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General Clinical Considerations: Individuals with post-COVID can have lingering symptoms and post-acute infection for weeks to months. Long-haulers can have a single symptom or multiple symptoms that affect various body systems. Women are seemingly more affected than men. Below are links to various post-COVID conditions and related treatment or care options.
Patient History and Physical Exam: The history of present illness (HPI) should include the COVID disease course, severity and treatments received, as well as the timeline of acute and post-symptomology. HPI should include past medical conditions that could impact acute and post-COVID conditions. A complete physical needs to be conducted due to the multiple organ systems involved in post-COVID, which should include pulse oximetry and standard vitals and may include orthostatic vital signs, based on symptoms.
Assessment and Testing: At this time, there is no test that distinguishes post-COVID from other conditions. The history, physical and clinical findings should guide laboratory testing. View Clinical Pearls.
Management of Post-Covid Conditions: The goal of medical management is to optimize quality of life and functioning. Shared decision-making and transparency are needed. Develop a comprehensive plan that includes specialists as needed, based on the patient’s preexisting conditions (mental/psychiatric), presenting symptoms and personal and social situations. Follow-up visits should be every two to three months, but the frequency may be adjusted based on the patient’s condition and disease progression. View Clinical Pearls.
Future Directions and Resources: Ongoing research is causing rapid changes with the knowledge of post-COVID syndromes. Continually check for updates on evolving information on post-COVID conditions.
The ICD-10 code is U09.9 Post COVID-19 condition, unspecified.
Centers for Disease and Control and Prevention. Evaluating and Caring for Patients with Post-COVID Conditions: Interim Guidance for Healthcare Providers. Updated June 14, 2021 https://www.cdc.gov/coronaviru....