Covid-19

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 - |Other mode of Video consultation"]

HPI
[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"]

Gen: aox3
Heent: no lad, no erythema
Pulm: no wheezes, no rhonchi
CV: no chest pain
Ext: no edema 


The patient advised to self isolate until results available which usually takes 2-3 days.
We discussed symptoms of COVID 19 and reason to seek care. 

Patients with negative test results may return to work and continue to self-monitor for early viral symptoms including mild symptoms such as low-grade temp, fever, chills, sore throat cough etc.


When to return to work and discontinue isolation.

If you have tested positive for COVID-19 OR if you have symptoms of COVID-19 and will not be tested, including early or mild symptoms, you should be in isolation and remain off WORK (stay away from others) until:
 
1) You have had no fever for at least 72 hours (that is three full days of no fever without the use of medicine that reduces fevers)
AND
2) other symptoms have improved (for example, when your cough or shortness of breath have improved)
AND
3) At least 10 days have passed since your symptoms first appeared

Laboratory testing to confirm the absence of infectious condition is not needed to return to work per the CDC as long as the above rules being followed. 

We advised all patients to continue social distancing by maintaining a distance of 6 feet from all other individuals in the workplace and self-monitor for any new symptoms of illness.


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.