GI Symptoms Should Not Prompt Routine COVID Screening
Gastrointestinal symptoms may be less common in COVID-19 than previously thought, so symptomatic patients without another reason for testing might not need testing for #SARSCoV2, according to an AGA rapid review.
"GI symptoms are an important part of the spectrum of COVID; however, they rarely present as isolated symptoms," Dr. Shahnaz Sultan of the University of Minnesota, Minneapolis VA Healthcare System, told Reuters Health by email.
"The data suggests that GI symptoms may precede other symptoms, but they most often occur in conjunction with COVID-related symptoms, such as dry cough, fever, fatigue, loss of taste or smell, etc."
The AGA Clinical Guideline Committee and Clinical Practice Update Committee evaluated the prevalence of diarrhea, nausea, vomiting, abdominal pain and liver-function test abnormalities associated with COVID-19 in their systematic review and meta-analysis of 118 studies.
Overall, 7.7% of COVID-19 patients had diarrhea, 7.8% had nausea/vomiting, 3.6% had abdominal pain, 15% had abnormal AST or ALT, and 16.7% had abnormal bilirubin, the researchers report in the journal, Gastroenterology.
When GI symptoms were reported, it was difficult to discern if they were isolated symptoms or if patients also had concurrent, typical COVID-19 symptoms.
#医学生Medic[超话]##医疗科普##医疗资讯#
Gastrointestinal symptoms may be less common in COVID-19 than previously thought, so symptomatic patients without another reason for testing might not need testing for #SARSCoV2, according to an AGA rapid review.
"GI symptoms are an important part of the spectrum of COVID; however, they rarely present as isolated symptoms," Dr. Shahnaz Sultan of the University of Minnesota, Minneapolis VA Healthcare System, told Reuters Health by email.
"The data suggests that GI symptoms may precede other symptoms, but they most often occur in conjunction with COVID-related symptoms, such as dry cough, fever, fatigue, loss of taste or smell, etc."
The AGA Clinical Guideline Committee and Clinical Practice Update Committee evaluated the prevalence of diarrhea, nausea, vomiting, abdominal pain and liver-function test abnormalities associated with COVID-19 in their systematic review and meta-analysis of 118 studies.
Overall, 7.7% of COVID-19 patients had diarrhea, 7.8% had nausea/vomiting, 3.6% had abdominal pain, 15% had abnormal AST or ALT, and 16.7% had abnormal bilirubin, the researchers report in the journal, Gastroenterology.
When GI symptoms were reported, it was difficult to discern if they were isolated symptoms or if patients also had concurrent, typical COVID-19 symptoms.
#医学生Medic[超话]##医疗科普##医疗资讯#
A ciascun'alma presa, e gentil core,
nel cui cospetto ven lo dir presente,
in ciò che mi rescrivan suo parvente
salute in lor segnor, cioè Amore.
Già eran quasi che atterzate l'ore
del tempo che onne stella n'è lucente,
quando m'apparve Amor subitamente
cui essenza membrar mi dà orrore.
Allegro mi sembrava Amor tenendo
meo core in mano, e ne le braccia avea
madonna involta in un drappo dormendo.
Poi la svegliava, e d'esto core ardendo
lei paventosa umilmente pascea:
appresso gir lo ne vedea piangendo.
阿波羅，若那善美的心願仍然存在
它曾令你在塞薩利亞之浪上灼燒，
若她那為你所愛的金色的長髮，
尚未趨近毀滅，尚未沈陷於遺忘；
遍地慵懶寒霜與嚴苛殘酷的時光，
其漫長彷彿能將你的面容遮掩，
它此刻來捍衛榮耀且神聖的枝葉，
你我，先後在此跌入這層羅網；
但憑藉這份深情希望的美德，
支撐你熬過那艱辛的生存，
並將此種感官的大氣徹底清掃；
而我們將共同驚異地見證
我們的女士正坐在草地之上，
她以雙臂聚攏了片片陰涼。
Apollo, s’anchor vive il bel desio
che t’infiammava a le thesaliche onde,
et se non ài l’amate chiome bionde,
volgendo gli anni, già poste in oblio:
dal pigro gielo et dal tempo aspro et rio,
che dura quanto ’l tuo viso s’asconde,
difendi or l’onorata et sacra fronde,
ove tu prima, et poi fu’ invescato io;
et per vertú de l’amorosa speme,
che ti sostenne ne la vita acerba,
di queste impressïon l’aere disgombra;
sí vedrem poi per meraviglia inseme
seder la donna nostra sopra l’erba,
et far de le sue braccia a se stessa ombra.
弗朗切斯科•彼特拉克（Francesco Petrarca)
《歌集》（Canzoniere)
第34首
它曾令你在塞薩利亞之浪上灼燒，
若她那為你所愛的金色的長髮，
尚未趨近毀滅，尚未沈陷於遺忘；
遍地慵懶寒霜與嚴苛殘酷的時光，
其漫長彷彿能將你的面容遮掩，
它此刻來捍衛榮耀且神聖的枝葉，
你我，先後在此跌入這層羅網；
但憑藉這份深情希望的美德，
支撐你熬過那艱辛的生存，
並將此種感官的大氣徹底清掃；
而我們將共同驚異地見證
我們的女士正坐在草地之上，
她以雙臂聚攏了片片陰涼。
Apollo, s’anchor vive il bel desio
che t’infiammava a le thesaliche onde,
et se non ài l’amate chiome bionde,
volgendo gli anni, già poste in oblio:
dal pigro gielo et dal tempo aspro et rio,
che dura quanto ’l tuo viso s’asconde,
difendi or l’onorata et sacra fronde,
ove tu prima, et poi fu’ invescato io;
et per vertú de l’amorosa speme,
che ti sostenne ne la vita acerba,
di queste impressïon l’aere disgombra;
sí vedrem poi per meraviglia inseme
seder la donna nostra sopra l’erba,
et far de le sue braccia a se stessa ombra.
弗朗切斯科•彼特拉克（Francesco Petrarca)
《歌集》（Canzoniere)
第34首
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