ITEMS IN AFP WITH KEYWORD:
Infectious Disease, Viral
The spectrum of asymptomatic, presymptomatic, and symptomatic SARS-CoV-2 transmission presents challenges for evaluating SARS-CoV-2 test performance for diagnostic or screening purposes and for interpreting test results. This article addresses common questions about SARS-CoV-2 testing and presents an approach to interpreting diagnostic test results.
An 80-year-old patient presented to the emergency department with several days of increasing shortness of breath and abnormalities on a chest radiograph.
A five-month-old child with a history of dry skin presented with a spreading rash and fever.
A patient presented with fever, headache, nausea, arthralgia, and a rash, soon after travel to the Philippines.
As the United States struggles with a prolonged wave of acute coronavirus disease 2019 (COVID-19; see article recently published in American Family Physician), family physicians need to be prepared to care for patients presenting with postacute (one to three months) or chronic (beyond three months) manifestations of this complex disease.
When possible, patients with suspected coronavirus disease 2019 should be triaged via telehealth before they receive in-person care. There are no evidence-based treatments appropriate for use in the outpatient setting; management is supportive and should include education about isolation. In hospitalized patients, remdesivir should be considered to reduce time to recovery, and low-dose dexamethasone should be considered in patients who require supplemental oxygen.
An older patient presented with a pruritic facial rash and oral lesions.
AFP is adapting to meet reader needs and has developed a new COVID-19 resource page. We are also continuing to cover a variety of topics to meet the needs of the specialty of family medicine.
A woman presented with fever and throat pain, with vesicular lesions over the soft palate and uvula.
Clinical diagnosis of hand-foot-and-mouth disease is based on the presentation of a low-grade fever with a maculopapular or papulovesicular rash on the hands, soles of the feet, and buttocks, and by painful oral ulcerations. The largest incidence is within the first five years of life, and most cases occur in patients younger than 10 years. Handwashing, specifically after diaper changes and toileting, and before eating, helps stop the spread of the disease.