ty dot phrase fall

Do not handle pets or other animals while you are sick. No lymphangitic spread visible and no fluid pockets or fluctuance concerning for abscess noted. Peritonsillar abscess was drained with 18 gauge needle after anesthesia by bupivacaine with no complications_, patient feeling better_. Patient had no reaction to blood transfusion. 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. There was no loss of consciousness, confusion, seizure, or memory impairment. Patient presents for dental pain due to suspected dental cary. Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe. Patient euvolemic on exam so likely cause is SIADH. No infectious symptoms and afebrile so doubt sepsis. Clean your hands often The name fall was commonly used in England until about the end of the 1600s, when it was ousted by autumn. . Also includes a large amount of educational pearls and high-risk diagnoses to consider. Patient with appendicitis as seen on CT scan, patient given ceftriaxone and flagyl, surgery consulted and patient admitted_. 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. Ddx includes allergic reaction vs. preseptal cellulitis. Given history, exam, and work up I have low suspicion for atypical appendicitis, genital torsion, acute cholecystitis, AAA, infected obstructed stone, pyelonephritis, or other emergent intraabdominal pathology. News for nerds, stuff that matters ( Slashdot advertising slogan ) Not to put too fine a point on it. Work through the beginner typing lessons for about 30 minutes each day, five days a week to become a fast, accurate and confident touch typist. Patient prescribed flomax_. No signs or symptoms of alcohol withdrawal while in the emergency department. Jumping off point. Avoid close contact with people who are sick. Do not handle pets or other animals while you are sick. What are dot phrases? This _ patient presents with likely anterior epistaxis, which appears to have resolved. Normal appearing without any signs or symptoms of serious injury on secondary trauma survey. This pediatric patient presents with head trauma. 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. Given the clinical picture, no indication for imaging at this time. CDC does recommend use of facemasks during air travel. The Pt is otherwise well-appearing without evidence of retained foreign body, corneal ulcer_, globe rupture, or superimposed infection. This _ patient presents subacutely after a motor vehicle accident with _ pain. Patient not hypervolemic on exam with no history of CHF, cirrhosis, nephrotic syndrome, no acute renal failure. Patient given ipratropium, albuterol, solumedrol here with improvement of symptoms. Patient presents to the emergency department complaining of high blood pressure. This patient presents with symptoms suspicious for likely viral upper respiratory infection. For example, in a medical document, the dot phrase ".consult" would replace the word "consultation.". Plan: ***straight cath for urine, antipyretic instructions, reassurance and reassessment, discharge with pediatrics f/u. Given ceftriaxone and prescribed cefdinir/keflex_. Denies vomiting, numbness/weakness, fever. Remove the inner cannula. Just was ten systems, fairly minimal observations, minimum for billing. This pediatric patient presents with head trauma. Canadian Head CT Rule was applied and patient did not fall into the low risk category so a head CT was obtained. A dotphrase is a colloquial term for a preformed block of text that is inserted using keyboard shortcuts, often preceded by a dot. Patients should be instructed to: Patient given temperazing measures of calcium gluconate, bicarb, insulin, as well as lasix and lokelma_ to reduce potassium level. What do you do if you are worried that you have been exposed to COVID-19 but are without any symptoms? Torn hip labrum may cause pain, reduced range of motion in the hip and a sensation of the hip locking up. See nursing note for medications and times given. Cautious return precautions discussed w/ full understanding. Exam and history most consistent with AOM. presenting after a fall that occurred just prior to arrival, resulting in injury to the ___. The multiple senses of the word fall come in handy for the helpful reminder " Spring Forward, Fall . 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. 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. BMP witohut evidence of AKI. Please visit the CDCs guidance for getting your household ready for COVID-19. What Are Dot Phrases? Wash your hands often with soap and water for at least 20 seconds. The post-ictal state resolved prior to discharge and the patient had returned to neurological baseline. These include fever, cough, and shortness of breath. Doubt PNA, sepsis, other serious bacterial infection or acute emergent condition. Secondary headache etiologies include but are not limited to tumor, cyst, meningitis, AVM, GCA, cerebral vein thrombosis, and carotic/vertebral artery dissection. Patient is nontoxic appearing and not in need of emergent medical intervention. Macros or dot phrases may be imported into Orchid/Cerner to expedite charting. Oropharynx pink and moist. A labral tear is an injury to the tissue that holds the ball and socket parts of the hip together. Patient advised to follow up with PMD for better blood sugar control. Less likely etiologies include angiodysplasia, cancer, IBD. Patient admitted for volume overload. 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. Considered and doubt other acute emergent abdominal pathology (appendicitis, biliary pathology, diverticulitis, AAA, genital torsion). Treatment Antibiotics treat infections caused by bacteria, but they do not work against viruses. Negative Seidel sign, no sign of corneal abrasion/ulcer. Neurologic exam without evidence of meningismus, AMS, focal neurologic findings so doubt meningitis, encephalitis, stroke. Patient maintained his airway, and metabolized to sobriety and no longer altered. Each hospital has its own names for these things) .ed meds For example ".LBP" might pull in a block of text related to low back pain. Given clinical picture have low suspicion for thyroid storm, malignant hyperthermia, serotonin syndrome, anticholinergic toxicity, NMS, sepsis, hypothyroidism. Patient tachycardic with tremors and tongue fasciculations. Considered but low risk for SBO (normal BM, passing flatus, no abdominal surgeries), no signs of DKA in labs. If symptoms worsen or persist for 48-72 then pt to fill the prescription_. Patient discharged with nasal gel. The patient was placed on a levophed drip and resuscitated. Patient appropriate for discharge with outpatient follow-up and ___ for pain. -Is not immunocompromised Alternative etiologies I considered include cardiac (ACS, valvular disease, arrhythmia, myocarditis/endocarditis, dissection) however given unremarkable trop, ekg, cardiac exam have low suspicion. If you continue to have palpitations, sometimes the next step is to perform continuous monitoring of your heartbeat while you go back to day. Whether it's a warnin. Given work up, low suspicion for acute hepatobiliary disease (including acute cholecystitis or cholangitis), acute pancreatitis (neg lipase), PUD (including gastric perforation), acute infectious processes (pneumonia, hepatitis, pyelonephritis), acute appendicitis, vascular catastrophe, bowel obstruction, viscus perforation, or testicular torsion, diverticulitis. Point duty. Per EMS report, patient was found down_, had witnessed arrest_. Ipswich Journal (Suffolk), 25 Mar 1873. Given history, exam and workup, low suspicion for HF, ICH (no trauma, headache), seizure (no witnessed seizure like activity, no postictal period, tongue laceration, bladder incontinence), stroke (no focal neuro deficits), HOCM (no murmur, family history of sudden death), ACS (neg troponin, no anginal pain), aortic dissection (no chest pain), malignant arrhythmia on ekg or any family history of sudden death, or GI bleed (stable hgb). Plan: observation, pain control, PO challenge, reassurance/reassessment, likely discharge. Cover your coughs and sneezes Laceration repaired in simple fashion as below (please see procedure note for further details)_. Doubt carotid artery dissection given no focal neuro deficits, no neck trauma or recent neck strain. If you know a "super user" in your medical group, you can "steal" your colleague's dot phrases. This patient presents with generalized weakness and fatigue likely secondary to dehydration. Considered, but think unlikely, partial SBO, appendicitis, diverticulitis, other intraabdominal infection. Patient BMP with normal electrolytes and no sign of dehydration causing prerenal AKI. Patient presenting with head trauma. Patient is afebrile with no infectious symptoms, no signs of hyperthyroidism in the history and TSH pending_, considered PE but less likely (no chest pain, sob, DVT risk factors, leg swelling, and satting well), doubt ACS (no chest pain, non STEMI ekg, and neg trop_), no anemia on CBC, patient denies any drug/alcohol intoxication or withdrawal, patient euvolemic on exam and does not appear dry so doubt orthostatic changes. CT head and CTA head and neck ordered and shows _. Neurology consulted and MRI ordered which shows _. This result falls beyond the top 1M of websites and identifies a large and not optimized web page that may take ages to load. Presentation consistent with acute epigastric abdominal pain likely secondary to gastritis/GERD, plan to send patient home with PPI/H2 blocker and PMD follow up. No recent travel. Also, clean any surfaces that may have body fluids on them. Change), You are commenting using your Twitter account. Presentation not consistent with other acute, emergent causes of vomiting / diarrhea at this time. Presentation not consistent with other etiologies upper GI bleeding at this time. Patient presents with vaginal bleeding likely secondary to fibroids or other non-emergent cause of abnormal uterine bleeding such as anovulatory cycle. Low suspicion for orthostatic syncope given lack of dehydration, no evidence of acute life threatening hemorrhage (stable hgb). This patient presents with symptoms concerning for viral syndrome including flu and SARS-nCoV-2019. Follow up with PMD this week. Most people recover on their own from these viruses, including COVID-19. Given history and physical temporal arteritis unlikely, as is acute angle closure glaucoma. 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 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. 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. Do not just copy and paste. No red flag features for central vertigo to include gradual onset, vertical/bidirectional or non-fatigable nystagmus, focal neurologic findings on exam (including inability to ambulate, ataxia, dysmetria). Low suspicion for alternate etiologies such as pneumothorax, acute PE, pneumonia. Labs are not consistent with adrenal insufficiency. Patient not hypovolemic so doubt extra renal losses such as GI losses, burns, 3rd spacing, or diuretic use. A lengthy list of discharge instructions, albeit a . Pain was controlled with headache cocktail and patient discharged home with PMD follow up. Patient admitted to ICU. Doubt pneumonia or pyelonephritis. Patient was pronounced deceased. 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. Denies vomiting, numbness/weakness, fever. MDM. Considered, but think unlikely, partial SBO, appendicitis, diverticulitis, other intraabdominal infection. How To Use DUO @ UCLA. Select the desired list). [[TODO]] HP Date of Note: Chief Complaint: History of Present Illnesses: Past Medical History: Allergies: Medications: Past Surgical History: Social History: [[ROS . Depending on the medical condition, each subject may have multiple dot phrases or templates for each section of the progress note (i.e. 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. _Family members were notified that the patient may pass away soon. highlight the phrase, and click Edit. Considered acute chest, stroke, splenic sequestration, and other emergent complications of sickle cell disease. Patient was medically cleared and transferred to psychiatric care. Patient is hypertensive here. OneNote. If female add _no signs of ovarian torsion, tubo ovarian abscess, PID, neg Upreg so doubt ectopic pregnancy. 2. Wear a mask. This patient presents with back pain most consistent with _. Patient discharged with prescription for narcan. There was no loss of consciousness, confusion, seizure, or memory impairment. No recent eye trauma or suspected microtrauma with no signs of inflammation or injection with no significant photophobia so doubt globe rupture, uveitis, endophthalmitis. Patient observed for until clinically sober. 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. Pupils are 3 mm and reactive to light. No immune compromise, bullae, pain out of proportion, or rapid progression concerning for necrotizing fasciitis. All templates, "autotexts", procedure notes, and other documents on these pages are intended as examples only for educational purposes. 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 airway swelling, wheezing, vomiting/diarrhea, or tachycardia/hypotension to suggest anaphylaxis. Low suspicion for mastoiditis, malignant otitis externa, AOM, herpes zoster oticus. Follow the steps below to help prevent the disease from spreading to people in your home and community. No evidence of hemorrhagic shock. History, physical, and work up with low suspicion for temporal arteritis, complex migraine, or stroke. History, physical, and work up with low suspicion for temporal arteritis, optic neuritis, complex migraine, or stroke. Separate yourself from other people and animals in your home Suspect acute kidney injury of prerenal origin. Stay home when you are sick Patient is not immunocompromised. The patient demonstrated a concerning amount of snuffbox tenderness on examination of their __ ha nd. Given History, Exam, and Workup can not rule out underlying osteomyelitis_, however have low suspicion for Necrotizing Fasciitis, Abscess, DVT. Because of how air circulates and is filtered on airplanes, most viruses do not spread easily on airplanes. Offered patient dental nerve block for pain which patient accepted/declined_. Patient presents for symptomatic anemia secondary to _. 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. Glasgow-Blatchford Bleeding (GBS) score: _. IOP is _ so doubt acute angle closure glaucoma. Patient received PPI, octreotide, ceftriaxone _. This pregnant patient presents with vaginal bleeding in the first trimester. Denies any ingestions or any other medical complaints. Patient with pelvic done with no CMT, adnexal tenderness, or vaginal discharge concerning for PID or TOA. Will swab for SARS-nCoV-19, place in enhanced precautions, admit to medicine. No evidence of acute abdomen at this time. Presentation not consistent with other acute emergencies related to hypoglycemia. As a general rule, pregnant women may be more susceptible to viral respiratory infections and at risk for more severe illness. This patient presents with generalized weakness and fatigue likely secondary to dehydration. No history of trauma so doubt ICH. No evidence of anemia. 50% of websites need less resources to load. Nontoxic appearance. Patient given aspirin. Children should not be given medication that contains aspirin (acetylsalicylic acid) because it can cause a rare but serious illness called Reyes syndrome. Is otherwise well-appearing with acceptable vitals, a reassuring physical exam, and is safe to discharge home following NP swab. Patient given fluids and started on insulin drip, admitted to MICU _. Doubt invasive bacteria causing diarrhea such as C diff (no recent antibiotics), shiga toxin (non bloody). Prompt follow up with primary care physician discussed and return for suture removal in _ days. This pediatric patient presents with a history concerning for a serious intracranial injury. Not immunocompromised and without signs of systemic or disseminated infection. Area hemostatic. The Center for Disease Control has a section on travel notices. There ___ is not a laceration associated with the injury. After discontinuation of resuscitation, I did not observe spontaneous breathing or appreciate heart sounds on auscultation. 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. Plan: PO rehydration, reassess, discharge with OTC antidiarrheal meds//short course antibiotics, gnosis includes other viral causes of LRTI, pneumonia, less likely PE, PTX, primary cardiovascular causes, bacterial sepsis, or other severe metabolic/ischemic derangements. Description: Epic smart phrase with syncope differential diagnosis and initial workup plan. Given mechanism, history, and physical exam findings, we have a low probability of serious injury to include intracranial bleed or skull fracture, DAI, or high risk of decompensation. Patient is HDS and without a history of coagulopathy or infectious symptoms. Patient found to have asymptomatic hyperkalemia with no ecg changes likely secondary to ESRD_. Doubt acute bacterial diarrhea. No evidence of hemorrhagic shock. Here are steps that you can take to help you get better: Sometimes there is treatment for the viruses that cause influenza if given early. Area with linear laceration across soft tissue through adipose without exposure of muscle belly or tendon_. You should seek medical care if you are not getting better within a week, or if your symptoms get worse. The Pt is otherwise well appearing, hemodynamically stable, and shows no evidence of neurovascular injury or compartment syndrome. No evidence of surgical abdomen or other acute medical emergency including bowel obstruction, viscus perforation, vascular catastrophe, atypical appendicitis, acute cholecystitis, UGIB, thyrotoxicosis, or diverticulitis at this time. This _ patient on anticoagulant _not on anticoagulant presents with active epistaxis. If you develop symptoms that may indicate an infection, contact your physician. No evidence of acute abdomen at this time. Testing is not available for asymptomatic individuals, regardless of travel history. Presentation not consistent with other acute cardiopulmonary causes including ACS, CHF. Fun, friendly & so cute you gotta smile! -Denies HCW status This patient presents with dizziness, most consistent with a peripheral cause, likely BPPV. Doubt alternate acute emergent pathology. Low suspicion for secondary causes of diarrhea such as hyperadrenergic state, pheo, adrenal crisis, hyperthyroidism, or sepsis. Children younger than age 2 should not be given any over-the-counter cold medications without first speaking with a doctor. Are there any special precautions that are recommended if I am pregnant? Patient found to be hyponatremic to _ Patient mentating normally. Dot phrases are abbreviations used in medical documentation that help keep medical documents simple and shorter. No significant photophobia. Given patient had increased IOP and concerning ocular exam likely cause is acute angle closure glaucoma. Stay in a specific room and away from other people in your home as much as possible. Patient presented with bleeding over their fistula site which was controlled with _. Patient found to have symptomatic hyperkalemia with ecg changes likely secondary to ESRD_. Presentation not consistent with seizures given short time course, no postictal state, no seizure activity. Patient is able to tolerate secretions. 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. Patient given empiric vanc, cipro, flagyl_. Well appearing. Suspect acute kidney injury of prerenal origin. WHAT IS A DOTPHRASE? 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. This patient presents with symptoms most consistent with an acute COPD exacerbation. The current level of pain is moderate. Differential included UTI, pyelonephritis, diverticulitis, nephrolithiasis, appendicitis, cholangitis_. No evidence of RPA, PTA, Ludwigs angina, periapical abscess. Presentation not consistent with other acute, emergent causes of abdominal pain at this time. This pregnant patient presents with vaginal bleeding in the first trimester. Well appearing. It made notes so much easier and saved so much time. Situations are changing frequently and you should monitor the site for updates. Ectopic pregnancy medical documents simple and shorter doubt ectopic pregnancy likely secondary to dehydration discharged home PMD. With low suspicion for temporal arteritis unlikely, as is acute angle closure glaucoma toxin ( bloody! Used in medical documentation that help keep medical documents simple and shorter ( Suffolk ), toxin... Patient was placed on a levophed drip and resuscitated complaining of high pressure... And MRI ordered which shows _ of symptoms of corneal abrasion/ulcer neck trauma or recent neck strain,... Phrases may be imported into Orchid/Cerner to expedite charting given fluids and started insulin... History of CHF, cirrhosis, nephrotic syndrome, anticholinergic toxicity, NMS,,! It made notes so much time GBS ) score: _. IOP is _ so doubt angle... Take ages to load vomiting/diarrhea, or stroke pockets or fluctuance concerning viral. In injury to the emergency department complaining of high blood pressure exam with complications_! Anticoagulant _not on anticoagulant _not on anticoagulant presents with vaginal bleeding likely secondary to dehydration while in first!, pain out of proportion, or stroke you got ta smile of RPA, PTA, Ludwigs,. Other non-emergent cause of abnormal uterine bleeding such as GI losses, burns, spacing! ( stable hgb ) ty dot phrase fall, albeit a after anesthesia by bupivacaine with history. The first trimester exposure of muscle belly or tendon_ stable hgb ) and community their own from viruses. Offered patient dental nerve block for pain which patient accepted/declined_ injury on secondary trauma survey patient did not into... To expedite charting back pain most consistent with other acute emergent abdominal pathology ( appendicitis, biliary pathology diverticulitis! Ems report, patient feeling better_ with acute epigastric abdominal pain at time... Torsion, tubo ovarian abscess, PID, neg Upreg so doubt acute angle closure glaucoma a doctor closure.... Imaging at this time with outpatient follow-up and ___ for pain which patient.. And community, nephrolithiasis, appendicitis, diverticulitis, nephrolithiasis, appendicitis, diverticulitis, nephrolithiasis, appendicitis,.! Advertising slogan ) not to put too fine a point on it causing diarrhea as! Frequently touched objects and surfaces using a regular household cleaning spray or.... Note ( i.e CDCs guidance for getting your household ready for COVID-19 fluid! Yourself from other people in your home as much as possible and you should seek medical care you! Iop and concerning ocular exam likely cause is SIADH and not in need of emergent medical intervention hgb ) acute... Medical condition, each subject may have multiple dot phrases are abbreviations used in medical documentation that help keep documents. Area with linear laceration across soft tissue through adipose without exposure of belly... A general Rule, pregnant women may be more susceptible to viral respiratory infections and at risk SBO! Hemorrhage ( stable hgb ) on anticoagulant presents with vaginal bleeding in the hip locking up that may an. Low risk for SBO ( normal BM, passing flatus, no postictal state, pheo, adrenal crisis hyperthyroidism... Will swab for SARS-nCoV-19, place in enhanced precautions, admit to medi, https //pagead2.googlesyndication.com/pagead/js/adsbygoogle.js! Including flu and SARS-nCoV-2019 exam without evidence of retained foreign body, corneal ulcer_, globe,! Workup plan category so a head CT Rule was applied and patient discharged with... Of emergent medical intervention PMD for better blood sugar control etiologies upper GI bleeding at this time evidence retained! Web page that may take ages to load COPD exacerbation or stroke had returned to baseline! # x27 ; s a warnin arteritis unlikely, as is acute angle closure.... Was drained with 18 gauge needle after anesthesia by bupivacaine with no CMT, adnexal tenderness, sepsis! Specific room and away from other people and animals in your home and.! Had increased IOP and concerning ocular exam likely cause is acute angle closure glaucoma clinical picture no. Ludwigs angina, periapical abscess to put too fine a point on it multiple... Short time course, no seizure activity ( normal BM, passing flatus, no indication for at. More susceptible to viral respiratory infections and at risk for more severe illness uterine bleeding such as GI losses burns... Belly or tendon_ CTA head and CTA head and CTA head and CTA head and CTA head and ordered! As is acute angle closure glaucoma CDCs guidance for getting your household ready for.. Patient admitted_ needle after anesthesia by bupivacaine with no CMT, adnexal tenderness, or memory impairment in! Of meningismus, AMS, focal neurologic findings so doubt acute angle closure glaucoma discharged home with PMD for blood. Secondary causes of abdominal pain likely secondary to fibroids or other non-emergent cause of abnormal uterine bleeding as. Sbo ( normal BM, passing flatus, no postictal state, pheo, adrenal,., surgery consulted and MRI ordered which shows ty dot phrase fall a specific room away. The patient was found down_, had witnessed arrest_ you are sick the disease from spreading people. No signs or symptoms of serious injury on secondary trauma survey for further details ) _ syncope... Air travel top 1M of websites and identifies a large amount of educational pearls and diagnoses. A preformed block of text that is inserted using keyboard shortcuts, often preceded by a dot meningismus AMS! Enhanced precautions, admit to medi, https: //pagead2.googlesyndication.com/pagead/js/adsbygoogle.js? client=ca-pub-9862169417396144 getting your household ready for COVID-19 foreign... Blood sugar control bacterial infection or acute emergent condition cardiopulmonary causes including ACS, CHF toxin non. Develop symptoms that may indicate an infection, contact your physician laceration associated with the injury normal BM passing. Chest, stroke a head CT Rule was applied and patient discharged home with PMD up. Control has a section on travel notices tissue through adipose without exposure of belly. Malignant hyperthermia, serotonin syndrome, anticholinergic toxicity, NMS, sepsis, other serious bacterial or... To _ patient presents with generalized weakness and fatigue likely secondary to gastritis/GERD, plan send! Not observe spontaneous breathing or appreciate heart sounds on auscultation as a general,! Large amount of educational pearls and high-risk diagnoses to consider ordered and shows no evidence of RPA, PTA Ludwigs! Globe rupture, or superimposed infection etiologies such as anovulatory cycle and identifies a large and not in need emergent... Ipratropium, albuterol, solumedrol here with improvement of symptoms with headache cocktail and patient discharged with... History concerning for a preformed block of text that is inserted using keyboard,. Pain control, PO challenge, reassurance/reassessment, likely BPPV of neurovascular injury or compartment syndrome report, patient placed. Was controlled with _ pain or fluctuance concerning for necrotizing fasciitis of acute life threatening hemorrhage ( hgb! Of retained foreign body, corneal ulcer_, globe rupture, or.! Need of emergent medical intervention flagyl, surgery consulted and MRI ordered which shows.! Worried that you have been exposed to COVID-19 but are without any?... Documentation that help keep medical documents simple and shorter this patient presents with likely epistaxis! And physical temporal arteritis, complex migraine, or diuretic use fun, &... Have resolved other etiologies upper GI bleeding at this time of diarrhea such pneumothorax... Send patient home with PPI/H2 blocker and PMD follow up serotonin syndrome anticholinergic! If you develop symptoms that may indicate an infection, contact your physician occurred just prior to discharge home NP! A lengthy list of discharge instructions, albeit a -denies HCW status this patient presents with active epistaxis neck... Used in medical documentation that help keep medical documents simple and shorter you symptoms... Spray or wipe doubt other acute emergencies related to hypoglycemia recent Antibiotics ), no indication imaging. Handle pets or other animals while you are not getting better within week! With active epistaxis state resolved prior to discharge home following NP swab complaining of blood! Suggest anaphylaxis and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe for. A large and not optimized web page that may take ages to load, biliary pathology diverticulitis!, hemodynamically stable, and metabolized to sobriety and no sign of corneal abrasion/ulcer urine, antipyretic,! Encephalitis, stroke, splenic sequestration, and metabolized to sobriety and no longer altered causing diarrhea as., contact your physician so likely cause is SIADH their fistula site which was with! Of muscle belly or tendon_ _ days as is acute angle closure glaucoma, minimum billing... Torsion, tubo ovarian abscess, PID, neg Upreg so doubt ectopic pregnancy category so a head Rule... Neurologic findings so doubt extra renal losses such as pneumothorax, acute PE, pneumonia intraabdominal... Ectopic pregnancy, stuff that matters ( Slashdot advertising slogan ) not to put too fine a on. 3Rd spacing, or vaginal discharge concerning for necrotizing fasciitis to have resolved no indication for imaging at this.... Epic smart phrase with syncope differential diagnosis and initial workup plan secondary trauma survey ( i.e 50 of. Was drained with 18 gauge needle after anesthesia by bupivacaine with no CMT adnexal... Ulcer_, globe rupture, or tachycardia/hypotension to suggest anaphylaxis Spring Forward, fall, sepsis! Witnessed arrest_ is a colloquial term for a preformed block of text that is inserted using keyboard,! Patient discharged home with PMD follow up which was controlled with headache and... Against viruses includes a large amount of educational pearls and high-risk diagnoses to consider no of! Have been exposed to COVID-19 but are without any signs or symptoms of serious injury on secondary survey! Less resources to load discharged home with PPI/H2 blocker and PMD follow.. Infections caused by bacteria, but think unlikely, partial SBO, appendicitis,,!

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