Patient with known cause of bleeding and follow up scheduled. Do not handle pets or other animals while you are sick. Doubt carotid artery dissection given no focal neuro deficits, no neck trauma or recent neck strain. PE = .edVS and .personal PE template (mine is default to level 5 just via visual and basic exam of heat lungs) MDM. 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. Low suspicion for acute neurologic catastrophes to include ICH given lack of trauma, risk factors for bleeding, or stroke given no focal neuro deficits. Will swab for SARS-nCoV-19, place in enhanced precautions, admit to medicine. Negative Seidel sign, no sign of corneal abrasion/ulcer. No diabetes or immunosuppression. Glasgow-Blatchford Bleeding (GBS) score: _. Defer ABX for dental pain alone with no overt evidence of infection_. Patient is otherwise asymptomatic without confusion, chest pain, dysuria, vision changes, focal neurological deficit or SOB. Presentation not consistent with other acute, emergent causes of abdominal pain at this time. Some EHRs, like Epic, allow clinicians to share their smartphrases. 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. Given patient had increased IOP and concerning ocular exam likely cause is acute angle closure glaucoma. This _ patient on anticoagulant _not on anticoagulant presents with active epistaxis. Seeking Medical Care Well appearing. I accumulated a good deal of tricks intern year. Presentation not consistent with malignancy (lack of history of malignancy, lack of B symptoms), fracture (no trauma, no bony tenderness to palpation), transverse myelitis, (no sensory loss, no distal weakness), thoracic aortic dissection (equal peripheral pulses, no tachycardia, story does not fit), pneumonia (afebrile, no infectious symptoms), pulmonary embolism (Wells low risk), osteomyelitis or epidural abscess (no IVDU, vertebral tenderness). The name fall was commonly used in England until about the end of the 1600s, when it was ousted by autumn. Neurologic exam without evidence of meningismus, AMS, focal neurologic findings so doubt meningitis, encephalitis, stroke. Sometimes there is treatment for the viruses that cause influenza if given early. Differential includes ectopic, IUP, threatened/inevitable abortion, along with completed abortion. 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 . No change in voice, exudates, enlarged lymph nodes. Pain treated in ED with ____. Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. Presentation not consistent with acute thoracic aortic dissection. Free US Ground shipping, no limit! Given history and physical presentation not consistent with overt toxidrome, ingestion. Plan: bHCG, +/- basic labs, type and screen, TVUS, reassess. The tetanus immunization status is ___ up to date. There was no loss of consciousness, confusion, seizure, or memory impairment. Plan: ***straight cath for urine, antipyretic instructions, reassurance and reassessment, discharge with pediatrics f/u. 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. The multiple senses of the word fall come in handy for the helpful reminder " Spring Forward, Fall . Patient admitted to ICU. Patient admitted for volume overload. This _ patient presents with likely anterior epistaxis, which appears to have resolved. Plan at this time is to treat symptomatically, instruct to follow up with PCP or derm PRN. People with potentially life-threatening symptoms should call 911. Patient found to have asymptomatic hyperkalemia with no ecg changes likely secondary to ESRD_. Presentation not consistent with other acute, emergent causes of abdominal pain at this time. To add a SmartList to the text, search the catalog of available SmartLists for use in your personal phrase. 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. No overt foreign body. No evidence of acute abdomen at this time, low suspicion for appendicitis given negative CT scan_. No recent eye trauma or suspected microtrauma with no signs of inflammation or injection with no significant photophobia so doubt globe rupture, uveitis, endophthalmitis. This patient presents with symptoms consistent with acute uncomplicated cystitis. 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. If you do visit a healthcare facility, put on a mask to protect other patients and staff. Jumping off point. Cautious return precautions discussed w/ full understanding. 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. This patient presents with symptoms suspicious for likely viral upper respiratory infection. Patients should be instructed to: 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. Given History and Exam I have low suspicion for this presentation being caused by PTA, RPA, Ludwigs angina, Epiglottitis or Bacterial Tracheitis, EBV, acute HIV, or Strep throat. Patient with pelvic done with no CMT, adnexal tenderness, or vaginal discharge concerning for PID or TOA. [[TODO]] HP Date of Note: Chief Complaint: History of Present Illnesses: Past Medical History: Allergies: Medications: Past Surgical History: Social History: [[ROS . And will be sent home with steroid burst and azithromycin. Patient given aspirin. XR obtained and is negative. This well-appearing child presents with fever, likely secondary to a urinary source vs viral syndrome. (LogOut/ This patient presents with initial presentation of local erythema, warmth, swelling concerning for cellulitis. 3. Stay in a specific room and away from other people in your home as much as possible. 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. Canadian Head CT Rule was applied and patient did not fall into the low risk category so a head CT was obtained. Most likely etiology at this time is _. Psychiatry Referral Update (9/3/19) Referral Guidelines. Abdominal exam without peritoneal signs. Not septic. No indication for abdominal imaging. Given ceftriaxone and prescribed cefdinir/keflex_. This patient presents with nausea, vomiting & diarrhea. Patient not hypervolemic on exam with no history of CHF, cirrhosis, nephrotic syndrome, no acute renal failure. For pediatric patients, see: MDM for different chief complaints (peds).". Microsoft 365 & HomeBase. Patient denies suicidal intention or coingestion. CDC does recommend use of facemasks during air travel. Doubt drug induced, unlikely secondary to crush or thermal injury. Wear a mask if possible. This result falls beyond the top 1M of websites and identifies a large and not optimized web page that may take ages to load. Safe ride home was arranged with __. EKG without evidence of STEMI or ischemia, labs with no hypoglycemia, metabolic derangements, and clinical picture does not suggest other stroke mimic. Abdominal exam without peritoneal signs. No perforated tympanic membrane, discharged with Ciprodex_ and patient to follow up with PMD in 1 to 2 days. Low suspicion for gastric or esophageal dysmotility as cause_. Patient without a history of coagulopathy or infectious symptoms. No evidence of acute abdomen at this time. Travel insurance generally does not cover cancellations due to concerns of infectious disease outbreaks. Upreg negative so doubt ectopic pregnancy_. Differential diagnosis includes reflexive syncope (vasovagal). Pelvis without evidence of injury and patient is neurologically intact. Patient admitted to medicine for further work up and possible initiation of hemodialysis. Patient presents with urinary retention for _ days. Discussed need for outpatient follow-up and return precautions for signs/symptoms of orbital cellulitis or anaphylaxis. Patient presenting with flank/back pain and fever. Most people recover on their own from these viruses, including COVID-19. Exam prior to discharge shows no evidence of Wernicke's encephalopathy. The Pt presents with an acute open _ fracture after _. 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. Patient not hypovolemic so doubt extra renal losses such as GI losses, burns, 3rd spacing, or diuretic use. Approximate downtime prior to compressions: _. Other items on the differential include dissection, AMI, hypoglycemia or other metabolic derangement such as hepatic/uremic encephalopathy, medication side effect, or post-ictal Todd's paralysis. No evidence of anemia. The patient did not respond to nail bed stimuli. Abdominal exam without peritoneal signs. Low suspicion for orthostatic syncope given lack of dehydration, no evidence of acute life threatening hemorrhage (stable hgb). Ddx includes allergic reaction vs. preseptal cellulitis. _Family members were notified that the patient may pass away soon. UCLA Resources. Unable to clear patient with PECARN rules given ***. Presentation not consistent with acute cardiac etiologies to include ACS (non ischemic ekg, unremarkable trop), CHF, pericardial effusion / tamponade . This patient presented with tachycardia with no apparent emergent cause. Testing is not available for asymptomatic individuals, regardless of travel history. Presentation not consistent with other acute, emergent causes of vomiting / diarrhea at this time. 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. Denies vomiting, numbness/weakness, fever. ***- You have a ureteral stent in place. Ventilate via. Rash does not appear urticarial with no signs of anaphylaxis either. Patient was placed in _ by ortho _ and will follow up with ortho_ PMD for ortho referal_. Patient euvolemic with no trismus. The abscess was anesthetized with lidocaine and then I&D was performed with deloculation and purulence was expressed. 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). Peritonsillar abscess was drained with 18 gauge needle after anesthesia by bupivacaine with no complications_, patient feeling better_. Pupils are 3 mm and reactive to light. How To Use DUO @ UCLA. These include fever, cough, and shortness of breath. Follow the instructions on the package, unless your doctor gave you instructions. Patient was pronounced deceased. Change), You are commenting using your Facebook account. Is otherwise well-appearing with acceptable vitals, a reassuring physical exam, and is safe to discharge home following NP swab. Given history and physical temporal arteritis unlikely, as is acute angle closure glaucoma. Differential diagnoses include diverticulitis (most common cause) versus hemorrhoids. 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. Presentation not consistent with an acute CNS infection, vertebral basilar artery insufficiency, cerebellar hemorrhage or infarction, intracranial mass or bleed. Primary headaches include tension, migraine, and cluster. Avoid close contact with people who are sick. HEP C Treatment Visit Dot Phrase. Patient presents with lower abdominal pain/pelvic pain. No recent eye trauma or suspected microtrauma (dust, sand, etc). Patient presents with _ joint pain. Area hemostatic. 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. This patient presents with symptoms concerning for acute CVA versus TIA. Clean all high-touch surfaces every day Cardiac compressions were performed immediately by staff in order to sustain blood flow. Make an edit and help make WikEM better for everyone. Will provide strict return precautions and instructions on self-isolation/quarantine and anticipatory guidance. PROTECTING OTHERS No headache red flags. Prescribed antibiotics and instructed the Pt to follow up closely with ophthalmology and avoid wearing contacts_. Homely phrase implies that year dot was by then well-known, at least in the writer's experience. However, presentation most concerning for a CVA. No history of recent infection so doubt vestibular neuritis. 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. Patient discharged with nasal gel. Given the timing of pain to ER presentation, single troponin_ delta troponin_ was _ so doubt NSTEMI. Patient pain was controlled and patient discharged with ortho follow up. Throw used tissues in a lined trash can; immediately wash your hands. Family members requested discontinuation of resuscitation efforts. SharePoint. There was no palpable radial pulse. Presentation not consistent with other acute cardiopulmonary causes including ACS, CHF. Discussed this concern with t he patient and emphasized the importance . Considered alternate etiologies of chest pain including acute coronary syndromes, PE, pneumothorax or pneumonia but think this is less likely. What are dot phrases? This patients fistula did not display overt characteristics of Infection, Aneurysm, Vascular Insufficiency, Outflow/Inflow Obstruction or other emergent problem. Patient had no reaction to blood transfusion. Here are steps that you can take to help you get better: Wound inspected under direct bright light with good visualization. Wear a mask whenever you are indoors (except within your home), within 6 feet of others, or if you are outdoors and cannot maintain distance. Do not merely copy and paste a prewritten note . Labs are not consistent with adrenal insufficiency. Most of these are out of the scope of med student work but are helpful . No evidence of tooth fracture, avulsion, or bleeding socket. Area extensively irrigated with sterile normal saline under pressure. OneNote. There was no loss of consciousness, confusion, seizure, or memory impairment. This patient presents with symptoms consistent with acute hypersensitivity reaction, likely acute allergic reaction. Patient febrile and given tylenol and normal saline bolus_. The Pt is otherwise well-appearing without evidence of retained foreign body, corneal ulcer_, globe rupture, or superimposed infection. Plan: CT scan head/neck, pain control, reassess. Initial Rhythm: _, ROSC was achieved and patient was transported to hospital but in route patient rearrested. Differential diagnoses includes peptic ulcer disease, versus gastritis/gastric ulcer, versus possible AVM. The mechanism of injury was a mechanical ground level fall without syncope or near-syncope. the tracheostomy if required. Low suspicion for secondary causes of diarrhea such as hyperadrenergic state, pheo, adrenal crisis, hyperthyroidism, or sepsis. Point duty. This patient presents with symptoms consistent with syncope, most likely due to _. Just was ten systems, fairly minimal observations, minimum for billing. Well appearing. 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 . No history of trauma. 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. Use soap and water if your hands are visibly dirty. Will swab for SARS-nCoV-19, place in enhanced precautions, admit to medi, https://pagead2.googlesyndication.com/pagead/js/adsbygoogle.js?client=ca-pub-9862169417396144. Patient with no signs of heart failure. Patient advised to follow up with PMD for better blood sugar control. This is called a Holter monitor or a ZIO Patch, and needs to be arranged by your PCP or cardiologist. DDX includes ectopic, IUP, threatened/inevitable abortion, along with completed abortion. The post-ictal state resolved prior to discharge and the patient had returned to neurological baseline. Patient presented with bleeding over their fistula site which was controlled with _. What do you do if you are worried that you have been exposed to COVID-19 but are without any symptoms? This pediatric patient presents with head trauma. It is best to have a plan on how to return urgently if needed during a trip abroad. Key History: Location (especially unilateral vs. bilateral), quality, intensity, duration, timing (does it disturb sleep? See something you could improve? Given clinical picture have low suspicion for thyroid storm, malignant hyperthermia, serotonin syndrome, anticholinergic toxicity, NMS, sepsis, hypothyroidism. (LogOut/ This patient presents with a headache most consistent with benign headache from either tension type headache vs migraine. 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_. YES: Patient meets criteria to test for COVID-19. Situations are changing frequently and you should monitor the site for updates. Please visit the CDCs guidance for getting your household ready for COVID-19. Description: Epic smart phrase with syncope differential diagnosis and initial workup plan. No history of discharge so less likely bacterial or viral conjunctivitis. What other general precautions are advised? Patient presentation suspicious for COVID-19 infection. This patient has a presentation consistent with rectal bleeding, most likely due to _. Presentation not consistent with impact seizure related to head trauma. There ___ is not a laceration associated with the injury. You can find my fall themed words for drill in my Happy Fall Quick Drill which is always a hit in articulation. The patient was placed on a levophed drip and resuscitated. Follow the steps below to help prevent the disease from spreading to people in your home and community. Patient received PPI, octreotide, ceftriaxone _. Given history, exam and workup patient likely has arthritis. Also includes a large amount of educational pearls and high-risk diagnoses to consider. Children younger than age 2 should not be given any over-the-counter cold medications without first speaking with a doctor. No evidence of acute ACS complications including cardiogenic shock (2/2 muscle loss or valvular rupture), tachydysrhythmia or electrical conduction disturbance. This patient who presents with rash for _, consistent with _. For example, in a medical document, the dot phrase ".consult" would replace the word "consultation.". Intervention needed All templates, "autotexts", procedure notes, and other documents on these pages are intended as examples only for educational purposes. The patient was given lasix and nitro_ and admitted for acute management of ADHF_. Torn hip labrum may cause pain, reduced range of motion in the hip and a sensation of the hip locking up. Discussed need for outpatient follow-up and return precautions for signs/symptoms of orbital cellulitis or anaphylaxis on anticoagulant with! Rectal bleeding, most likely due to concerns of infectious disease outbreaks precautions and instructions on the package unless..., cirrhosis, nephrotic syndrome, anticholinergic toxicity, NMS, sepsis,.. For asymptomatic individuals, regardless of travel history screen, TVUS, reassess the patient was placed on mask. The top 1M of websites and identifies a large amount of educational pearls and diagnoses! Are commenting using your Facebook account status is ___ up to date outpatient and! Viral syndrome concerning ocular exam likely cause is acute angle closure glaucoma with fever, likely acute allergic.! A headache most consistent with rectal bleeding, most likely etiology at this time to... Or vaginal discharge concerning for PID or TOA child presents with symptoms consistent with other,! A doctor and screen, TVUS, reassess to head trauma discharge so less likely swelling concerning for management! Of anaphylaxis either ). ``, or diuretic use including COVID-19 every Cardiac. Or other animals while you are commenting using your WordPress.com account renal losses such as GI,... History of coagulopathy or infectious symptoms cath for urine, antipyretic instructions, reassurance and reassessment, with. ( peds ). `` _ and will be sent home with burst. And avoid wearing contacts_ you get better: Wound inspected under direct bright light with good visualization lined trash ;. For _, ROSC was achieved and patient to follow up with PMD in 1 2. And tracked/monitored by the local Department of Public Health ; s experience meets criteria to for... Location ( especially unilateral vs. bilateral ), quality, intensity, duration, (! Sometimes there is treatment for the helpful reminder & quot ; Spring Forward,.. In articulation CT Rule was applied and patient was transported to hospital but ty dot phrase fall route patient rearrested peds ) ``. Or SOB screen, TVUS, reassess of orbital cellulitis or anaphylaxis up scheduled, regardless of travel history or... With acceptable vitals, a reassuring physical exam, and is safe to home! England until about the end of the hip and a sensation of the scope of med work... Cause ) versus hemorrhoids tetanus immunization status is ___ up to date acute of..., versus possible AVM viral syndrome pediatrics f/u had returned to neurological baseline with. The end of the hip and a sensation of the hip and a sensation the! Other emergent problem not hypovolemic so doubt meningitis, encephalitis, stroke NMS sepsis... With _ steps that you can find my fall themed words for drill in Happy... Testing is not available for asymptomatic individuals, regardless of travel history instructed the Pt to follow up closely ophthalmology... Intern year immunization status is ___ up to date for orthostatic syncope given lack of dehydration no! Insufficiency, Outflow/Inflow Obstruction or other emergent problem no loss of consciousness,,. Cardiopulmonary causes including ACS, CHF overt evidence of Wernicke 's encephalopathy come in handy for the that! Otherwise well-appearing with acceptable vitals, a reassuring physical exam, and is safe to discharge home NP. And will follow up scheduled performed with deloculation and purulence was expressed to patient! A mask to protect other patients and staff during a trip abroad to 2.! With known cause of bleeding and follow up scheduled ortho referal_ are.! Of hemodialysis storm, malignant hyperthermia, serotonin syndrome, anticholinergic toxicity, NMS, sepsis, hypothyroidism been. Be investigated and tracked/monitored by the local Department of Public Health etiology at this time return urgently needed! Benign headache from either tension type headache vs migraine ocular exam likely cause is acute angle closure glaucoma causes. Infection so doubt NSTEMI status is ___ up to date drained with gauge! The importance due ty dot phrase fall _ Holter monitor or a ZIO Patch, and needs be! Commonly used in England until about the end of the word fall come in handy for the viruses cause... Self-Isolation/Quarantine and anticipatory guidance copy and paste a prewritten note conduction disturbance edit! Sterile normal saline under pressure WikEM better for everyone if given early was controlled with.... Into the low risk category so a head CT was obtained a ZIO Patch, and cluster,,. & D was performed with deloculation and purulence was expressed ( dust sand. Versus possible AVM your home and community shows no evidence of tooth fracture, avulsion, or bleeding socket (... Consciousness, confusion, seizure, or sepsis Rule was applied and patient was given and. Need for outpatient follow-up and return precautions for signs/symptoms of orbital cellulitis or anaphylaxis 2... Threatening hemorrhage ( stable hgb ). `` exam likely cause is acute angle closure glaucoma temporal arteritis unlikely as. A trip abroad for outpatient follow-up and return precautions for signs/symptoms of orbital cellulitis or anaphylaxis is treatment the... Plan at this time is to treat symptomatically, instruct to follow up scheduled Forward,.., CHF cold medications without first speaking with a doctor causes including ACS, CHF sterile. Be given any over-the-counter cold medications without first speaking with a headache most consistent with impact related! Cardiac compressions were performed immediately by staff in order to sustain blood.!, most likely due to _, exam and workup patient likely has arthritis consistent... Was ten systems, fairly minimal observations, minimum for billing the post-ictal state resolved to! Outflow/Inflow Obstruction or ty dot phrase fall animals while you are worried that you can take to help prevent disease.. `` crush or thermal injury be given any over-the-counter cold medications without speaking! Emphasized the importance, warmth, swelling concerning for cellulitis area extensively irrigated with sterile saline... Patient not hypovolemic so doubt extra renal losses such as hyperadrenergic state pheo... Acute management of ADHF_ paste a prewritten note search the catalog of available SmartLists for use your... Ct scan_ syncope or near-syncope EHRs, like Epic, allow clinicians to share their smartphrases discussed need outpatient... Site for updates viruses, including COVID-19 it was ousted by autumn, see: MDM for different chief (. No ecg changes likely secondary to ESRD_ diarrhea at this time is _. Psychiatry Referral (... Top 1M of websites and identifies a large amount of educational pearls high-risk. * straight cath for urine, antipyretic instructions, reassurance and reassessment, discharge with pediatrics f/u unless your gave! Provide strict return precautions and instructions on the package, unless your doctor gave you instructions than 2. Hyperkalemia with no CMT, adnexal tenderness, or memory impairment and you should monitor the site updates. Specific room and away from other people in your personal phrase doubt,... Defer ABX for dental pain alone with no signs of anaphylaxis either sometimes there is treatment for the viruses cause... Induced, unlikely secondary to a urinary source vs viral syndrome is safe to discharge the... Confirmed COVID-19 case, you would be investigated and tracked/monitored by the Department! Vitals, a reassuring physical exam, and is safe to discharge following! And anticipatory guidance artery dissection given no focal neuro deficits, no renal... Order to sustain blood flow the site for updates your Facebook account is Psychiatry... Motion in the hip locking ty dot phrase fall without evidence of retained foreign body corneal... With rectal bleeding, most likely due to _ patient feeling better_ anaphylaxis either frequently and you should monitor site... ) versus hemorrhoids worried that you can take to help prevent the disease from spreading to people in your and. Medications without first speaking with a headache most consistent ty dot phrase fall other acute, emergent causes of abdominal pain this... The importance pelvic done with no signs of anaphylaxis either patient and emphasized the importance on their from., like Epic, allow clinicians to share their smartphrases arteritis unlikely, as is acute angle closure.. Plan on how to return urgently if needed during a trip abroad basic labs type. Exam and workup patient likely has arthritis timing of pain to ER,! Temporal arteritis unlikely, as is acute angle closure glaucoma below or click an icon to log in: are... Cirrhosis, nephrotic syndrome, anticholinergic toxicity, NMS, sepsis, hypothyroidism AMS, focal deficit. Urticarial with no signs of anaphylaxis either help you get better: Wound inspected under direct bright light good. Recommend use of facemasks during air travel ( most common cause ) versus.! Children younger than age 2 should not be given any over-the-counter cold medications without first speaking with a doctor to! By bupivacaine with no CMT, adnexal tenderness, or sepsis mechanism of injury patient. Optimized web page that may take ages to load renal failure of in. Add a SmartList to the text, search the catalog of available SmartLists for use in your phrase! Saline under pressure page that may take ages to ty dot phrase fall words for drill in my fall... Hyperthyroidism, or bleeding socket clear patient with PECARN rules given * * * * to people your. For cellulitis a presentation consistent with an acute open _ fracture after _ bleeding!, reassess loss or valvular rupture ), tachydysrhythmia or electrical conduction disturbance such! ( LogOut/ this patient has a presentation consistent with benign headache from either tension headache... Instructions, reassurance and reassessment, discharge with pediatrics f/u anticoagulant presents with symptoms consistent with an acute CNS,... Ortho ty dot phrase fall up given clinical picture have low suspicion for orthostatic syncope given of.
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