Which of the following statements is/are TRUR ABOUT Covid-19? [Select ALL THAT APPLY]

a. COVID-19 infection often begins with malaise, dry cough, dyspnea, fatigue, and feeling of fever.
b. Covid-19 infection has incubation period of 2- to 14-day.
c. In contrast to the sudden onset people report with influenza, progression of symptoms with Covid-19 virus have a slower onset.
d. During early phases of viral spread, symptoms began an average of 7 days before patients sought medical or emergent care.
e. Fever occurs in 89% Covid-19 symptomatic patients.

Which of the following statements is/are TRUR ABOUT Covid-19? [Select ALL THAT APPLY]

a. COVID-19 infection often begins with malaise, dry cough, dyspnea, fatigue, and feeling of fever.
b. Covid-19 infection has incubation period of 2- to 14-day.
c. In contrast to the sudden onset people report with influenza, progression of symptoms with Covid-19 virus have a slower onset.
d. During early phases of viral spread, symptoms began an average of 7 days before patients sought medical or emergent care.
e. Fever occurs in 89% Covid-19 symptomatic patients.

Answer: (a,b,c,e) The COVID-19 often begins with malaise, dry cough, dyspnea, fatigue, and feeling of fever. It progresses over an 11- to 14-day period. It has incubation period of 2- to 14-day. Some patients have had nausea, vomiting, and diarrhea. In contrast to the sudden onset people report with influenza, progression of symptoms with SARS-CoV-2 have a slower onset. During early phases of viral spread, symptoms began an average of 3.5 days (not 7 days) before patients sought medical or emergent care. Fever occurs in almost all symptomatic patients (89%), cough is very common (68%), and some patients have fatigue (38%), sputum production (33%), shortness of breath (19%), sore throat (14%), and headache (14%).

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The transition from mild/moderate symptoms to more severe stages of COVID-19 is marked by the onset of:

a. Loss of or reductions in smell or taste
b. Multi organ failures
c. Severe seizure
d. Acute respiratory distress syndrome
e. Refractory, nonproductive cough

The transition from mild/moderate symptoms to more severe stages of COVID-19 is marked by the onset of:

a. Loss of or reductions in smell or taste
b. Multi organ failures
c. Severe seizure
d. Acute respiratory distress syndrome
e. Refractory, nonproductive cough

Answer:(d). About 5% of patients with COVID-19 (one-fourth of those needing hospitalization) present with advanced symptoms or become critically ill as viral damage in the lungs results in acute respiratory distress syndrome. Multi-organ failure occurs later in the disease course; changes in smell and taste and nonproductive cough are early symptoms of COVID-19.

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