Rapid Review Quiz: Long COVID

Michael Stuart Bronze, MD


March 22, 2022

Proposed primary care guidelines for the diagnosis of long COVID suggest that if COVID symptoms persist without other etiology that reasonably explains them, and complementary test results are unaltered, long COVID diagnosis is confirmed. If fatigue persists as the main symptom, the team should evaluate the patient against classification criteria for chronic fatigue syndrome. A diagnosis of chronic fatigue syndrome associated with long COVID-19 may suggest physical activity programs, adapted guidelines to increase progressive resistance training, and evaluation of psychological factors.

For patients with headache as the primary characteristic post COVID, the authors recommend ruling out a central sensitization syndrome and a possible neurology consultation. Compliance with the classification criteria for fibromyalgia and chronic generalized pain should be evaluated in cases wherein generalized pain persists as the main symptom. Whether a diagnosis of COVID-19–associated chronic generalized pain or fibromyalgia is established, the patient should be referred to rheumatology or the pain unit.

Learn more about COVID-19 treatment.

This Rapid Recent Study Quiz was excerpted and adapted from the Medscape articles: COVID-19 Treatment, inactivated viral vaccines, Long COVID Symptoms Linked to Effects on Vagus Nerve, Functional Voice Disorders, Inflammatory Bowel Disease, and Two Factors Linked to Higher Risk of Long COVID in IBD.

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