COVID 19 Consult – no symptoms – possible exposure

This visit was performed via telemedicine.

The patient confirmed knowledge of the limitations of the use of telemedicine were verbally confirmed by the provider.
Verification of patient identity was established.
Verbal consent was obtained for medical treatment and consultation

The patient is being interviewed via [select name="variable_1" value="Phone consult|Video and Audio consult - Doxy.me|Other mode of Video consultation"]

[select name="variable_12" value="|Patient has primary care|Pt does not have primary care"]

[textarea name="variable_1" default=""]

[checkbox name="variable_1" value="Patient reports possible home exposure to COVID virus|Patient reports possible work exposure to COVID virus|Close contact with person with confirmed or suspected COVID-19| Patient missed work r/t taking care of sick family member and needs work note|Patients employer request a note r/t missing work for other reason than illness"]


Patient denies[checklist name="variable_5" value=" fever|chills|cough|sore throat|body aches|headache|dyspnea|chest pain"]



Phone exam: ( vitals to be added into addendum if swab done) 

GENERAL: Alert, calm, conversant in NAD

ENT: No dysphonia.

LUNGS: Unlabored respirations, speaking in full sentences

NEURO: Normal speech. Alert and oriented.

PSYCHIATRIC: Normal mood. Normal insight and judgement.

DISCHARGE

The patient agrees with the plan and chooses to follow up with [select name="variable_13" value="EPIC URGENT CARE CENTER|PRIMARY CARE PROVIDER OUTSIDE EPIC URGENT CARE FOR FURTHER CARE ONCE RESULTS AVAILABLE"] for reevaluation, illness monitoring and progression of symptoms.

DISCHARGE NOTE AND INSTRUCTIONS PROVIDED VERBALLY - PATIENT ALSO TO BE PROVIDED WITH COMPREHENSIVE DISCHARGE SUMMARY DURING THE SPECIMENS COLLECTION. 

Diagnostic rationale, follow up instructions, and strict precautions/indications for emergent direct evaluation were discussed with the patient. 


Watch for symptoms
Reported illnesses have ranged from mild symptoms to severe illness and death for confirmed coronavirus disease 2019 (COVID-19) cases.

These symptoms may appear 2-14 days after exposure (based on the incubation period of MERS-CoV viruses).

Fever
Cough
Shortness of breath


Emergent follow up will require 

If you develop emergency warning signs for COVID-19 get medical attention immediately. Emergency warning signs include*:

Trouble breathing
Persistent pain or pressure in the chest
New confusion or inability to arouse
Bluish lips or face

This list is not all-inclusive. Please consult your medical provider for any other symptoms that are severe or concerning.



A negative test only says that the virus was not present or not present in a large enough amount to be detected.  When testing is negative, the possibility of a false negative result will be considered depending on the context of your recent exposures, the presence of clinical signs and symptoms consistent with COVID-19, and if tests for other causes of illness such as other respiratory illness are negative. If we still suspect COVID-19, or if your symptoms worsen, we will recommend a re-testing. Regardless of your test results, we are committed to providing you with follow-up care, to help treat your symptoms.