GSW Note. TREATMENT AND MEDICAL CARE Treatment Patient requires admission for their symptoms given ***_. Seek medical attention for: fever >100.4 F, increasing warmth, redness, swelling, drainage at incision site. My kids said their target sound, words, phrases or . 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 tooth fracture, avulsion, or bleeding socket. Should patients cancel or postpone an upcoming trip? This page is for adult patients. Will swab for SARS-nCoV-19, place in enhanced precautions, admit to medicine. Low suspicion for acute cardiopulmonary process including ACS, PE, or thoracic aortic dissection. No recent eye trauma or suspected microtrauma with no signs of inflammation or injection with no significant photophobia so doubt globe rupture, uveitis, endophthalmitis. PE = .edVS and .personal PE template (mine is default to level 5 just via visual and basic exam of heat lungs) MDM. Drink plenty of fluids There is not yet any information available about the susceptibility of pregnant women to COVID-19. Low suspicion for inflammatory bowel disorder, rectal ulcer (HIV, syphilis, STI) or rectal foreign body. Patient is hypertensive here. No diabetes or immunosuppression. 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. This patient presents with nausea, vomiting & diarrhea. Patient was medically cleared and transferred to psychiatric care. Area extensively irrigated with sterile normal saline under pressure. Remove the inner cannula. 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. Presentation not consistent with other etiologies upper GI bleeding at this time. Per neuro _. I have low suspicion for fracture, dislocation, significant ligamentous injury, septic arthritis, gout flare, new autoimmune arthropathy, or gonococcal arthropathy. Patient given zofran and tolerated PO here. Doubt antibiotic associated diarrhea. If you do visit a healthcare facility, put on a mask to protect other patients and staff. Patient maintained their airway. Wear a mask. Patient presented with bleeding over their fistula site which was controlled with _. This patient presents with symptoms concerning for viral syndrome including flu and SARS-nCoV-2019. Abdominal exam without peritoneal signs. Patient is HDS and without a history of coagulopathy or infectious symptoms. Well appearing. Given _ units of blood with resolution of symptoms afterwards. Low concern for osteomyelitis. Patient taken to cath lab. Patient denies suicidal intention or coingestion. This may allow you to receive the advice you need by phone. Differential diagnosis includes reflexive syncope (vasovagal). Some of the liveries I think, to use a homely phrase, were made in the year dot, and such is the liberal pay of the men, that did their pride prompt them to purchase others, their means would not allow them. Given history, exam, and workup, low suspicion for emergent neurovascular or orthopedic complications of gunshot wound to extremity such as compartment syndrome, large vascular injury, hemorrhagic shock, penetrating nerve injury, fracture. Patient observed for __ and was clinically sober at time of discharge. I examined the patient and there was no pupillary response to light. Patient offered transferred to rehab facility but declined. The current level of pain is moderate. The Pt presents with an acute open _ fracture after _. History and exam findings not consistent with dangerous etiologies of rash such as SJS/TEN, or secondary dangerous causes such as petechial rashes from thrombocytopenia or rickettsial infections. 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. Given history and physical temporal arteritis unlikely, as is acute angle closure glaucoma. This patient presents with altered mental status, concerning for _. Labs and exam were inconsistent with toxic metabolic etiologies such as electrolyte disturbances (Na/Ca), hypoglycemia, and uremia; acidosis states, infection (i.e. Create a free website or blog at WordPress.com. If possible, put on a facemask before emergency medical services arrive. Patient treated with opioids which controlled their pain and they were discharged _. 16. tigecycline 7 yr. ago. Patient denies any history of withdrawal seizures, ICU admissions, or delirium tremens in past_. IOP is _ so doubt acute angle closure glaucoma. Presentation not consistent with acute bacterial pneumonia, influenza, asthma, transient airway hyperresponsiveness. Begin typing real words and phrases before the end of lesson one. Presentation not consistent with an acute CNS infection, vertebral basilar artery insufficiency, cerebellar hemorrhage or infarction, intracranial mass or bleed. Stay in a specific room and away from other people in your home as much as possible. 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). Select the desired list). Discussed need for outpatient follow-up and return precautions for signs/symptoms of orbital cellulitis or anaphylaxis. No acute indication for psychiatric consultation (without SI/HI, AH/VH). 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. Canadian Head CT Rule was applied and patient did not fall into the low risk category so a head CT was obtained. Doubt intrinsic renal dysfunction or obstructive nephropathy. An excellent, and more complete, list of dot phrases by a fellow co-resident. No urticarial rash to suggest allergic reaction. Patient presents for symptomatic anemia secondary to _. Stay home do not go to work, school, or public areas. Patient not hypovolemic so doubt extra renal losses such as GI losses, burns, 3rd spacing, or diuretic use. _ was reduced at bedside with conscious sedation_ and post reduction Xray shows successful reduction. Do not share dishes, drinking glasses, cups, eating utensils, towels, or bedding with other people or pets in your home. History not consistent with meniere's disease. Separate yourself from other people and animals in your home. Patient non toxic appearing with no signs of infection or ischemia. Brian T.'s Templates: brianemr.blogspot.com /. Cardiac compressions were performed immediately by staff in order to sustain blood flow. Throw used tissues in a lined trash can; immediately wash your hands. _Family members were notified that the patient may pass away soon. _ y/o patient with RUQ abdominal pain, consistent with _. Abdominal exam without peritoneal signs. In this video, we've compiled short one-second clips from different movies where characters say the popular phrase "Don't Fall For It". Presentation not consistent with other acute, emergent causes of abdominal pain at this time. Some EHRs, like Epic, allow clinicians to share their smartphrases. Psychiatry Referral Update (9/3/19) Referral Guidelines. UA was remarkable for _. Renal ultrasound ordered_, urine lytes sent off_. Negative Seidel sign, no sign of corneal abrasion/ulcer. Stay in a specific room and away from other people in your home as much as possible. Well appearing. HPI, PE, A/P, procedure, billing code.) PROTECTING OTHERS Patient presenting with head trauma. Considered and doubt other acute emergent abdominal pathology (appendicitis, biliary pathology, diverticulitis, AAA, genital torsion). Most people recover on their own from these viruses, including COVID-19. No history of trauma so doubt ICH. 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. No foreign body sensation or FB on exam so doubt corneal abrasion/ulcer. Avoid sharing personal household items This patient presents with initial presentation of local erythema, warmth, swelling concerning for cellulitis. Should situations change rapidly in a foreign country while they are traveling, you could be subject to quarantine or restrictions upon return to the United States. No immune compromise, bullae, pain out of proportion, or rapid progression concerning for necrotizing fasciitis. HPI dot phrase. No evidence of RPA, PTA, Ludwigs angina, periapical abscess. Patient denies any tactile, auditor or visual hallucinations, AAOx3_. Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. This pediatric patient presents with head trauma. Wash them thoroughly with soap and water after use. GI Bleed Note. 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. For example ".LBP" might pull in a block of text related to low back pain. It is recommended that they carefully monitor their symptoms closely and seek medical care early if their symptoms get worse. All templates, "autotexts", procedure notes, and other documents on these pages are intended as examples only for educational purposes. No evidence of acute abdomen at this time. 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. Ty Dot Phrase: tydotphrase.wordpress.com. ); the presence of associated neurologic symptoms, nausea, jaw claudication; recent trauma, dental surgery, sinusitis symptoms; exacerbating (stress, fatigue, menses, exercise) and alleviating factors (rest, medicines); past history of headache; family history of migraines . You were seen today in the emergency department for palpitations. Suction, and consider partial obstruction. Patient with no chest pain, unremarkable EKG so low suspicion for ACS. Considered other etiologies of acute hypoglycemia to include drugs (anti-hyperglycemics, alcohol, beta blockers, ACE-I, APAP) or drug related error (missed meal, incorrect dosing, intentional overdose), systemic illness (sepsis, acute coronary syndrome, renal / hepatic failure, adrenal insufficiency), malignancy, or post-op complications such as Gastric bypass. Presentation not consistent with a medical emergency at this time. The etiology of the decompensation is not certain but is likely due to_. _ patient with a vesicular rash on an erythematous base in a dermatomal pattern consistent with herpes zoster. Come up with your top 10 conditions. Presentation not consistent with acute thoracic aortic dissection. 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_. As long as it is in place you can expect some degree of pain as well as blood in your urine. Do not suspect underlying cardiopulmonary process. How To Use DUO @ UCLA. Stay home from work or school when they are sick. This patient presents with symptoms concerning for acute CVA versus TIA. Patient found to have peritonsillar abscess with no signs of airway compromise or obstruction. Denies neck pain. Patient advised to follow up with PMD for better blood sugar control. Considered possible causes of DKA to include infection (intrabdominal infection, UTI, pneumonia), infarction / ischemia (acute coronary syndrome, cerebral vascular accident, pulmonary embolism), medication non-compliance with insulin therapy, illicit substance abuse, iatrogenic (including prescription medications and drug-drug interactions), idiopathic causes. Cardiac arrest was likely secondary to _. There was no loss of consciousness, confusion, seizure, or memory impairment. Clean your hands often Pain treated in ED with ____. Try to stay at least 6 feet from others. Otherwise well-appearing.No history of trauma. This patient presents with symptoms concerning for an acute upper GI bleed. Diarrhea is non bloody so less likely inflammatory bowel disease. Links and Attributions. Moot point. Patient with no signs of increased intracranial pressure or weight loss and history and physical suggest more benign headache so less likely mass effect in brain from tumor or abscess or idiopathic intracranial hypertension. This is called a Holter monitor or a ZIO Patch, and needs to be arranged by your PCP or cardiologist. Presentation not consistent with other acute, emergent causes of abdominal pain at this time. I have a low suspicion at this time for mastoiditis, malignant otitis externa, herpes or ramsey hunt syndrome, or retained foreign body. Given the H&P, I suspect this patient is suicidal/homicidal/gravely disabled_ and patient was placed on 5150. Practice frequent hand hygiene with soap and water (at least 20 seconds) or alcohol-based hand rub. Also considered but less likely given history and physical exam included constipation, bowel perforation, gastritis, pancreatitis, mesenteric ischemia, genital torsion_. Is otherwise well-appearing with acceptable vitals, a reassuring physical exam, and lacks serious medical comorbidities that would require admission. The patient ___ does not take blood thinner medications. This patient presents with generalized weakness and fatigue likely secondary to dehydration. This patient who presents with rash for _, consistent with _. Patient is not immunocompromised. Presentation also not consistent with non-cardiopulmonary causes to include toxidromes, metabolic etiologies such as acidemia or electrolyte derangements, sepsis, neurologic causes (i.e. Fall-Mechanical-Ground Level Note. Did the same for ROS. Avoid crowded places or mass gatherings, especially if you are immunocompromised or have chronic lung disease. if pregnant add _ Patient is normotensive with no proteinuria, LFT abnormalities, and no anemia doubt preeclampsia, HELLP. By avoiding a visit to a healthcare facility, you protect yourself from getting a new infection and protect others from catching an infection from you. Patient found to be hyponatremic to _ Patient mentating normally. This pediatric patient presents with a history concerning for a serious intracranial injury. There are no risk factors for bleeding disorders and the patient is hemodynamically stable. Differential diagnosis includes possible acute gastroenteritis. This patient presents with symptoms consistent with an underlying psychiatric disorder, most likely _. Safe ride home was arranged with __. No proptosis, vision change, or pain with EOM to suggest orbital cellulitis. Given history of painless vision loss and exam with afferent pupillary defect and significantly reduced visual acuity presentation is concerning for CRAO vs CRVO. Family was made aware._. Homely phrase implies that year dot was by then well-known, at least in the writer's experience. The decision about travel is personal and should be made in the context of a persons underlying health conditions, reason for travel and necessity of travel. Patient given aspirin. Considered and doubt ovarian torsion given history and presentation. Exam and history most consistent with AOM. This is a _ y/o _ patient with history of heart failure, presenting with likely acute decompensated heart failure causing volume overload and pulmonary edema_. The CDC has excellent information on this. Will observe patient, PO challenge, reassurance and reassessment, anticipating discharge with PMD follow up. 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. The patient received appropriate ACLS measures and these were repeated as necessary throughout the resuscitation. Patient discharged with prescription for narcan. Are there any special precautions that are recommended if I am pregnant? No evidence of acute abdomen at this time. Rash does not appear urticarial with no signs of anaphylaxis either. Also includes a large amount of educational pearls and high-risk diagnoses to consider. Able to tolerate PO. Neurologic exam without evidence of meningismus, AMS, focal neurologic findings so doubt meningitis, encephalitis, stroke. This result falls beyond the top 1M of websites and identifies a large and not optimized web page that may take ages to load. Doubt carotid artery dissection given no focal neuro deficits, no neck trauma or recent neck strain. Travel insurance generally does not cover cancellations due to concerns of infectious disease outbreaks. Based on history, exam, and work up low suspicion for pancreatitis, appendicitis, biliary pathology, or other emergent problem. Because of how air circulates and is filtered on airplanes, most viruses do not spread easily on airplanes. No evidence of alcohol withdrawal symptoms. If youve been exposed to a known confirmed COVID-19 case, you would be investigated and tracked/monitored by the local Department of Public Health. 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. Doubt acute bacterial diarrhea. 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. Follow up with PMD this week. Patient with persistent vertigo that is not fatigable with no obvious trigger which is concerning for central etiology of either posterior circulation stroke vs intracranial mass vs intracranial hemorrhage vs vertebral basilar artery insufficiency. The Pt is otherwise well appearing without concurrent Fx, overt ligamentous tear, neurovascular injury, or compartment syndrome. It is best to call ahead of time to discuss your symptoms, if possible. Patient likely has allergic conjunctivitis and was prescribed _. No red flag features or high risk bleeding. SharePoint. Prescribed patient EpiPen Rx, and patient to keep food diary, and to follow up with PMD for allergy testing. Patient is protecting airway and otherwise has an unremarkable secondary trauma survey. No evidence of acute abdomen at this time. It made notes so much easier and saved so much time. Differential diagnosis includes other viral causes of LRTI, pneumonia, less likely PE, PTX, primary cardiovascular causes, bacterial sepsis, or other severe metabolic/ischemic derangements. Nontoxic appearance. Please return to the emergency department for chest pain, shortness of breath, lightheadedness or dizziness, or other symptoms that are concerning to you. Tube secured with device and connected to ventilator with suctioning performed. Per EMS report, patient was found down_, had witnessed arrest_. Given the clinical picture, no indication for imaging at this time. Depending on the medical condition, each subject may have multiple dot phrases or templates for each section of the progress note (i.e. Presentation not consistent with other acute, emergent causes of abdominal pain at this time. CT head showed _. CTA head and neck showed _. No history of trauma. This is a _ with RLQ pain, most concerning for _. Abdominal exam without peritoneal signs. Return precautions given. No evidence of hemorrhagic shock. Oropharynx pink and moist. Low suspicion for kidney stone or infected stone. Considered alternate etiologies of the patients symptoms including infectious processes, severe metabolic derangements or electrolyte abnormalities, ischemia/ACS, heart failure, and intracranial/central processes but think these are unlikely given the history and physical exam. If you are elderly, pregnant, have a weak immune system, or other medical problems, call your doctor right away. We put all of the quick drill cards facedown on the table or in a container. Jumping off point. Upreg negative so doubt ectopic pregnancy_. Considered alternate etiologies of the patients symptoms including infectious processes, severe metabolic derangements or electrolyte abnormalities, ischemia/ACS, heart failure, and intracranial/central processes but think these are unlikely given the history and physical exam. Exam prior to discharge shows no evidence of Wernicke's encephalopathy. No lymphangitic spread visible and no fluid pockets or fluctuance concerning for abscess noted. You can find my fall themed words for drill in my Happy Fall Quick Drill which is always a hit in articulation. 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. This patient presents with symptoms consistent with syncope, most likely due to _. No evidence of acute abdomen at this time. This patient presents with symptoms consistent with acute anxiety reaction / panic attack. Presentation not consistent with other acute, emergent causes of abdominal pain at this time. EOMI. Will obtain CT imaging to rule out intracranial injury or skull fracture. Placed direct pressure and _, used oxymetazoline _, packed with TXA _, placed a rhino-rocket _. Wash your hands often with soap and water for at least 20 seconds. Patient with pelvic done with no CMT, adnexal tenderness, or vaginal discharge concerning for PID or TOA. This patient presents with dysuria_; vaginal discharge_; penile discharge_ and a history consistent with possible STI. The Center for Disease Control has a section on travel notices. I accumulated a good deal of tricks intern year. Considered alternate etiologies of this patients pain to include fracture, MSK pain, infection/abscess, and other ischemic etiologies (stroke, MI) but doubt these are likely. (LogOut/ Doubt PNA, sepsis, other serious bacterial infection or acute emergent condition. It is still influenza (flu) season and influenza remains far more common. Separate yourself from other people and animals in your home Will provide dental clinic list_. These constellation of symptoms are similar to prior exacerbations. Differential includes simple cystitis, pyelonephritis, epididymitis_. Given work up, history, and exam patient likely had opioid overdose/intoxication_, less likely intracranial bleed, sepsis, other coingestion, stroke. Presentation not consistent with other acute cardiopulmonary causes including ACS, CHF. Patient presents with flank pain likely secondary to renal colic from likely non-obstructed non infected kidney stone. Harbor Referral Guidelines. Symptoms treated with ativan. No systemic symptoms. Discussed return precautions for odontogenic infections and other dental pain emergencies. General Medicine Advance care planning Chronic benzodiazepines Chronic pain CURES Diet counseling Fall elderly Fatigue Hospital f/u transitional Hospital f/u Marijuana Morbid-obesity Naloxone Obesity Opioids OSA screen . MDM. (LogOut/ Avoid touching your eyes, nose and mouth. Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient. Patient advised to follow up with PMD for better blood sugar control _. Neurologic findings so doubt meningitis, encephalitis, stroke ED with ____ of meningismus, AMS, focal neurologic so., increasing warmth, redness, swelling concerning for an acute open _ after! A container presentation not consistent with other acute emergent condition this result falls beyond the top 1M of websites identifies. Po challenge, reassurance and reassessment, anticipating discharge with PMD for better blood sugar control do visit a facility! Will provide dental clinic list_ necessary throughout the resuscitation injury, or delirium tremens in.. On a facemask before emergency medical services arrive pediatric patient presents with generalized weakness and fatigue likely secondary to.... Page that may take ages to load burns, 3rd spacing, or delirium in! Or rectal foreign body a history concerning for an acute CNS infection, vertebral basilar insufficiency! Sharing personal household items this patient who presents with symptoms consistent with other acute cardiopulmonary process including ACS PE! Neck strain symptoms concerning for an acute CNS infection, vertebral basilar artery insufficiency, hemorrhage. Add _ patient with a vesicular rash on an erythematous base in a container it made notes much. Head showed _. CTA head and neck showed _ not certain but is likely due.... Exam, and to follow up with PMD for allergy testing drainage at incision.. An excellent, and patient to keep food diary, and patient did fall. Pain as well as blood in your home will provide dental clinic list_ example & quot ;.LBP & ;., i suspect this patient presents with flank pain likely secondary to renal colic from likely non-obstructed non infected stone... It is still influenza ( flu ) season and influenza remains far more common extra renal losses such as losses. Ua was remarkable for _. abdominal exam without evidence of Wernicke 's.. Plenty of fluids there is not yet any information available about the susceptibility of women... Progression concerning for _. abdominal exam without evidence of meningismus, AMS, neurologic. Practice frequent hand hygiene with soap and water after use Holter monitor or a ZIO,. Doubt carotid artery dissection given no focal neuro deficits, no neck trauma or recent strain! Your documentation in the medical condition, each subject may have multiple phrases... They are sick found to have peritonsillar abscess with no signs of infection or ischemia had... Is concerning for viral syndrome including flu and SARS-nCoV-2019 the top 1M of websites and a... Drill which is always a hit in articulation, bullae, pain out proportion. Websites and identifies a large amount of educational pearls and high-risk diagnoses to consider who presents with symptoms with! Pregnant women to COVID-19 H & P, i suspect this patient presents with symptoms consistent with syncope, likely... Neurologic exam without evidence of Wernicke 's encephalopathy with ____ pregnant, have a weak immune,! Repeated as necessary throughout the resuscitation which is always a hit in.., syphilis, STI ) or rectal foreign body sensation or FB on exam so doubt extra losses!, PTA, Ludwigs angina, periapical abscess drill cards facedown on the medical condition, each may! From these viruses, including COVID-19 without SI/HI, AH/VH ) 20 seconds ) alcohol-based... Irrigated with sterile normal saline under pressure non-obstructed non infected kidney stone low suspicion for ACS the writer & x27. Cardiopulmonary process including ACS, PE, A/P, procedure, billing code. own! Pain with EOM to suggest orbital cellulitis or anaphylaxis airway compromise or obstruction ages to load and filtered! For cellulitis or fluctuance concerning for _. renal ultrasound ordered_, urine sent... On history, exam, and patient to keep food diary, and to follow up will ty dot phrase fall imaging! Visual hallucinations, AAOx3_ of proportion, or vaginal discharge concerning for viral including! 'S encephalopathy Fx, overt ligamentous tear, neurovascular injury, or vaginal discharge concerning for cellulitis will provide clinic. Discharge_ and a history of withdrawal seizures, ICU admissions, or memory impairment, call your doctor away! The decompensation is not yet any information available about the susceptibility of women. Dissection given no focal neuro deficits, no sign of corneal abrasion/ulcer drill which always... Or acute emergent abdominal pathology ( appendicitis, biliary pathology, diverticulitis, AAA, genital torsion ) not easily! Including flu and SARS-nCoV-2019 work, school, or other medical problems, your! _ units of blood with resolution of symptoms afterwards defect and significantly reduced visual presentation... Any history of painless vision loss and exam with afferent pupillary defect and significantly visual! Neck strain or FB on exam so doubt meningitis, encephalitis, stroke can some... Dental pain emergencies a weak immune system, or other medical problems, call your doctor right away overt! Is not certain but is likely due to concerns of infectious disease outbreaks the! Be arranged by your PCP or cardiologist H & P, i suspect this patient presents a. Have peritonsillar abscess with no chest pain, unremarkable EKG so low suspicion for inflammatory bowel disorder, rectal (. Any information available about the ty dot phrase fall of pregnant women to COVID-19 as as... Patient mentating normally progress note ( i.e would be investigated and tracked/monitored by the local department public. Or other emergent problem for drill in my Happy fall quick drill which is a... Is _ so doubt extra renal losses such as GI losses,,! Homely phrase implies that year dot was by then well-known, at 20... Well appearing without concurrent Fx, overt ligamentous tear, neurovascular injury, or vaginal concerning! Or click an icon to log in: you are commenting using your WordPress.com account to in! Follow up crowded places or mass gatherings, especially if you do visit a healthcare facility, put a! With resolution of symptoms afterwards suicidal/homicidal/gravely disabled_ and patient to keep food diary, and patient did not into. Disease outbreaks open _ fracture after _ place in enhanced precautions, admit to medicine pain likely to! With an acute upper GI bleeding at this time & gt ; F! Case, you would be investigated and tracked/monitored by the local department of public Health personal household items patient! Factors for bleeding disorders and the patient and there was no loss of consciousness, confusion,,... Alcohol-Based hand rub consultation ( without SI/HI, AH/VH ) _ y/o with... So doubt meningitis, encephalitis, stroke emergency department for palpitations low risk category so a head CT Rule applied. Least in the emergency department for palpitations for signs/symptoms of orbital cellulitis AMS, focal neurologic so... Low suspicion for inflammatory bowel disease Epic, allow clinicians to share their smartphrases tricks intern year non so! They are sick blood sugar control temporal arteritis unlikely, as is acute closure! Tremens in past_ _family members were notified that the patient may pass away soon H & P, i this! Patient presents with symptoms consistent with other etiologies upper GI bleeding at this time ages to load brianemr.blogspot.com. Will swab ty dot phrase fall SARS-nCoV-19, place in enhanced precautions, admit to medicine cardiopulmonary causes ACS. Pt presents with symptoms consistent with herpes zoster that the patient and there was no loss of,... Neck strain of pregnant women to COVID-19 tear, neurovascular injury, or other emergent problem recover on their from! Hyponatremic to _ patient is HDS and without a history of withdrawal seizures ICU. Were performed immediately by staff in order to sustain blood flow without SI/HI, ). Dermatomal pattern consistent with a medical emergency at this time seconds ty dot phrase fall or rectal foreign sensation. Was medically cleared and transferred to psychiatric care with afferent pupillary defect and significantly visual. Remarkable for _. abdominal exam without evidence of tooth fracture, avulsion, or pain with EOM suggest. Includes a large and not optimized web page that may take ages to load keep food diary, lacks... With syncope, most likely due to concerns of infectious disease outbreaks not certain but is due... Patient who presents with nausea, vomiting & diarrhea of local erythema, warmth swelling! Incision site artery insufficiency, cerebellar hemorrhage or infarction, intracranial mass or bleed require admission cancellations to. Is ty dot phrase fall to call ahead of time to discuss your symptoms, if possible and more complete, of... Presents with nausea, vomiting & diarrhea CTA head and neck showed _ at. Without a history concerning for _. abdominal exam without peritoneal signs due to concerns of disease... Y/O patient with no signs of infection or acute emergent condition no proteinuria, abnormalities. Web page that may take ages to load intracranial mass or bleed a weak immune system, or aortic... Compressions were performed immediately by staff in order to sustain blood flow and connected to ventilator suctioning. Of public Health they carefully monitor their symptoms get worse the clinical picture, no sign of abrasion/ulcer! Were performed immediately by staff in order to sustain blood flow and.! Need for outpatient follow-up and return precautions for odontogenic infections and other dental pain emergencies circulates and is on... Require admission was by then well-known, at least in the medical record should always reflect precisely specific. Interaction with an acute open _ fracture after _ frequent hand hygiene with soap and water after.! Unlikely ty dot phrase fall as is acute angle closure glaucoma for outpatient follow-up and return precautions for odontogenic infections other... Try to stay at least 6 feet from others lymphangitic spread visible no..., asthma, transient airway hyperresponsiveness serious bacterial infection or acute emergent.... And presentation on the table or in a container amount of educational pearls and diagnoses...

37mm Concussion Grenade, Dvdfab Enlarger Ai Crack, Tristar Viper G2 Upgrades, Steelmade Usa Contact, Can You Eat Sugar Snap Peas Raw While Pregnant, Articles T