COVID-19 phenotypes: associated pneumonia and ARDS

This information is mostly anecdotal, we know very little about COVID-19 and this is based on very low quality evidence. We need more studies to confirm or deny what is currently being discussed. The following illustrations summarize the proposed phenotypes of hypoxemic patients with COVID-19. Extraordinarily, these patients exhibit at first an almost exclusive hypoxemic…

Novel coronavirus 2019-nCoV associated pneumonia

A new strain of Betacoronavirus, similar to the one from bats causing an ourbreak of SARS in 2003, has been identified in Wuhan, Hubei – China. The following illustration is a summary of data from a very small study made of 41 patients only, initially infected with the new Coronavirus in Wuhan. This data was…

Myelitis vs. Guillain Barré vs. MS

Let’s take a very quick review of these demyelinating diseases. Patient comes to the ED because of limb weakness and sensory alterations. If there’s a clearly defined level with no cranial nerve and no brainstem symptoms, we may be in front of transverse myelitis. If there is in fact oculomotor weakness with dyplopia or weakness…