Webinar #17 | STOP COVID DEATHS: VIRTUAL GRAND ROUNDS | COVID-19 Patient Develops Swollen Leg

TVUP

The University of the Philippines
in partnership with
Philippine Health Insurance Corporation (PhilHealth) and
UP Manila NIH National Telehealth Center
in cooperation with
UP Manila College of Medicine and
UP Philippine General Hospital
would like to invite you to join the Fight Against COVID-19!

The Webinar Series “STOP COVID DEATHS: VIRTUAL GRAND ROUNDS”
– the very first Online Medicine Grand Rounds in the Philippines-
is scheduled EVERY FRIDAY from 12nn to 2pm.

Webinar #17:“COVID-19 Patient Develops Swollen Leg”
Dr. Ralph Elvi Villalobos
Consultant, Division of Pulmonary Medicine
UP College of Medicine, Philippine General Hospital
August 7, 2020 (Friday) 12nn

Discussant: Dr. Jubert Benedicto
Associate Professor, UP College of Medicine
Head, PGH CCU-Management Action Team

Reactor: Dr. Shelley Ann F. De la Vega
Director, Institute of Aging
National Institutes of Health, UP Manila

Infection and inflammation: both processes are at play in COVID-19. Most patients will battle the infection over two weeks and only have mild disease. In some patients however, inflammation may be severe leading to cytokine storms and organ failure that are difficult to manage.

Inflammation may injure the endothelial lining of blood vessels and is associated with blockage of blood vessels caused by emboli that can result to venous and arterial thrombosis, pulmonary embolism (PE), and even strokes. Laboratory signals include elevated levels of D-dimer, fibrinogen, and fibrinogen degradation from inflammation.

Thrombotic events can be a serious feature of COVID19. Leading to sudden clots that the medical team should prepare for where history suggests a higher risk. The literature suggests that a history of hypertension, obesity, cancer in an elderly patient are risks that must be identified in patients with COVID19.

In this session we will review the case of a senior with a previous history of hypertension and cancer who develops severe COVID and thromboembolism in the right iliac vein of the leg and extensive pulmonary embolism.