Background: to determine the various primary extra To identify the patients with Covid monitor the development and onset of cli the hospital course and outcome of these patients. reviewing the charts of 111 patients COVID from March,2020 Out of the 111 patients admitted with COVID 19 infection under medica primarily had gastrointestinal presentation, 41(36.9%) had neurological presentation, 49(44%) had renal manifestations, 36(32.1%) presented with sepsis, 24(21.4%) were admitted with cardiovascular manifestations, 70(63%) had hemat 7(6.3%) had dermatological manifestations, 2 (1%) had arthritis, and 6(5.3%) were found to have psychiatric manifestations. had pneumonia at the time of admission, 6(16.2 %) developed pneumonia during admission and 15 (40.5 %) did not have pneumonia, alive. Out of the 41 patients who had neurologic presentation, admission, 13(31.7%) did not have pneumonia, whereas 11(26.8%) developed pneumonia during admission, Out of the 49 patients admitted (26.5%) developed pneumonia during admission, whereas 8(16%) did not have pneumonia.35(71.4%) patients were discharged alive and 14(28.5%) died in the hospital. Out of 36 patients who prese with sepsis, 21(58.3%) had pneumonia on admission, 12 (33.3%) developed pneumonia during hospital stay, 24(66.7%) were discharged alive and 12 patients (33.3%) died. Out of the 24 patients (21.4%) who were admitted with cardiovascular manifestations, admission and 2(8.3%) developed pneumonia during hospital stay, 18(75%) were discharged alive and 6 patients (25%) died. Conclusion: Our study shows that a considerable number of COVID patients presented with extra was discovered radio presentations infection. Covid-19 infection is primarily known as a pulmonary disease. -pulmonary presentations of Covid -19 infection presenting with extra nical and/or radiological features of Pneumonia, determine Methods: We conducted a retrospective study by admitted in Rashid Hospital, Internal -19 infection who primarily had extra-pulmonary presentations with or without pneumonia - June,2020. We excluded the patients who presented with pneumonia. ological features, 80(72%) had endocrine/metabolic features, Out of the 37 patients who had gastrointestinal presentation, 9 patients (24.3 %) died whereas 28 (75.6 %) were discharged 17(41. 35 (85.3%) patients were discharged alive whereas 6 patients (14.6%) died in the hospital. with renal manifestations, 28(57%) had pneumonia on admission, 13 -pulmonary manifestations and in these patients pulmonary involvement logically, therefore it is important for the physicians to recognize these atypical to avoid any potential hazard of exposure and any delay in the treatment of this We conducted a study -19 infection. Objectives: -pulmonary manifestations, Medicine department with Results: l team, 37 patients (33%) 16(43.2 %) 4%) had pneumonia at the time of nted 21(87.5) had pneumonia on -19