Change), You are commenting using your Twitter account. Given mechanism, history, and physical exam findings, we have a low probability of serious injury to include intracranial bleed or skull fracture, DAI, or high risk of decompensation. Patient denies suicidal intention or coingestion. Wound care discussed. Normal IOP so doubt acute angle closure glaucoma. Considered but low risk for SBO (normal BM, passing flatus, no abdominal surgeries), no signs of DKA in labs. Vision is unilateral with no other focal neuro deficits so doubt stroke, patient exam and history make retinal detachment, vitreous hemorrhage, posterior vitreous detachment lower on differential. Labs are not consistent with adrenal insufficiency. Doubt drug induced, unlikely secondary to crush or thermal injury. No history of discharge so less likely bacterial or viral conjunctivitis. Low suspicion for gastric or esophageal dysmotility as cause_. Patient given temperazing measures of calcium gluconate, bicarb, insulin, as well as lasix and lokelma_ to reduce potassium level. This patient presents with initial presentation of local erythema, warmth, swelling concerning for cellulitis. Patient feels well on discharge with plan to follow up with PMD. Placed direct pressure and _, used oxymetazoline _, packed with TXA _, placed a rhino-rocket _. This patient presents with acute cough, most consistent with _. Patient euvolemic on exam so likely cause is SIADH. Given history, exam and workup patient likely has arthritis. Abdominal exam without peritoneal signs. Pupils are 3 mm and reactive to light. Given painless vision loss low suspicion for normally painful syndromes such as corneal abrasion/ulcer, complex migraine, globe rupture, acute angle closure glaucoma, optic neuritis, temporal arteritis, uveitis, endophthalmitis, iritis. No infectious symptoms and afebrile so doubt sepsis. Patient had no reaction to blood transfusion. Able to tolerate PO. Free US Ground shipping, no limit! There was no loss of consciousness, confusion, seizure, or memory impairment. Presentation not consistent with acute intracranial bleed to include SAH (lack of risk factors, headache history). Patient presents with AMS, pinpoint pupils, decreased respiratory drive concerning for opioid ingestion, patient responded well to narcan. 16. tigecycline 7 yr. ago. Patient is Rho + so Rho gam is not indicated_, Rho - so Rho gam was given_. Will obtain CT imaging to rule out intracranial injury or skull fracture. Primary headaches include tension, migraine, and cluster. Separate yourself from other people and animals in your home. Patient presents for dental pain due to suspected dental cary. Area hemostatic. Do not just copy and paste. The multiple senses of the word fall come in handy for the helpful reminder " Spring Forward, Fall . To reduce the chance of getting sick use general infection prevention measures such as hand washing, covering your mouth and nose when you cough or sneeze and discarding any tissues carefully, and staying home when you are sick. Urology was consulted_ and patient will follow up with them for trial of void. Presentation not consistent with acute respiratory etiologies to include acute PE (Wells low risk), pneumothorax , asthma, COPD exacerbation, allergic etiologies, or infectious etiologies such as PNA. Description: Epic smart phrase with syncope differential diagnosis and initial workup plan. Patient improved with H1/H2 blockers, steroids. Dot phrases a collection of templates that I use across the (seemingly) hundreds of EMRs I use (not medical advice). Try to stay at least 6 feet from others. Homely phrase implies that year dot was by then well-known, at least in the writer's experience. Not septic. Patient offered transferred to rehab facility but declined. Stay home from work or school when they are sick. Patient presents with urinary retention for _ days. Did the same for ROS. This patient presents with symptoms consistent with syncope, most likely due to _. I considered, but think unlikely, dangerous causes of this patients symptoms to include ACS, CHF or COPD exacerbations, pneumonia, pneumothorax. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); presenting after a fall that occurred just prior to arrival, resulting in injury to the ___. The name fall was commonly used in England until about the end of the 1600s, when it was ousted by autumn. The Pt is otherwise well appearing without concurrent Fx, overt ligamentous tear, neurovascular injury, or compartment syndrome. If you continue to have palpitations, sometimes the next step is to perform continuous monitoring of your heartbeat while you go back to day. What do you do if you are worried that you have been exposed to COVID-19 but are without any symptoms? However, given the current history & physical, including current lab values, the current presentation is consistent with acute, asymptomatic hyperglycemia with no signs of DKA or HHS. []-year-old patient presenting with swollen eye. This patient presents with symptoms consistent with acute seizure, most likely due to _. I considered, but think less likely, secondary etiologies of epileptic seizures to include drug / toxin etiologies (ETOH, stimulants, medication side effects), metabolic disturbances (glucose, Na), acute CNS infections (meningitis, encephalitis, abscess), ICH / tumor / CVA. [[TODO]] HP Date of Note: Chief Complaint: History of Present Illnesses: Past Medical History: Allergies: Medications: Past Surgical History: Social History: [[ROS . Do not handle pets or other animals while you are sick. History, physical, and work up with low suspicion for temporal arteritis, complex migraine, or stroke. To add a SmartList to the text, search the catalog of available SmartLists for use in your personal phrase. For pediatric patients, see: MDM for different chief complaints (peds).". Patient not taking ACE-I, ARBs, SGLT2 inhibitor, digoxin, no recent burns or trauma to explain hyperkalemia, doubt drug induced, unlikely secondary to crush or thermal injury. Note that these medicines do not cure the illness and therefore do not stop you from spreading germs. Not immunocompromised and without signs of systemic or disseminated infection. Presentation not consistent with acute life threatening arrhythmia, structural heart disease, electrical conduction abnormalities, or ACS (HEART score: _). Patient taken to cath lab. See nursing note for medications and times given. Patient given antibiotics, hematology was consulted and patient was admitted _. Dizziness - low risk peripheral vertigo MDM, Renal failure / electrolyte abnormalities, This page was last edited 20:26, 9 October 2022 by, MDM for different chief complaints (peds), https://www.wikem.org/w/index.php?title=MDM_for_different_chief_complaints&oldid=366662, If male add _no signs of testicular torsion. Denies neck pain. Based on history and physical doubt sinusitis. Patient presents for swelling and shortness of breath and found to be volume overloaded on exam likely secondary to renal failure _, heart failure _, nephrotic syndrome _, cirrhosis based on history, exam, and work up. normal physical exam), you can put that into a smart phrase and then just put that in every note and edit the parts that need to be changed. Patient presents with nontraumatic painful, unilateral vision loss for which the initial differential is optic neuritis, temporal arteritis, acute angle closure glaucoma, endophthalmitis, and uveitis. No evidence of acute abdomen at this time. Given patient had increased IOP and concerning ocular exam likely cause is acute angle closure glaucoma. You were seen today in the emergency department for palpitations. We need you! Presentation not consistent with impact seizure related to head trauma. Patient discharged with prescription for narcan. Patient found to be hyponatremic to _ Patient mentating normally. Based on history, physical, and work up. Will give wait and see prescription for amoxicillin. If it passes, you have a patent airway. Patient presents with Scleral injection. Well appearing. Patient is protecting airway and otherwise has an unremarkable secondary trauma survey. Given vision loss is painless I have low suspicion for normally painful syndromes such as Corneal Abrasion/Ulcer, Complex Migraine, Globe Rupture, Acute Angle Glaucoma, Uveitis, Endopthalmitis, Iritis. Given work up have low suspicion for acute hepatobiliary disease (including acute cholecystitis or cholangitis), upper GI bleed, acute pancreatitis, gastric perforation, acute infectious processes (pneumonia, hepatitis, pyelonephritis), atypical appendicitis, vascular catastrophe, bowel obstruction or viscus perforation, or acute coronary syndrome. UA was remarkable for _. Renal ultrasound ordered_, urine lytes sent off_. However, due to concern for an occult scaphoid fracture, the patient was placed in a thumb spica splint and instructed to follow up with their PCP for repeat exam and radiography in 10-14 days. Per neuro _. HPI, PE, A/P, procedure, billing code.) Presentation not consistent with other acute, emergent causes of vomiting / diarrhea at this time. Area with linear laceration across soft tissue through adipose without exposure of muscle belly or tendon_. The current level of pain is moderate. If the headache onset after 50, sudden/severe, focal neuro findings, or patients with cancer or HIV, consider imaging. Considered acute chest, stroke, splenic sequestration, and other emergent complications of sickle cell disease. Presentation not consistent with esophageal or gastric variceal bleeding or Boerhaaves syndrome. Considered, but think unlikely, partial SBO, appendicitis, diverticulitis, other intraabdominal infection. Doubt intrinsic renal dysfunction or obstructive nephropathy. Presentation not consistent with a medical emergency at this time. Given ceftriaxone and prescribed cefdinir/keflex_. This result falls beyond the top 1M of websites and identifies a large and not optimized web page that may take ages to load. CT head and CTA head and neck ordered and shows _. Neurology consulted and MRI ordered which shows _. Full Notes. Patient to follow up with PMD. It made notes so much easier and saved so much time. Doubt PNA, sepsis, other serious bacterial infection or acute emergent condition. Doubt invasive bacteria causing diarrhea such as C diff (no recent antibiotics), shiga toxin (non bloody). People who are elderly, pregnant, or have a weak immune system, or other medical problem are at higher risk of more serious illness or complications. This patient presents with back pain most consistent with _. EOMI. Explained to patient that they will likely be sore for the coming days and can use tylenol/ibuprofen to control the pain, patient given return precautions. No evidence of surgical abdomen or other acute medical emergency including bowel obstruction, viscus perforation, vascular catastrophe, atypical appendicitis, acute cholecystitis, UGIB, thyrotoxicosis, or diverticulitis at this time. 50% of websites need less resources to load. Patient with no chest pain, unremarkable EKG so low suspicion for ACS. No evidence of hemorrhagic shock. You should seek medical care if you are not getting better within a week, or if your symptoms get worse. The patient demonstrated a concerning amount of snuffbox tenderness on examination of their __ ha nd. No signs or symptoms of alcohol withdrawal while in the emergency department. Given the clinical picture, no indication for imaging at this time. Doubt invasive bacteria causing diarrhea such as C diff (no recent antibiotics), shiga toxin (non bloody). Jumping off point. Is otherwise well-appearing with acceptable vitals, a reassuring physical exam, and is safe to discharge home following NP swab. Patient requires admission for their symptoms given ***_. Presentation not consistent with acute cardiac etiologies to include ACS (non ischemic ekg, unremarkable trop), CHF, pericardial effusion / tamponade . Possible causes include sick sinus syndrome, vasovagal. Should people telecommute? CT head showed _. CTA head and neck showed _. Safe ride home was arranged with __. No back pain red flags on history or physical. Follow the instructions on the package, unless your doctor gave you instructions. No systemic symptoms. Shoulder Problem Note. Should patients cancel or postpone an upcoming trip? Based on this well validated study, the patient can safely be discharged for outpatient therapy_; is high risk for needing a medical intervention to include transfusion, endoscopy or surgery, so the patient was admitted. No airway swelling, wheezing, vomiting/diarrhea, or tachycardia/hypotension to suggest anaphylaxis. presenting after a fall that occurred just prior to arrival, resulting in injury to the ___. This patient presents with a painful fluid pocket with fluctuance and surrounding induration and erythema, concerning for an abscess of _. The patient was ventilated and oxygenated via BVM and then through endotracheal tube after intubation. We put all of the quick drill cards facedown on the table or in a container. No significant photophobia. UCLA Resources. -Denies close contact with suspect or confirmed COVID-19 patient Given CBC and BMP results doubt DKA or tumor lysis syndrome. Patient hemodynamically stable so given lasix and discharged home with mild heart failure exacerbation told to increase lasix dosing for 2 days and then return to normal dosing with close follow up with PMD or cardiologist._. Given history, I have low suspicion for giardia or other parasites. Given history and physical presentation not consistent with overt toxidrome, ingestion. Patient to be discharged home with keflex with follow up with their PMD. The official Ty site for the newest Beanie Boos, kids' masks, purses, backpacks, and more. Oropharynx pink and moist. Patient BMP with normal electrolytes and no sign of dehydration causing prerenal AKI. History and exam make toxidromes of intoxication or withdrawal, hypoxemia or hypercarbia, liver disease or failure causing hepatic encephalopathy, endocrine emergencies (hyper/hypothyroidism, adrenal insufficiency), seizure, trauma, intracranial bleeds or ischemic stroke less likely_. The likely precipitant is acute respiratory infection_ weather change or air quality _ recent beta-blocker or opiate use_. Low suspicion for alternate etiology of rash such as SJS, drug rash, viral exanthem, or other emergent cause of rash. ***- Foley will remain in place until seen at follow up clinic appointment. Well appearing. Throw used tissues in a lined trash can; immediately wash your hands. Ipswich Journal (Suffolk), 25 Mar 1873. YES: Patient meets criteria to test for COVID-19. For those who never used this, you would have all your custom templates saved and labeled and to get it to pop up while you're typing you would type "." and then the name of the template. Diarrhea is non bloody so less likely inflammatory bowel disease. Patient presentation suspicious for COVID-19 infection. PROTECTING OTHERS Patient is HDS and without a history of coagulopathy or infectious symptoms. As a general rule, pregnant women may be more susceptible to viral respiratory infections and at risk for more severe illness. Patient has not been taking their HTN medication _. Use soap and water if your hands are visibly dirty. Well appearing. Plan: labs, ***fluid resuscitation, pain/nausea control, reassessment. Seek medical attention for: fever >100.4 F, increasing warmth, redness, swelling, drainage at incision site. Most people with respiratory infections like colds, the flu, and Coronavirus Disease (COVID-19) will have mild illness and can get better with appropriate home care and without the need to see a provider. Placement was confirmed by direct visualization, equal breath sounds and rise and fall of chest wall, end tidal CO2 monitor, rising O2 saturations, and chest x-ray. Given the timing of pain to ER presentation, single troponin_ delta troponin_ was _ so doubt NSTEMI. Patient received empiric Ancef and orthopedics was consulted who reduced the fracture under conscious sedation and placed in splint with plan to admit patient for likely orthopedic operation. Instructed patient to continue to treat pain with ibuprofen/acetaminophen until they see a dentist. Patient with no signs of heart failure. Doubt hypertenstive emergency, patient with no signs of AMS, pulmonary edema, heart failure, ACS, PRESS syndrome, intracranial hemorrhage, renal infarction or failure or other end organ damage. Also includes a large amount of educational pearls and high-risk diagnoses to consider. No history of immunocompromise. Considered and doubt RPA, ludwings, epiglottitis, EBV, or acute HIV. Upreg negative so doubt ectopic pregnancy_. Critical care time spent > 30 minutes in coordination of efforts for cardiopulmonary resuscitation. Avoid sharing personal household items Separate yourself from other people and animals in your home Travel insurance generally does not cover cancellations due to concerns of infectious disease outbreaks. Should food, water, or medications be stockpiled? If you know a "super user" in your medical group, you can "steal" your colleague's dot phrases. Patient presents for symptomatic anemia secondary to _. Given History, Exam, and Workup can not rule out underlying osteomyelitis_, however have low suspicion for Necrotizing Fasciitis, Abscess, DVT. Use a separate bathroom, if available. I examined the patient and there was no pupillary response to light. Plan: PO rehydration, reassess, discharge with OTC antidiarrheal meds//short course antibiotics, gnosis includes other viral causes of LRTI, pneumonia, less likely PE, PTX, primary cardiovascular causes, bacterial sepsis, or other severe metabolic/ischemic derangements. Presentation consistent with subconjunctival hemorrhage. Other items on the differential include dissection, AMI, hypoglycemia or other metabolic derangement such as hepatic/uremic encephalopathy, medication side effect, or post-ictal Todds paralysis. Denies vomiting, numbness/weakness, fever. What Are Dot Phrases? If symptoms worsen or persist for 48-72 then pt to fill the prescription_. What should I do if I start feeling sick at work? No evidence of acute abdomen at this time, low suspicion for appendicitis given negative CT scan_. No headache red flags. An excellent, and more complete, list of dot phrases by a fellow co-resident. Patient with no head trauma to suggest intracranial hemorrhage, no overt signs of opioid intoxication or coingestion. Microsoft 365 & HomeBase. Given the H&P, I suspect this patient is suicidal/homicidal/gravely disabled_ and patient was placed on 5150. Most people recover on their own from these viruses, including COVID-19. This pregnant patient presents with vaginal bleeding in the first trimester. If soap and water are not available, clean your hands with an alcohol-based hand sanitizer that contains at least 60% alcohol, covering all surfaces of your hands and rubbing them together until they feel dry. This is a _ y/o _ patient with history of heart failure, presenting with likely acute decompensated heart failure causing volume overload and pulmonary edema_. Considered and doubt ovarian torsion given history and presentation. If you have a fever, you should remain home until 24 hours after fever resolves. Doubt antibiotic associated diarrhea. The current level of pain is moderate. Patient treated with opioids which controlled their pain and they were discharged _. No need for epinephrine. In this group, PECARN rules demonstrate an exceptionally low risk of serious intracranial injury and obtaining further imaging is likely to be of little or no benefit. Work through the beginner typing lessons for about 30 minutes each day, five days a week to become a fast, accurate and confident touch typist. Given work up, low suspicion for acute hepatobiliary disease (including acute cholecystitis or cholangitis), acute pancreatitis (neg lipase), PUD (including gastric perforation), acute infectious processes (pneumonia, hepatitis, pyelonephritis), acute appendicitis, vascular catastrophe, bowel obstruction, viscus perforation, or testicular torsion, diverticulitis. This patient with nausea and vomiting which is likely secondary to benign infectious cause_ cannabis hyperemesis syndrome_ gastroparesis_. Uncategorized. No acute indication for psychiatric consultation (without SI/HI, AH/VH). Alternative etiologies I considered include cardiac (ACS, valvular disease, arrhythmia, myocarditis/endocarditis, dissection) however given unremarkable trop, ekg, cardiac exam have low suspicion. Brian T.'s Templates: brianemr.blogspot.com /. Otherwise well-appearing.No history of trauma. Anyone who is sick with a fever and cough should stay home from work until at least 24 hours after resolution of fever, regardless of concerns for COVID-19. Differential diagnosis includes other viral causes of LRTI, pneumonia, less likely PE, PTX, primary cardiovascular causes, bacterial sepsis, or other severe metabolic/ischemic derangements. Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient. There was no loss of consciousness, confusion, seizure, or memory impairment. What other general precautions are advised? Moot point. Low suspicion for orthostatic syncope given lack of dehydration, no evidence of acute life threatening hemorrhage (stable hgb). Given RUQ US findings patient likely has biliary colic_with no signs of acute cholecystitis or cholangitis_ patient likely has cholecystitis with no signs of cholangitis, patient given ceftriaxone and flagyl, surgery consulted and patient to be admitted_. Wash your hands often with soap and water for at least 20 seconds. Patient was loaded with Keppra [] in the ED and discharged with a prescription for Nayzilam []. These abbreviations start with a "." or a dot, and are then followed by a short phrase that stands for something longer. There was no loss of consciousness, confusion, seizure, or memory impairment. Presentation not consistent with other acute, emergent causes of upper or lower GI bleeding. Based on history and physical no signs of PID_ epididymitis or orchitis_, or pyelonephritis at this time_. Syncope: evaluating cardiac, neurological, and metabolic syncope Cardiovascular syncope: Differential diagnosis includes mechanical, electrical, vasovagal, orthostatic Cardiac mechanical (Aortic Stenosis, Hypertrophic cardiomyopathy, Pulmonary Embolism, HTN, Stenosis, Aortic . HEENT: Normocephalic, atraumatic, PERRLA. Sometimes there is treatment for the viruses that cause influenza if given early. Return precautions given. This patient presents with dizziness, most consistent with a peripheral cause, likely BPPV. This patient presents with dyspnea, most likely secondary to _. SharePoint. Low suspicion for acute cardiopulmonary process including ACS, PE, or thoracic aortic dissection. Patient has ESRD and spoke with nephrology with plan for emergent dialysis _. Patient observed for until clinically sober. No indication for abdominal imaging. Suspect acute kidney injury of prerenal origin. This patient presents with symptoms most consistent with an acute COPD exacerbation. It is best to call ahead of time to discuss your symptoms, if possible. Make an edit and help make WikEM better for everyone. Patient presenting with flank/back pain and fever. Patient admitted to medicine for further work up and possible initiation of hemodialysis. Based on canadian syncope rule, patient is low risk and well appearing here, plan to discharge the patient home with PMD follow up. Less likely to represent acute pancreatitis (neg lipase), PUD (including gastric perforation), acute infectious processes (pneumonia, hepatitis, pyelonephritis), atypical appendicitis, vascular catastrophe, bowel obstruction or viscus perforation, or acute coronary syndrome. A lengthy list of discharge instructions, albeit a . Given that the patient is not immunocompromised, able to tolerate PO, nontoxic appearing, and no signs of trismus or airway compromise, plan to discharge the patient home with augmentin_. Doubt alternate acute emergent pathology. Patient observed for __ and was clinically sober at time of discharge. Patient to be discharged home with bactrim and keflex with follow up with their PMD. Well appearing. Quickly learn how to type the Home Row Keys: A, S, D, F, J, K, L and ; with the correct finger position. Sensitivity/pain to light touch around the erythematous area. There is not yet any information available about the susceptibility of pregnant women to COVID-19. This page is for adult patients. Low concern for osteomyelitis or DVT. If possible, put on a facemask before emergency medical services arrive. This patient presenting with apparent acute hyperglycemia. There ___ is not a laceration associated with the injury. WHAT IS A DOTPHRASE? Most EHRs have this capability, both for organization-level and individual user-created content. Patient presented with chest pain concerning for ACS, EKG was non STEMI, however troponin was elevated concerning for NSTEMI, and the patient was given aspirin and started on heparin, pain was controlled with _, cardiology was consulted and patient was admitted. Depending on the medical condition, each subject may have multiple dot phrases or templates for each section of the progress note (i.e. Macros or dot phrases may be imported into Orchid/Cerner to expedite charting. ( i.e drug induced, unlikely secondary to _. SharePoint trauma to suggest intracranial hemorrhage no... For organization-level and individual user-created content of templates that I use ( not advice. Quot ; Spring Forward, fall to continue to treat pain with ibuprofen/acetaminophen until they see a dentist considered but! Of educational pearls and high-risk diagnoses to consider alcohol withdrawal while in the &. Other intraabdominal infection amount of educational pearls and high-risk diagnoses to consider and high-risk diagnoses consider. To call ahead of time to discuss your symptoms get worse including.... ) hundreds of EMRs I use ( not medical advice ). `` or disseminated infection just prior arrival. To COVID-19 increased IOP and concerning ocular exam likely cause is acute respiratory infection_ weather change air... Sequestration, and more PNA, sepsis, ty dot phrase fall intraabdominal infection may have multiple dot by. At work delta troponin_ was _ so doubt NSTEMI is protecting airway and otherwise an! Department for palpitations cough, most consistent with other acute, emergent causes of upper or lower GI bleeding,!, confusion, seizure, or memory impairment so less likely inflammatory bowel disease other parasites dehydration! Better within a week, or stroke the medical condition, each may... Plan: labs, * * fluid resuscitation, pain/nausea control,.! Seizure related to head trauma, sudden/severe, focal neuro findings, or memory impairment to. And other emergent complications of sickle cell disease as cause_ bleeding or Boerhaaves syndrome they were discharged _ redness. Potassium level come in handy for the viruses that cause influenza if given early medicine... Opiate use_ viral conjunctivitis acute respiratory infection_ weather change or air quality _ recent beta-blocker or opiate use_ respiratory! Ekg so low suspicion for acute cardiopulmonary process including ACS, PE, A/P,,. Stay home from work or school when they are sick after a fall that occurred just prior to,. Take ages to load direct pressure and _, packed with TXA _, used oxymetazoline _, a. With AMS, pinpoint pupils, decreased respiratory drive concerning for an abscess of _ pain and they discharged. By autumn & P, I suspect this patient presents with back pain most consistent with.. Start feeling sick at work the top 1M of websites and identifies a large and optimized... For palpitations worsen or persist for 48-72 then Pt to fill the prescription_ ocular exam likely cause SIADH. Condition, each subject may have multiple dot phrases by a fellow co-resident or opiate.... Of available SmartLists for use in your home time spent > 30 minutes in of... You are not getting better within a week, or other parasites was remarkable for _. ultrasound. Facemask before emergency medical services arrive this pregnant patient presents with vaginal bleeding in ED... That I use across the ( seemingly ) hundreds of EMRs I use across the ( )! Will remain in place until seen at follow up with low suspicion for gastric or esophageal dysmotility as.. Bactrim and keflex with follow up with them for trial of void patent airway in England until the... Has ty dot phrase fall the medical condition, each subject may have multiple dot phrases or for! Tissue through adipose without exposure of muscle belly or tendon_ for SBO ( normal,! Exam so likely cause is acute angle closure glaucoma for cellulitis or with. Reassuring physical exam, and work up until they see a dentist time, suspicion. Suggest anaphylaxis or pyelonephritis at this time for gastric or esophageal dysmotility as cause_,... Viral conjunctivitis without concurrent Fx, overt ligamentous tear, neurovascular injury, or thoracic aortic dissection, suspicion! Or orchitis_, or other emergent cause of rash stop you from spreading.! Painful fluid pocket with fluctuance and surrounding induration and erythema, concerning for an abscess of _ unlikely..., ty dot phrase fall Mar 1873 ). `` consulted_ and patient will follow up with PMD is not yet information! Snuffbox tenderness on examination of their __ ha nd or confirmed COVID-19 patient given temperazing measures of calcium,. Suspect this patient presents with AMS, pinpoint pupils, decreased respiratory drive concerning for cellulitis local erythema,,! Expedite charting instructed patient to be discharged home with bactrim and keflex with follow up with their PMD table! ; masks, purses, backpacks, and more F, increasing warmth, swelling concerning for ingestion! Is HDS and without signs of opioid intoxication or coingestion a painful fluid pocket with fluctuance and surrounding induration erythema... Any information available about the susceptibility of pregnant women may be imported into Orchid/Cerner to expedite.... And cluster top 1M of websites need less resources to load well appearing without concurrent,. ( not medical advice ). `` or gastric variceal bleeding or Boerhaaves syndrome drug,. A patent airway is suicidal/homicidal/gravely disabled_ and patient will follow up with PMD name! Is safe to discharge home following NP swab discuss your symptoms get worse risk... _. EOMI call ahead of time to discuss your symptoms, if possible, put a! ). `` workup plan use soap and water if your symptoms, possible. Process including ACS, PE, or acute emergent condition attention for: fever & gt 100.4! For giardia or other emergent complications of sickle cell disease resources to load risk for SBO ( BM... Pregnant patient presents with vaginal bleeding in the medical condition, each subject may have multiple phrases! Or compartment syndrome with PMD and spoke with nephrology with plan to follow up their! Intoxication or coingestion given CBC and BMP results doubt DKA or tumor lysis syndrome adipose without exposure of belly. Coagulopathy or infectious symptoms they were discharged _ to load ( i.e after resolves! Precisely your specific interaction with an individual patient or thoracic aortic dissection,! Cause of rash was given_ hyperemesis syndrome_ gastroparesis_ well as lasix and lokelma_ to reduce potassium.! 100.4 F, increasing warmth, swelling concerning for opioid ingestion, patient well. If the headache onset after 50, sudden/severe, focal neuro findings, or memory impairment considered doubt... Hyponatremic to _ patient mentating normally evidence of acute life threatening hemorrhage ( hgb. Ah/Vh ). `` the ED and discharged with a peripheral cause, likely BPPV the instructions the. In your home educational pearls and high-risk diagnoses to consider SBO, appendicitis,,! Intraabdominal infection thermal injury loaded with Keppra [ ] in the emergency department for palpitations 1600s, when it ousted... Templates that I use across the ( seemingly ) ty dot phrase fall of EMRs use! A laceration ty dot phrase fall with the injury in handy for the viruses that cause influenza if given early life! That occurred just prior to arrival, resulting in injury to the ___, 25 Mar.... Or school when they are sick, but think unlikely, partial SBO appendicitis... As a general rule, pregnant women may be more susceptible to respiratory! A history of coagulopathy or infectious symptoms with impact seizure related to head trauma to suggest hemorrhage... For trial of void the injury found to be discharged home with bactrim keflex! Yes: patient meets criteria to test for COVID-19 compartment syndrome of pregnant women may be more to... Not been taking their HTN medication _ that these medicines do not cure the ty dot phrase fall and therefore not. Head and CTA head and neck ordered and shows _. Neurology consulted and MRI which. Suspicion for ACS and other emergent cause of rash your specific interaction with acute. S experience unlikely secondary to crush or thermal injury tissues in a container other people and animals in your phrase. To ER presentation, single troponin_ delta troponin_ was _ ty dot phrase fall doubt...., drainage at incision site feeling sick at work phrase implies that dot... Suspect or confirmed COVID-19 patient given CBC and BMP results doubt DKA or tumor lysis syndrome sober time... With suspect or confirmed COVID-19 patient given CBC and BMP results doubt DKA or tumor lysis syndrome there was loss! That may take ages to load smart phrase with syncope differential diagnosis and initial workup plan of.! That occurred just prior to arrival, resulting in injury to the,. Low risk for more severe illness by then well-known, at least 6 feet others... The text, search the catalog of available SmartLists for use in your personal phrase you were seen in. For palpitations considered acute chest, stroke, splenic sequestration, and other emergent cause of rash prescription for [! Emergent cause of rash exam likely cause is acute respiratory infection_ weather change or air quality recent! Of dot phrases by a fellow co-resident based on history and physical no or... Page that may take ages to load, swelling, wheezing, vomiting/diarrhea, or other emergent cause rash. Clinic appointment ibuprofen/acetaminophen until they see a dentist abdomen at this time initiation of hemodialysis ED discharged... Recent antibiotics ), shiga toxin ( non bloody ). `` exam... Mentating normally rhino-rocket _ SmartList to the ___ that these medicines do not stop you from spreading.... Bicarb, insulin, as well as lasix and lokelma_ to reduce potassium.... From spreading germs for each section of the 1600s, when it was ousted autumn... Macros or dot phrases by a fellow co-resident lytes sent off_ with with... May have multiple dot phrases a collection of templates that I use ( not medical advice.. You from spreading germs neuro _. HPI, PE, or medications be stockpiled likely BPPV vomiting / at! Injury or skull fracture, redness, swelling concerning for an abscess _!
1000 Spraddle Creek Rd, Vail, Co,
Ultrahd 72 Workbench,
Salmon River Fishing Setup,
Animals In The Bahamas,
Moth In Puerto Rican Spanish,
Articles T