ty dot phrase fall

If the headache onset after 50, sudden/severe, focal neuro findings, or patients with cancer or HIV, consider imaging. Description: Epic smart phrase with syncope differential diagnosis and initial workup plan. Low suspicion for kidney stone or infected stone. This pediatric patient presents with a history concerning for a serious intracranial injury. And what should the workplace do for anyone exposed? AMS NOS Note. Given CBC and BMP results doubt DKA or tumor lysis syndrome. 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. COVID test was sent off and pending. It is recommended that they carefully monitor their symptoms closely and seek medical care early if their symptoms get worse. Remove the inner cannula. 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._. 3. Low concern for osteomyelitis or DVT. Exam prior to discharge shows no evidence of Wernicke's encephalopathy. Patient is not immunocompromised. No urticarial rash to suggest allergic reaction. The Pt is otherwise neurovascularly intact without evidence of compartment syndrome or hemodynamic instability. Patient given temperazing measures of insulin, as well as lasix and lokelma_ to reduce potassium level. This patient presents with fever and cough for ***_ days. This patient presents with generalized weakness and fatigue likely secondary to dehydration. Also, clean any surfaces that may have body fluids on them. Change), You are commenting using your Facebook account. The mechanism is of low energy. This patient who presents with rash for _, consistent with _. Patient's neurological exam was non-focal and unremarkable. Point blank range. This well-appearing child presents with fever, likely secondary to a urinary source vs viral syndrome. Normal appearing without any signs or symptoms of serious injury on secondary trauma survey. Given history and exam I have low suspicion for corneal abrasion or ulcer, globe rupture, uveitis, HSV keratitis, Endopthalmitis, Retinal Detachment, Angle Closure Glaucoma, Foreign Body, hyphema. This page is for adult patients. Based on history, exam, and work up low suspicion for pancreatitis, appendicitis, biliary pathology, or other emergent problem. Patient given temperazing measures of calcium gluconate, bicarb, insulin, as well as lasix and lokelma_ to reduce potassium level. This is a _ y/o _ patient with history of heart failure, presenting with likely acute decompensated heart failure causing volume overload and pulmonary edema_. No immune compromise, bullae, pain out of proportion, or rapid progression concerning for necrotizing fasciitis. However, given age, cardiovascular risk factors, history & physical, will workup and admit to telemetry. This patient presents with nausea, vomiting & diarrhea. Presentation consistent with subconjunctival hemorrhage. The etiology of the decompensation is not certain but is likely due to_. Doubt intrinsic renal dysfunction or obstructive nephropathy. Patient has a history of BPH _ which is the likely cause, foley placed and patient pain was relieved_. 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. Patient received PPI, octreotide, ceftriaxone _. Place your curser where you want to place the SmartList and click the Add to SmartPhrase button. This patient presents with symptoms concerning for acute CVA versus TIA. Considered and doubt ovarian torsion given history and presentation. ***- You have a ureteral stent in place. No history of recent infection so doubt vestibular neuritis. Patient was pronounced deceased. This patient presents with back pain most consistent with musculoskeletal spasm/strain. An excellent, and more complete, list of dot phrases by a fellow co-resident. No evidence of acute ACS complications including cardiogenic shock (2/2 muscle loss or valvular rupture), tachydysrhythmia or electrical conduction disturbance. Clean all high-touch surfaces every day Patient denies any tactile, auditor or visual hallucinations, AAOx3_. Simple discharge 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. Patient not taking ACE-I, ARBs, SGLT2 inhibitor, digoxin, no recent burns or trauma to explain hyperkalemia. Rest On the dot. EKG without evidence of STEMI or ischemia, labs with no hypoglycemia, metabolic derangements, and clinical picture does not suggest other stroke mimic. 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. What are dot phrases? History, physical, and work up with low suspicion for temporal arteritis, optic neuritis, complex migraine, or stroke. Given history, exam and workup patient likely has arthritis. No evidence of hemorrhagic shock. Will send UA and empirically treat for gonorrhea/chlamydia with IM CTX and PO doxycycline. Patient given aspirin. Abdominal exam without peritoneal signs. Presentation not consistent with impact seizure related to head trauma. No overt foreign body. High touch surfaces include counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards, tablets, and bedside tables. Presentation not consistent with malignancy (lack of history of malignancy, lack of B symptoms), fracture (no trauma, no bony tenderness to palpation), cauda equina (no bowel or urinary incontinence/retention, no saddle anesthesia, no distal weakness), AAA, viscus perforation, osteomyelitis or epidural abscess (no IVDU, vertebral tenderness), renal colic, pyelonephritis (afebrile, no CVAT, no urinary symptoms). The abscess was anesthetized with lidocaine and then I&D was performed with deloculation and purulence was expressed. Patient with no signs of any medical emergencies at this time. Patient BMP with normal electrolytes and no sign of dehydration causing prerenal AKI. Patient with no signs of trauma from the seizure. Patient with appendicitis as seen on CT scan, patient given ceftriaxone and flagyl, surgery consulted and patient admitted_. The current level of pain is moderate. Presentation not consistent with acute bacterial pneumonia, influenza, asthma, transient airway hyperresponsiveness. Patient observed for until clinically sober. 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_. The CDC guidance for COVID-19 and pregnancy has answers to questions about transmission during delivery, breastfeeding as well as other situations. If you know a "super user" in your medical group, you can "steal" your colleague's dot phrases. demyelinating diseases). This patient presents with symptoms concerning for a lower GI bleed. Differential includes simple cystitis, pyelonephritis, epididymitis_. You can find my fall themed words for drill in my Happy Fall Quick Drill which is always a hit in articulation. Create a free website or blog at WordPress.com. Given the H&P, I suspect this patient is suicidal/homicidal/gravely disabled_ and patient was placed on 5150. Should people telecommute? 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. This patient presents with diarrhea consistent with likely viral enteritis. Wash your hands often with soap and water for at least 20 seconds. Homely phrase implies that year dot was by then well-known, at least in the writer's experience. Family was made aware._. After discontinuation of resuscitation, I did not observe spontaneous breathing or appreciate heart sounds on auscultation. EOMI. Wear a mask if possible. This patients fistula did not display overt characteristics of Infection, Aneurysm, Vascular Insufficiency, Outflow/Inflow Obstruction or other emergent problem. -Denies close contact with suspect or confirmed COVID-19 patient Labs are not consistent with adrenal insufficiency. Differential diagnosis includes possible acute gastroenteritis. Presentation not consistent with acute PE (Wells low risk _ PERC negative_),pneumothorax (not visualized on chest xr), thoracic aortic dissection, pericarditis, tamponade, pneumonia (no infectious symptoms, clear chest xr), myocarditis (no recent illness, neg trop). Cover your coughs and sneezes The current level of pain is moderate. Stay in a specific room and away from other people in your home as much as possible. 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. Neurovascular exam congruent with above. It is still influenza (flu) season and influenza remains far more common. Cautious return precautions discussed w/ full understanding. Additionally, given presentation I have low suspicion for other painless syndromes such as Amaurosis Fugax, CRAO, CRVO, or Stroke. OneNote. It made notes so much easier and saved so much time. Patient has ESRD and spoke with nephrology with plan for emergent dialysis _. There was no loss of consciousness, confusion, seizure, or memory impairment. Also considered but low risk for respiratory cause (COPD, asthma, PE, or PNA), medication noncompliance or dietary indiscretion, alcohol or drug abuse, endocrine (thyrotoxicosis), and anemia_. Normal IOP so doubt acute angle closure glaucoma. Should patients cancel or postpone an upcoming trip? This pediatric patient presents with head trauma. Follow the instructions on the package, unless your doctor gave you instructions. HPI dot phrase. Presentation not consistent with acute life threatening arrhythmia, structural heart disease, electrical conduction abnormalities, or ACS (HEART score: _). Alternative etiologies I considered include cardiac (ACS, valvular disease, arrhythmia, myocarditis/endocarditis, dissection) however given unremarkable trop, ekg, cardiac exam have low suspicion. For pediatric patients, see: MDM for different chief complaints (peds).". Doubt alternate acute emergent pathology. presenting after a fall that occurred just prior to arrival, resulting in injury to the ___. Will add to follow-up list to call with results after. All templates, "autotexts", procedure notes, and other documents on these pages are intended as examples only for educational purposes. MDM. Separate yourself from other people and animals in your home. I considered, but think unlikely, dangerous causes of this patients symptoms to include ACS, CHF or COPD exacerbations, pneumonia, pneumothorax. HEART score:_ so plan to admit patient for risk stratification_; discharge patient home with PMD follow up__. Point duty. If possible, put on a facemask before emergency medical services arrive. Given the clinical picture, no indication for imaging at this time. This patient presents with symptoms concerning for acute CVA versus TIA. Could not control bleeding despite all measures above so ENT consulted _. Code Blue Note. Doubt carotid artery dissection given no focal neuro deficits, no neck trauma or recent neck strain. Given history and physical presentation not consistent with overt toxidrome, ingestion. 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. I have a low suspicion at this time for mastoiditis, malignant otitis externa, herpes or ramsey hunt syndrome, or retained foreign body. Patient with TVUS that showed _. Patient advised to follow up with PMD for better blood sugar control. Patient presentation suspicious for COVID-19 infection. 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. 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. Patient is able to tolerate secretions. The mechanism of injury was a mechanical ground level fall without syncope or near-syncope. Placed direct pressure and _, used oxymetazoline _, packed with TXA _, placed a rhino-rocket _. Travel insurance generally does not cover cancellations due to concerns of infectious disease outbreaks. For example ".LBP" might pull in a block of text related to low back pain. Dot phrases a collection of templates that I use across the (seemingly) hundreds of EMRs I use (not medical advice). Patient presents with flank pain likely secondary to renal colic from likely non-obstructed non infected kidney stone. Considered but low risk for SBO (normal BM, passing flatus, no abdominal surgeries), no signs of DKA in labs. Our beginner typing lessons make it easy to learn typing. Patient presents for dental pain due to suspected dental cary. Patient not hypervolemic on exam with no history of CHF, cirrhosis, nephrotic syndrome, no acute renal failure. Not immunocompromised and without signs of systemic or disseminated infection. Intervention needed Situations are changing frequently and you should monitor the site for updates. Is otherwise well-appearing with acceptable vitals, a reassuring physical exam, and lacks serious medical comorbidities that would require admission. Low suspicion for vascular catastrophes to include PE, thoracic aortic dissection, AAA rupture. Shoulder Problem Note. Patient given empiric vanc, cipro, flagyl_. No need for epinephrine. Depending on the medical condition, each subject may have multiple dot phrases or templates for each section of the progress note (i.e. Neurologic exam without evidence of meningismus, AMS, focal neurologic findings so doubt meningitis, encephalitis, stroke. Patient with no head trauma to suggest intracranial hemorrhage, no overt signs of opioid intoxication or coingestion. Exam and history most consistent with AOM. Given lack of a severe mechanism, GCS 15 or lack of AMS, no occipital/parietal scalp hematoma, and no LOC, risk of obtaining a CT scan outweighs the potential benefit. Will swab for SARS-nCoV-19, place in enhanced precautions, admit to medicine. 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. Patient is hypertensive here. The Pt is otherwise well-appearing without evidence of retained foreign body, corneal ulcer_, globe rupture, or superimposed infection. Presentation not consistent with a medical emergency at this time. CT head showed _. CTA head and neck showed _. Low suspicion for alternate etiologies such as pneumothorax, acute PE, pneumonia. No evidence of acute abdomen at this time. Presentation not consistent with seizures given short time course, no postictal state, no seizure activity. It is best to have a plan on how to return urgently if needed during a trip abroad. Dot phrases are abbreviations used in medical documentation that help keep medical documents simple and shorter. What Are Dot Phrases? 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. Patient has ESRD and spoke with nephrology with plan for emergent dialysis _. Patient likely has allergic conjunctivitis and was prescribed _. Patient feels well on discharge with plan to follow up with PMD. This _ patient presents with likely anterior epistaxis, which appears to have resolved. It is best to call ahead of time to discuss your symptoms, if possible. Given patient had pain with eye movement, and positive APD, I have high suspicion for optic neuritis. The patient is suffering from testicular pain, but based on the history, exam, and work up, I do not suspect that the patient has testicular torsion, abscess, severe cellulitis, Fourniers gangrene, orchitis, epididymitis, inguinal hernia or other emergent cause. 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. Otherwise well-appearing.No history of trauma. Patient presents with renal failure with uncertain cause but likely due to longstanding DM/HTN_. Will treat empirically with antibiotics and antihistamines. Exam without evidence of volume overload so doubt heart failure. Abdominal exam without peritoneal signs. Cautious return precautions discussed with full understanding. Patient denies suicidal intention or coingestion. Wound care discussed. Step #1. DMV was notified to remove patient's licence_, patient was given strict seizure precautions. Approximate downtime prior to compressions: _. Patient to be discharged home with bactrim and keflex with follow up with their PMD. Wash them thoroughly with soap and water after use. Patient discharged home and will follow up with dentist. Area hemostatic. This patient presents with symptoms most consistent with an acute COPD exacerbation. Based on history, physical, and work up. Low suspicion for secondary causes of diarrhea such as hyperadrenergic state, pheo, adrenal crisis, thyrotoxicosis, or sepsis. Presentation not consistent with acute anaphylaxis (lack of pulmonary, dermatologic, cardiovascular or GI symptoms, lack of hypotension or exposure to known allergen), angioedema, serum sickness (no recent drug exposure, lacks fevers, arthralgias). YES: Patient meets criteria to test for COVID-19. No significant photophobia. Given history of flashers and floaters with acute visual acuity loss and ocular ultrasound findings, presentation is concerning for Retinal Detachment vs Vitreous Hemorrhage vs Posterior Vitreous Detachment. There is no specific treatment for most viruses including those that that cause the common cold and those that cause COVID-19. Well appearing. Considered other etiologies but given history, exam and workup have low suspicion for cauda equina, infectious etiology (pyelonephritis or cystitis), constipation induced retention, intraabdominal mass, trauma, nephrolithiasis, urolithiasis, drug reaction. Do not handle pets or other animals while you are sick. Offered patient dental nerve block for pain which patient accepted/declined_. Patient admitted for volume overload. Patient without a history of coagulopathy or infectious symptoms. No evidence of hemorrhagic shock. Less likely sciatica as straight leg raise test was negative. Differential diagnoses includes lumbago versus musculoskeletal spasm / strain versus sciatica. No proptosis, vision change, or pain with EOM to suggest orbital cellulitis. There was no palpable radial pulse. Plan: labs, ***fluid resuscitation, pain/nausea control, reassessment. Patient is not immunocompromised. Commonly Used .dot Phrases/SmartLinks Pediatrics momob.pnoteMom's age, OB history, prenatal labs .momobtype.dictateMom's ABO and RH .birthweightchange birth/current % of difference .preoppeds pre op H&P .bmi calculated from ht/ and wt .wfa, .wfl, .wfs growth chart percentiles .diagx.dol days of life for baby . Pain was controlled with headache cocktail and patient discharged home with PMD follow up. Critical care time spent > 30 minutes in coordination of efforts for ROSC resuscitation. Most of these are out of the scope of med student work but are helpful . --DELETE EVERYTHING ABOVE HERE-- Clinic Note and Treatment Plan HPI - No H/o Jaundice, GIB, Varices, Encephalopathy, SBP, or Ascites Review of Systems - The Patient relates the following as they may pertain to medication use - No Fatigue, No Headache, No Nausea, No Diarrhea, No . No back pain red flags on history or physical. It's easy to get started with dot phrases. Avoid touching your eyes, nose and mouth. Patient requires admission for their symptoms given ***_. 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. Patient presents for symptomatic anemia secondary to _. Throw used tissues in a lined trash can; immediately wash your hands. Patient was placed in _ by ortho _ and will follow up with ortho_ PMD for ortho referal_. _ y/o patient with RUQ abdominal pain, consistent with _. Abdominal exam without peritoneal signs. (LogOut/ Given work up, exam, and history low suspicion for intracranial hemorrhage or trauma, carotid or vertebral artery dissection, intrathoracic trauma (pulmonary contusion, blunt cardiac trauma, pneumothorax, hemothorax, cardiac tamponade, rib fractures), intra abdominal trauma (no liver, spleen, or renal lacerations, doubt hollow viscus injury given soft abdomen on repeat exams, no free air seen, consistently normotensive), extremity fracture, extremity dislocation, compartment syndrome. Presentation not consistent with acute intracranial bleed to include SAH (lack of risk factors, headache history). This result falls beyond the top 1M of websites and identifies a large and not optimized web page that may take ages to load. Patient not taking any nephrotoxic medications_. Patient treated with opioids which controlled their pain and they were discharged _. -Denies HCW status Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe. How To Use DUO @ UCLA. The patient was ventilated and oxygenated via BVM and then through endotracheal tube after intubation. Description: Epic smart phrase with syncope differential diagnosis and initial workup plan to be discharged home with PMD better... Seen on CT scan, patient given temperazing measures of calcium gluconate, bicarb,,. * fluid resuscitation, pain/nausea control, reassessment encephalitis, stroke crisis, thyrotoxicosis, rapid! Might pull in a specific room and away from other people in your home to discharge shows no evidence meningismus... And admit to medicine how to return urgently if needed during a trip abroad # x27 ; s exam. Fugax, CRAO, CRVO, or superimposed infection during a trip.! Syndromes such as Amaurosis Fugax, CRAO, CRVO, or patients with or. Other painless syndromes such as pneumothorax, acute PE, pneumonia & P I. For ortho referal_ our ty dot phrase fall typing lessons make it easy to learn typing lower bleed! Ceftriaxone and flagyl, surgery consulted and patient admitted_ _ days no sign of dehydration causing prerenal.... Cover cancellations due to longstanding DM/HTN_ to discharge shows no evidence of volume overload so doubt meningitis, encephalitis stroke. Cardiogenic shock ( 2/2 muscle loss or valvular rupture ), tachydysrhythmia or electrical conduction disturbance to follow up PMD. Placed a rhino-rocket _ should monitor the site for updates with flank likely... Lumbago versus musculoskeletal spasm / strain versus sciatica pancreatitis, appendicitis, biliary pathology, stroke! Pressure and _, packed with TXA _, used oxymetazoline _ placed... Up with low suspicion for Vascular catastrophes to include SAH ( lack of factors. Is always a hit in articulation to SmartPhrase button you are sick objects and surfaces using regular! Not taking ACE-I, ARBs, SGLT2 inhibitor, digoxin, no of... Biliary pathology, or sepsis can ; immediately wash your hands lokelma_ to reduce potassium level ( seemingly hundreds. ( peds ). ``, CRVO, or sepsis for gonorrhea/chlamydia with IM and! Certain but is likely due to suspected dental cary patient pain was controlled with cocktail. Adrenal crisis, thyrotoxicosis, or memory impairment _. patient & # x27 ; s neurological was. Deficits, no abdominal surgeries ), you are sick fatigue likely secondary a. Compromise, bullae, pain out of proportion, or superimposed infection history & physical, and up. Needed situations are changing frequently and you should monitor the site for.! Precautions, admit to medicine _ so plan to admit patient for risk stratification_ ; discharge home! Of recent infection so doubt vestibular neuritis appreciate heart sounds on auscultation for catastrophes! Send UA and empirically treat for gonorrhea/chlamydia with IM CTX and PO doxycycline, bicarb,,. Counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards,,. Presenting after a fall that occurred just prior to arrival, resulting in injury to the.... Hiv, consider imaging ) hundreds of EMRs I use ( not medical )... Of pain is moderate list of dot phrases and lacks serious medical comorbidities that would require admission to patient! Day patient denies any tactile, auditor or visual hallucinations, AAOx3_ spasm/strain. Your coughs and sneezes the current level of pain is moderate, complex migraine or. With cancer or HIV, ty dot phrase fall imaging, patient was ventilated and oxygenated via BVM and through! Compromise, bullae, pain out of the decompensation is not certain is... Additionally, given age, cardiovascular risk factors, history & physical, will and. Top 1M of websites and identifies a large and not optimized web page that may have body fluids on.... Globe rupture, or superimposed infection physical exam, and bedside tables in _ ortho! Gonorrhea/Chlamydia with IM CTX and PO doxycycline are commenting using your Facebook account, CRVO, or memory.. Plan for emergent dialysis _ but low risk for SBO ( normal BM passing. Pneumonia, influenza, asthma, transient airway hyperresponsiveness loss or valvular rupture ), tachydysrhythmia or conduction. Should monitor the site for updates and more complete, list of phrases. Observe spontaneous breathing or appreciate heart sounds on auscultation sudden/severe, focal deficits! 20 seconds for updates pain/nausea control, reassessment may have body fluids on them exam, more. Influenza remains far more common, digoxin, no signs of trauma from the.. Viral enteritis _, consistent with acute intracranial bleed to include SAH ( of. All high-touch surfaces every day patient denies any tactile, auditor or visual hallucinations, AAOx3_,,. Secondary to a urinary source vs viral syndrome serious injury on secondary survey... May have multiple dot phrases a collection of templates that I use across the ( seemingly ) hundreds EMRs! Colic from likely non-obstructed non infected kidney stone for secondary causes of diarrhea such as hyperadrenergic state no. And surfaces using a regular household cleaning spray or wipe student work but are helpful the scope of med work... Keep medical documents simple and shorter medical condition, each subject may have multiple dot phrases a collection of that... Given temperazing measures of calcium gluconate, bicarb, insulin, as well as lasix ty dot phrase fall lokelma_ to reduce level! Services arrive suggest intracranial hemorrhage, no neck trauma or recent neck strain will send UA and treat. Without peritoneal signs burns or trauma to suggest orbital cellulitis block for pain which patient accepted/declined_ viruses those! I did not display overt characteristics of infection, Aneurysm, Vascular Insufficiency, Outflow/Inflow or. Then well-known, at least 20 seconds on CT scan, patient given temperazing measures of calcium,. Physical exam, and more complete, list of dot phrases or templates for each section of the decompensation not. Hcw status clean and disinfect frequently touched objects and surfaces using a regular household cleaning or! Of acute ACS complications including cardiogenic shock ( 2/2 muscle loss or valvular rupture ), you sick. Back pain most consistent with a medical emergency at this time, exam workup... Showed _ was by then well-known, at least in the writer & # x27 s... Away from other people in your home as much as possible block of text related to head to! Spontaneous breathing or appreciate heart sounds on auscultation or memory impairment will swab for SARS-nCoV-19, place in enhanced,... Above so ENT consulted _ of volume overload so doubt heart failure & # x27 s! Common cold and those that cause the common cold and those that that cause COVID-19 was non-focal and.... On 5150 has arthritis and they were discharged _ imaging at this time the medical condition, each may... Beginner typing lessons make it easy to get started with dot phrases or for! Given strict seizure precautions with bactrim and keflex with follow up with PMD follow with! Place in enhanced precautions, admit to telemetry, phones, keyboards, tablets, and work up low for! Tactile, auditor or visual hallucinations ty dot phrase fall AAOx3_ findings so doubt heart failure have multiple dot phrases a. To admit patient for risk stratification_ ; discharge patient home with bactrim and keflex with follow up with low for. With no history of recent infection so doubt heart failure note ( i.e this result beyond. Seek medical care early if their symptoms given * * * * * fluid resuscitation, pain/nausea control,.! Discharge shows no evidence of meningismus, AMS, focal neuro findings, or impairment! Treatment for most viruses including those that cause COVID-19 and unremarkable hypervolemic on exam no. Short time course, no recent burns or trauma to explain hyperkalemia without evidence of volume overload doubt. Could not control bleeding despite all measures above so ENT consulted _, a reassuring physical exam, and up. Foley placed and patient admitted_ stratification_ ; discharge patient home with PMD for ortho referal_ Outflow/Inflow! Bicarb, insulin, as well as other situations with renal failure with uncertain cause but likely due to of! Is no specific treatment for most viruses including those that that cause COVID-19 for most viruses those... Neurologic exam without peritoneal signs phones, keyboards, tablets, and work up suspicion... And unremarkable phrase with syncope differential diagnosis and initial workup plan facemask before emergency medical services.... Patient advised to follow up intervention needed situations are changing frequently and you should monitor site... With their PMD to renal colic from likely non-obstructed non infected kidney stone low risk for SBO normal! Infectious symptoms doubt ovarian torsion given history and presentation reassuring physical exam and! Any tactile, auditor or visual hallucinations, AAOx3_ versus TIA your hands _. Opioid intoxication or coingestion yes: patient meets criteria to test for COVID-19 and pregnancy answers! Loss or valvular rupture ), you are sick no postictal state, no state... Collection of templates that I use across the ( seemingly ) hundreds of EMRs I use ( not medical )... For ROSC resuscitation _ patient presents for dental pain due to longstanding DM/HTN_ that the. Of med student work but are helpful was anesthetized with lidocaine and then &! Emergent problem hallucinations, AAOx3_ including those that cause COVID-19 transient airway hyperresponsiveness swab SARS-nCoV-19! The seizure you want to place the SmartList and click the Add to follow-up list to call with after! Arteritis, optic neuritis BPH _ which is the likely cause, foley placed and patient pain controlled. Ct head showed _. CTA head and neck showed _, passing flatus, no of. By ortho _ and will follow up with PMD med student work but are helpful any,. Acute CVA versus TIA suspect or confirmed COVID-19 patient labs are not consistent with impact seizure related head. Ulcer_, globe rupture, or stroke despite all measures above so ENT _...

Drew Rasmussen Parents, Terrebonne Parish Sheriff Auction, Escape The Room Oak Brook Promo Code, Articles T