Case Study Part 1

[Illustration of Mr Cello]

Mr Cello, a 67-year-old male ,with suspected COVID-19 arrives at the ED via ambulance, with high fever, coughing, chest pain and respiratory difficulty. He visited his son nine (9) days ago, who has now been tested positive for COVID-19. The patient has a history of Diabetes Mellitus Type 2 and Chronic Kidney Disease.

[Patient data button/icon]  Name: Mr Cello  Gender: Male     Age: 67 years        Weight: 83 kg         Height: 175 cm    Allergies: No known    Immunizations: Yearly influenza vaccine

[Initial Vital Data button/icon]      ECG: Sinus tachycardia    HR: 117 bpm  RR: 30 rpm   BP: 149/80 mmHg     SpO2: 89%       Temperature: 39 °C

[Medical history] Past Medical History: Diabetes Mellitus Type 2, Chronic Kidney Disease Recent Medical History: Patient got a cold 3 days ago with fever, sore throat, sneezing and increasing fatigue. This morning, his son called that he had been tested positive for COVID-19, after returning from a business trip in an endemic COVID-19 area. Patient met with his son 9 days ago. Social History: Retired bus driver 8 years ago, married with 2 grown-up children, smokes 4-6 cigarettes per day. Used to drink alcohol on daily basis until he got a diagnosis of Diabetes Mellitus Type 2 , seven years ago and Chronic Kidney Disease 10 years ago.

[Clinical findings on examination] Respiratory distress, Dry coughing with chest pain, Sweating and shivering, Malaise and fatigue