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Living Guide

This living document is produced by the GP medical directors of Londonwide LMCs in collaboration with clinical colleagues within the NHS system in London to guide London’s GP practices to best help our patients.
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The clinical course of Covid-19 – suspecting the diagnosis

Key messages

  • Our understanding of this condition is increasing, but there is still much uncertainty.
  • Many patients with acute Covid-19 have involvement of their respiratory system, characterised by dry cough, dyspnoea, hypoexaemia and abnormal imaging results.
  • There are many different presenting symptoms; only 15% of patients present with fever, cough, and dyspnea.
  • There has been a change in diagnostic criteria for Covid-19 regarding This has led to a change in the advice that any adult with anosmia but no other symptoms should self- isolate for seven days. ENTUK have provided further details regarding this.
  • Increasing evidence points to potentially large pools of asymptomatic transmission.
  • The main complications of Covid-19 mortality are pneumonia, or acute respiratory distress syndrome (ARDS) which can come on suddenly after seemingly mild symptoms.
  • Although most patients have mild -to- moderate disease, 5-10% progress to severe or critical disease, including pneumonia and acute respiratory failure.

Please use this link for further information about the clinical course of Covid-19.

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