ACOG/SMF still includes GI symptoms in their assessment. Unable to keep liquids down, with intractable vomiting would further place her as having an elevated risk. I would designate her a PUI.
I have also heard multiple reports of patients presenting with blood pressure exacerbations or preeclampisa (without fever) being the only abnormality and then being found Covid+. I realize that in early reports from China elevated transaminases and thrombocytopenia were noted in Covid patients. Is preeclampsia being used to designate someone as a PUI, or is this the case of preeclampsia being common, and in a region with high community asymptomatic Covid carriers, the coincidence of preeclampsia and Covid will also be common?
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Menachem Graupe
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Original Message:
Sent: 04-07-2020 15:38
From: Janet Stein
Subject: COVID PUI CRITERIA
On the original ACOG guidelines isolated GI symptoms met the criteria for PUI
Are people really using this still?
For example, we had a patient PPD1 NSVD who only had the symptom of intractable vomiting. Is she a PUI?
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Janet Stein
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