lead to in patients regarding respiratory conditions?

A

COVID-19 pneumonia or CAP

CAP stands for community-acquired pneumonia.

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5
Q

What are some common symptoms of COVID-19 pneumonia?

A

severe breathlessness and cough

Additional symptoms include RR>30 and SpO2 <90%.

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6
Q

What findings are looked for in X-ray for COVID-19 pneumonia?

A

collapse of the previously inflated lung; known as basal atelectasis

X-ray imaging is crucial for assessing lung health.

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7
Q

Which laboratory tests are important in managing COVID-19 pneumonia?

A

CRP, fibrinogen, D-dimers, LDH, and ferritin

These tests can help assess inflammation and clot risk.

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8
Q

What is the relationship between COVID-19 and thrombosis?

A

Most patients develop thrombosis or some form of venous or arterial event

Elevated D-dimer levels indicate increased mortality and thrombosis risk.

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9
Q

What anticoagulants can be used for VTE prophylaxis in hospitalized COVID-19 patients?

A

LMWH or UFH

These are usually administered for 14 days.

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10
Q

What are the methods for managing oxygen in COVID-19 patients?

A

O2 therapy, continuous positive airway pressure, invasive mechanical ventilation, extracorporeal membrane oxygenation

These methods vary in invasiveness and application.

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11
Q

What is a high-risk patient for severe COVID-19?

A

Organ transplant recipient

Other high-risk groups include those undergoing chemotherapy and individuals with severe lung conditions.

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12
Q

List some symptoms of long COVID.

A

chronic fatigue, muscle weakness, chest pain, palpitations, sleep disturbances

Risk factors include obesity, being unvaccinated, and gender.

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13
Q

What tests can confirm long COVID?

A

FBC, RF, LFTs, TFT, Vit D, CRP, HbA1c, ECG, lung function tests

These tests help assess ongoing health issues after COVID-19.

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14
Q

Long COVID symptoms must persist for how long after COVID-19 infection?

A

more than 12 weeks

This duration is key for diagnosing long COVID.

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