SARS Diagnosis Clinical Scores - Medical Algorithm

Are you evaluating a patient during a SARS epidemic?

Yes

Maximum documented temperature

Duration of fever

days

Does the patient have?

• diarrhea

Yes

• cough before or during fever?

Yes

• myalgia?

Yes

• rhinorrhea

Yes

• sore throat

Yes

• an infiltrate on chest X-ray?

Yes

Laboratory findings

Platelet count

Absolute lymphocyte count

per µL

Does the patient have other significantly abnormal laboratory tests?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Symptom score

Clinical score

Number of indications for being placed in isolation

Should the patient be placed in isolation now?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Risk Factors for Severe Infection with a Common Cold Virus
- Risk Factors for Severe Infection with Human Metapneumovirus (HMPV)
Clinical Diagnosis, Including Family History For Genetics
Criteria For Diagnosis
- Respiratory Score of Groothuis et al for a Patient with Respiratory Syncytial Virus (RSV) Infection
- Diagnosis of H1N1 Influenza (Swine Flu) Pneumonia
Severity, Prognosis, Stage
Differential Diagnosis And Mimics, Red Flags
- Flu Like Symptoms

Therapy

Selection
- Prognostic Score of Zou et al for Severe Acute Respiratory Syndrome (SARS)
- Respiratory Score of Groothuis et al for a Patient with Respiratory Syncytial Virus (RSV) Infection

Monitoring

Response To Therapy
- Respiratory Score of Groothuis et al for a Patient with Respiratory Syncytial Virus (RSV) Infection

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Symptom and Clinical Scores of Chen et al for Diagnosis of the Severe Acute Respiratory Syndrome (SARS)

Purpose: To evaluate a febrile patient during a severe adult respiratory distress syndrome (SARS) epidemic using the symptom and clinical scores of Chen et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10