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COVID-19 UpToDate: Condutas de Diagnostico e Manejo Ambulatorial Hospitalar

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COVID-19 UpToDate: Condutas de Diagnostico e Manejo Ambulatorial Hospitalar

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COVID-19 UpToDate: Condutas de Diagnostico e Manejo Ambulatorial Hospitalar

  1. 1. COVID-19 Condutas de Diagn�stico e Manejo Ambulatorial-Hospitalar Alexandre Naime Barbosa MD, PhD Professor Doutor - Infectologia COVID-19 UpToDate Simp�sio M�dico-Cient�fico Virtual 26/Jun/2020 - On-Line - Brasil
  2. 2. Objetivos da Discuss�o 1. Conceitos B�sicos para o Racioc�nio Cl�nico 2. Classifica��o das Formas Cl�nicas 3. Aplica��o dos Testes Diagn�sticos Dispon�veis 4. Confirma��o e Descarte dos Casos Suspeitos 5. Manejo Hospitalar Geral 6. Discuss�o Final
  3. 3. COVID-19: Doen�a Viral Transmiss�o Respirat�ria JM Parks, JC Smith. N Engl J Med 2020. DOI: 10.1056/NEJMcibr2007042
  4. 4. COVID-19: Doen�a V. Aguda Inicialmente Respirat�ria
  5. 5. COVID-19: Doen�a Viral Aguda Sist�mica JM Parks, JC Smith. N Engl J Med 2020. DOI: 10.1056/NEJMcibr2007042
  6. 6. COVID-19: Os 50 Tons da Doen�a
  7. 7. COVID-19: Os 50 Tons da Doen�a Assintom�ticos Oligosintom�ticos Resfriado S�ndrome Gripal Pneumonia Leve 30% 55% COVID Leve/Moderada - 85%
  8. 8. COVID Leve/Moderada: Quadros Sindr�micos
  9. 9. COVID-19: Os 50 Tons da Doen�a Assintom�ticos Oligosintom�ticos Resfriado S�ndrome Gripal Pneumonia Leve 30% 55% COVID Leve/Moderada - 85% Pneumonia Mod/Grave 10% COVID Cr�tica 5% COVID Grave 15%
  10. 10. COVID Grave: Quadros Sindr�micos
  11. 11. COVID: Espectro de Manifesta��es Cr�ticas Slide do Dr. Evaldo Stanislau Affonso de Ara�jo
  12. 12. COVID: Hist�ria Natural da Doen�a
  13. 13. COVID: Sintomas Respirat�rios vs Sist�micos Slide do Dr. Evaldo Stanislau Affonso de Ara�jo
  14. 14. COVID: Sintomas em Hospitalizados no Reino Unido
  15. 15. COVID: Variabilidade por Idade, Sexo e Outros
  16. 16. COVID: Eventos Determinantes de �bito
  17. 17. COVID: Fatores de Risco para �bito (China)
  18. 18. COVID: Fatores de Risco para �bito (Reino Unido)
  19. 19. COVID: N�mero Comorbidades Hospitalizados(EUA)
  20. 20. COVID: Diagn�stico Etiol�gico (RT-PCR e Sorologias)
  21. 21. COVID: Diagn�stico Etiol�gico (RT-PCR e Sorologias)
  22. 22. COVID: RT-PCR em Swab Nasal Orofaringe
  23. 23. COVID: Diagn�stico Etiol�gico (RT-PCR e Sorologias)
  24. 24. COVID: Diagn�stico Etiol�gico - Indica��o
  25. 25. COVID: Sorologias (IgM/G)
  26. 26. COVID: Classes de Anticorpos
  27. 27. COVID: Resposta Imunol�gica Protetora?
  28. 28. COVID: Flutua��o Viral em Diferentes Locais
  29. 29. COVID: Fluxograma de Confirma��o e Descarte
  30. 30. COVID: Confirma��o e Descarte em Hospitalizados
  31. 31. COVID: Manejo de Casos Leves
  32. 32. COVID: Formas Cl�nicas e Hospitaliza��o (NIH)
  33. 33. COVID: Manejo Cl�nico Hospitalar
  34. 34. COVID: Manejo de Casos Moderados
  35. 35. COVID: Manejo Cl�nico Hospitalar
  36. 36. COVID Moderada/Grave: Exames Laboratoriais
  37. 37. COVID Moderada/Grave: Exames Laboratoriais
  38. 38. COVID: TC de T�rax - Indica��o
  39. 39. COVID: TC de T�rax - Achados
  40. 40. COVID: Manejo de Casos Graves
  41. 41. COVID Grave: Caracter�sticas
  42. 42. COVID: Tratamentos Espec�ficos
  43. 43. COVID: Tratamento Espec�fico (SBI)
  44. 44. COVID: Exemplos de Alguns ECRs em Andamento
  45. 45. COVID: Manejo de Casos Cr�ticos (Ventila��o)
  46. 46. COVID: Manejo de Casos Cr�ticos (Dexametasona)
  47. 47. COVID: Manejo de Casos Cr�ticos (Complica��es)
  48. 48. COVID: Manejo de Casos Cr�ticos (Hemodin�mica)
  49. 49. COVID: Notifica��o Obrigat�ria
  50. 50. COVID: Retirada de Isolamento
  51. 51. COVID: Atestado de �bito
  52. 52. COVID: Mensagem Final
  53. 53. Obrigado pela Aten��o! SAE de Infectologia UNESP HC UNESP Botucatu Faculdade de Medicina UNESP @dr.alexandre.naime.barbosa @drbarbosa Alexandre Naime Barbosa Dr. Alexandre Naime Barbosa

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