Don't Forget The Basics During A Viral Pandemic - Page #1

Author: Steven Poon, MD
Co Author #1: Sailesh Tummala, MD
Senior Editor: Justin Mark Young, MD
Editor: Ian McKeag, MD, MS

Patient Presentation:
A 20-year-old female varsity Division-1 soccer player with no significant past medical history presented via a telemedicine visit with a chief complaint of sore throat. She reported 5 days of fever, sore throat, fatigue, headache, and nausea after attending a birthday party 1 week prior to symptom onset. Close contacts included her boyfriend who had a fever and chills that started around the same time. At the time of the visit, this athlete's state of residence had the highest per capita rate of COVID-19 diagnosis per day.
She had her preparticipation athletic evaluation done one week prior to this encounter. At that time, a thorough physical examination was unremarkable, and COVID-19 RT-PCR and COVID-19 IgG antibody tests were negative as a part of athletic re-entry testing.

- Bilateral Anterior Cruciate Ligament Tears with right hamstring autograft and left hamstring autograft with patellar tendon bone-tendon-bone revision
- ADHD managed on Vyvanse
- Previous symptomatic infectious mononucleosis over 2 years prior

Physical Exam:
Physical exam was largely limited on initial presentation given the nature of a telemedicine visit. However, patient was noted to be alert and cooperative, not in acute distress and speaking in full sentences without any shortness of breath.

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