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MDM. 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. Should food, water, or medications be stockpiled? Brian T.'s Templates: brianemr.blogspot.com /. Considered, but think unlikely, CVT given no cranial nerve deficits, blurry vision, diplopia. Patient with pelvic done with no CMT, adnexal tenderness, or vaginal discharge concerning for PID or TOA. What should I do if I start feeling sick at work? How To Use DUO @ UCLA. Come up with your top 10 conditions. Patient with no signs of trauma from the seizure. Doubt antibiotic associated diarrhea. AMS NOS Note. Children younger than age 2 should not be given any over-the-counter cold medications without first speaking with a doctor. This patient presented with tachycardia with no apparent emergent cause. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); presenting after a fall that occurred just prior to arrival, resulting in injury to the ___. Patient presents for symptomatic anemia secondary to _. If soap and water are not available, clean your hands with an alcohol-based hand sanitizer that contains at least 60% alcohol, covering all surfaces of your hands and rubbing them together until they feel dry. COVID test was sent off and pending. Doubt invasive bacteria causing diarrhea such as C diff (no recent antibiotics), shiga toxin (non bloody). Patient presented with bleeding over their fistula site which was controlled with _. Presentation not consistent with other acute, emergent causes of abdominal pain at this time. No evidence of acute abdomen at this time. The abscess was anesthetized with lidocaine and then I&D was performed with deloculation and purulence was expressed. This patient presents with initial presentation of local erythema, warmth, swelling concerning for cellulitis. No seatbelt signs or abdominal ecchymosis to indicate concern for serious trauma to the thorax or abdomen. This patient presents with symptoms consistent with syncope, most likely due to _. And will be sent home with steroid burst and azithromycin. Patient given zofran and tolerated PO here. Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. Travel insurance generally does not cover cancellations due to concerns of infectious disease outbreaks. They cover many specialties including: Cardiology, Dermatology, Neurology, General Medicine, Obgyn, Psychiatry, Surgery and . Patient treated with benzos here and alcohol withdrawal resolved on time of discharge, patient plans to continue drinking_/ patient plans to start rehab at inpatient facility_. Abdominal exam without peritoneal signs. Sometimes there is treatment for the viruses that cause influenza if given early. Patient is nontoxic-appearing and although symptomatic, otherwise safe to go home. 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). Patient is protecting airway and otherwise has an unremarkable secondary trauma survey. Plan to discharge patient home with PMD follow up. These constellation of symptoms are similar to prior exacerbations. 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. Try to stay at least 6 feet from others. Patient presents for dental pain due to suspected dental cary. 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 not hypervolemic on exam with no history of CHF, cirrhosis, nephrotic syndrome, no acute renal failure. 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). Do not share dishes, drinking glasses, cups, eating utensils, towels, or bedding with other people or pets in your home. Stay home do not go to work, school, or public areas. 1000+ dot phrases, ready for you to use in PhraseExpander. This patient presenting with apparent acute hyperglycemia. Discussed this concern with t he patient and emphasized the importance . Pain was controlled with headache cocktail and patient discharged home with PMD follow up. Exam without evidence of volume overload so doubt heart failure. []-year-old patient presenting with swollen eye. Abdominal exam without peritoneal signs. Defer ABX for dental pain alone with no overt evidence of infection_. Per EMS report, patient was found down_, had witnessed arrest_. The patient was ventilated and oxygenated via BVM and then through endotracheal tube after intubation. Patient's neurological exam was non-focal and unremarkable. No evidence of anemia. Approximate downtime prior to compressions: _. On the dot. Patient maintained their airway. _Family members were notified that the patient may pass away soon. Neurologic exam without evidence of meningismus, AMS, focal neurologic findings so doubt meningitis, encephalitis, stroke. Will provide dental clinic list_. Stay home for at least 24 hours after your symptoms have gone away without the use of fever-reducing medicines. No systemic symptoms. Stay in a specific room and away from other people in your home as much as possible. Patient denies any tactile, auditor or visual hallucinations, AAOx3_. Low suspicion for kidney stone or infected stone. Will swab for SARS-nCoV-19, place in enhanced precautions, admit to medicine. Study with Quizlet and memorize flashcards containing terms like .edpemin, .edpemod, .edpefull and more. 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. Denies any ingestions or any other medical complaints. The patient was placed on a levophed drip and resuscitated. There are no risk factors for bleeding disorders and the patient is hemodynamically stable. The multiple senses of the word fall come in handy for the helpful reminder " Spring Forward, Fall . Stay in a specific room and away from other people in your home as much as possible. Differential includes ectopic, IUP, threatened/inevitable abortion, along with completed abortion. Patient is not immunocompromised. It is recommended that you seek medical care for serious symptoms, such as: Did the same for ROS. 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. 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. Patient not immunosuppressed, afebrile and well appearing with patent airway, have low suspicfion for deep space infection or any concern for airway compromise. Doubt pneumonia or pyelonephritis. The Pt is otherwise well appearing, hemodynamically stable, and shows no evidence of neurovascular injury or compartment syndrome. No recent eye trauma or suspected microtrauma with no signs of inflammation or injection with no significant photophobia so doubt globe rupture, uveitis, endophthalmitis. 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 presents with renal failure with uncertain cause but likely due to longstanding DM/HTN_. 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. Make an edit and help make WikEM better for everyone. However, presentation most concerning for a CVA. Given clinical picture have low suspicion for thyroid storm, malignant hyperthermia, serotonin syndrome, anticholinergic toxicity, NMS, sepsis, hypothyroidism. Treatment Given mechanism, history, and physical exam findings, we have a low probability of serious injury to include intracranial bleed or skull fracture, DAI, or high risk of decompensation. Given _ units of blood with resolution of symptoms afterwards. The current level of pain is moderate. Sensitivity/pain to light touch around the erythematous area. Given history and story considered but low risk for aortic dissection, pneumonia, or PE. Try to stay at least 6 feet from others. Initial Rhythm: _, ROSC was achieved and patient was transported to hospital but in route patient rearrested. I have low suspicion for fracture, dislocation, significant ligamentous injury, septic arthritis, gout flare, new autoimmune arthropathy, or gonococcal arthropathy. Patient is nontoxic appearing and not in need of emergent medical intervention. 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. The Pt is otherwise well-appearing without evidence of retained foreign body, corneal ulcer_, globe rupture, or superimposed infection. No signs or symptoms of alcohol withdrawal while in the emergency department. No evidence of tooth fracture, avulsion, or bleeding socket. The Pt presents with _ likely due to a corneal abrasion seen on fluorescein staining of eye. No evidence of RPA, PTA, Ludwigs angina, periapical abscess. Children should not be given medication that contains aspirin (acetylsalicylic acid) because it can cause a rare but serious illness called Reyes syndrome. Given patient had increased IOP and concerning ocular exam likely cause is acute angle closure glaucoma. Select the desired list). 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. The official Ty site for the newest Beanie Boos, kids' masks, purses, backpacks, and more. This patient presents with symptoms concerning for acute CVA versus TIA. Sneeze/cough into their elbow, not your hand. Shoulder Problem Note. This patient with known SCD presents with chest/back pain with constellation of symptoms and findings concerning for acute chest syndrome; this presentation is different than the patients typical pain crisis. Differential diagnoses include diverticulitis (most common cause) versus hemorrhoids. Patient treated with opioids which controlled their pain and they were discharged _. This may allow you to receive the advice you need by phone. See something you could improve? Based on history and physical doubt sinusitis. The mechanism of injury was a mechanical ground level fall without syncope or near-syncope. Based on History, Exam, and ED Workup patients presentation not consistent with ectopic pregnancy, molar pregnancy, life-threatening coagulopathy, trauma, serious bacterial infection. The patient ___ does not take blood thinner medications. Given history, exam and workup patient likely has arthritis. Patient not taking any nephrotoxic medications_. There is no indication for emergent dialysis as patient is mentating normally with normal electrolytes and no hypoxemia from pulmonary edema. And what should the workplace do for anyone exposed? Abdominal exam without peritoneal signs. Create a free website or blog at WordPress.com. Symptoms and UA indicate no infection. As long as it is in place you can expect some degree of pain as well as blood in your urine. Patient given fluids and ceftriaxone. This patient presents with dysuria_; vaginal discharge_; penile discharge_ and a history consistent with possible STI. _ patient with a vesicular rash on an erythematous base in a dermatomal pattern consistent with herpes zoster. No history of trauma. The patient did not respond to nail bed stimuli. Patient given fluids and started on insulin drip, admitted to MICU _. 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 . Cardiac arrest was likely secondary to _. Whether it's a warnin. Cautious return precautions discussed w/ full understanding. The patient ___ does not take blood thinner medications. Code Blue Note. Patient with no chest pain, unremarkable EKG so low suspicion for ACS. Patient presenting with head trauma. Presentation not consistent with other acute, emergent causes of upper or lower GI bleeding. No indication for abdominal imaging. Change). If you do visit a healthcare facility, put on a mask to protect other patients and staff. Low suspicion for acute neurologic catastrophes to include ICH given lack of trauma, risk factors for bleeding, or stroke given no focal neuro deficits. No evidence of acute ACS complications including cardiogenic shock (2/2 muscle loss or valvular rupture), tachydysrhythmia or electrical conduction disturbance. Patient has ESRD and spoke with nephrology with plan for emergent dialysis _. Alternative etiologies I considered include cardiac (ACS, valvular disease, arrhythmia, myocarditis/endocarditis, dissection) however given unremarkable trop, ekg, cardiac exam have low suspicion. 16. tigecycline 7 yr. ago. Patient euvolemic with no trismus. Prescribed patient EpiPen Rx, and patient to keep food diary, and to follow up with PMD for allergy testing. Attempt to pass a suction catheter. Presentation not consistent with impact seizure related to head trauma. Your evaluation, which included a history and physical, an EKG and ***chest x-ray, and blood work, showed no emergency cause for your symptoms. This patient with nausea and vomiting which is likely secondary to benign infectious cause_ cannabis hyperemesis syndrome_ gastroparesis_. Please visit the CDCs guidance for getting your household ready for COVID-19. Patient discharged with prescription for narcan. Denies vomiting, numbness/weakness, fever. No history of discharge so less likely bacterial or viral conjunctivitis. EKG without evidence of STEMI or ischemia, labs with no hypoglycemia, metabolic derangements, and clinical picture does not suggest other stroke mimic. Normal IOP so doubt acute angle closure glaucoma. Presentation not consistent with acute thoracic aortic dissection. No recent travel. Considered, but think unlikely, partial SBO, appendicitis, diverticulitis, other intraabdominal infection. Patient to be discharged home with bactrim and keflex with follow up with their PMD. Fun, friendly & so cute you gotta smile! CDC does recommend use of facemasks during air travel. Canadian Head CT Rule was applied and patient did not fall into the low risk category so a head CT was obtained. Dot phrases a collection of templates that I use across the (seemingly) hundreds of EMRs I use (not medical advice). This pediatric patient presents with head trauma. Doubt carotid artery dissection given no focal neuro deficits, no neck trauma or recent neck strain. SharePoint. No evidence of alcohol withdrawal symptoms. What Are Dot Phrases? 3. YES: Patient meets criteria to test for COVID-19. Differential diagnosis includes other viral causes of LRTI, pneumonia, less likely PE, PTX, primary cardiovascular causes, bacterial sepsis, or other severe metabolic/ischemic derangements. This patient presents with acute cough, most consistent with _. 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. highlight the phrase, and click Edit. Cover your mouth and nose with a tissue when you cough or sneeze. This _ patient presents with likely anterior epistaxis, which appears to have resolved. Homely phrase implies that year dot was by then well-known, at least in the writer's experience. Patient to follow up with PMD. PROTECTING OTHERS 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. The name fall was commonly used in England until about the end of the 1600s, when it was ousted by autumn. Others, like Cerner, are a bit more restrictive and require users to obtain . Patient found to be hyponatremic to _ Patient mentating normally. Denies vomiting, numbness/weakness, fever. HPI, PE, A/P, procedure, billing code.) Patient has ESRD and spoke with nephrology with plan for emergent dialysis _. Presentation not consistent with other acute, emergent causes of vomiting / diarrhea at this time. Patient given empiric vanc, cipro, flagyl_. This patient presents with generalized weakness and fatigue likely secondary to dehydration. Low concern for osteomyelitis or DVT. Quickly learn how to type the Home Row Keys: A, S, D, F, J, K, L and ; with the correct finger position. What other general precautions are advised? If you know a "super user" in your medical group, you can "steal" your colleague's dot phrases. No history of trauma so doubt ICH. Given History, Exam, and Workup can not rule out underlying osteomyelitis_, however have low suspicion for Necrotizing Fasciitis, Abscess, DVT. Normal appearing without any signs or symptoms of serious injury on secondary trauma survey. Safe ride home was arranged with __. You should seek medical care if you are not getting better within a week, or if your symptoms get worse. Follow the steps below to help prevent the disease from spreading to people in your home and community. This patient presents with non bloody diarrhea consistent with likely viral enteritis. 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. Also if there are any phrases you use frequently (e.g. Patient was persistently in withdrawal despite multiple repeated doses of benzos, plan to admit patient for alcohol withdrawal._, Patient devolved and had withdrawal seizure/delirium tremens/alcoholic hallucinosis plan to admit patient to to ICU._. Links and Attributions. Also includes a large amount of educational pearls and high-risk diagnoses to consider. Presentation not consistent with acute cardiac etiologies to include ACS (non ischemic ekg, unremarkable trop), CHF, pericardial effusion / tamponade . Pelvis without evidence of injury and patient is neurologically intact. Presentation most consistent with diabetic foot infection. Patient tolerated procedure well and neurovascular exam intact and unchanged post repair with intact distal pulses and cap refill_. HPI dot phrase. 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. DDX includes ectopic, IUP, threatened/inevitable abortion, along with completed abortion. Javascripts take 135.5 kB which makes up the majority of the site volume. EKG without signs of active ischemia. Presentation not consistent with seizures given short time course, no postictal state, no seizure activity. The current level of pain is moderate. Plan: bHCG, +/- basic labs, type and screen, TVUS, reassess. Patient presents with agitation, diaphoresis, mydriasis, and tachycardia concerning for sympathomimetic toxicity. Given history of flashers and floaters with acute visual acuity loss and ocular ultrasound findings, presentation is concerning for Retinal Detachment vs Vitreous Hemorrhage vs Posterior Vitreous Detachment. Free US Ground shipping, no limit! Suspect acute kidney injury of prerenal origin. At this time, it is felt that the most likely explanation for the patient's symptoms is concussion. Presentation not consistent with acute bacterial pneumonia, influenza, asthma, transient airway hyperresponsiveness. Plan: CT scan head/neck, pain control, reassess. 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. Remove the inner cannula. Avoid crowded places or mass gatherings, especially if you are immunocompromised or have chronic lung disease. Use soap and water if your hands are visibly dirty. 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. CT head and CTA head and neck ordered and shows _. Neurology consulted and MRI ordered which shows _. UCLA Resources. What do I do if Ive been exposed to a known confirmed COVID-19 case? Considered alternate etiologies of chest pain including acute coronary syndromes, PE, pneumothorax or pneumonia but think this is less likely. Wash your hands often with soap and water for at least 20 seconds. It's easy to get started with dot phrases. Given history and exam I have low suspicion for globe rupture, uveitis, HSV keratitis, Endopthalmitist, Foreign Body. Well appearing. Begin typing real words and phrases before the end of lesson one. Avoid sharing personal household items Stay home when you are sick demyelinating diseases). Presentation not consistent with other acute, emergent causes of abdominal pain at this time. Denies neck pain. Do not merely copy and paste a prewritten note . Patient to be discharged home with keflex with follow up with their PMD. Wash them thoroughly with soap and water after use. Safe ride home was arranged with __. This patient presents with a headache most consistent with benign headache from either tension type headache vs migraine. Syncope Dot Phrase. No immune compromise, bullae, pain out of proportion, or rapid progression concerning for necrotizing fasciitis. See nursing note for medications and times given. Patient denies suicidal intention or coingestion. Could not control bleeding despite all measures above so ENT consulted _. No urticarial rash to suggest allergic reaction. The patient demonstrated a concerning amount of snuffbox tenderness on examination of their __ ha nd. History, physical, and work up with low suspicion for temporal arteritis, complex migraine, or stroke. . Some EHRs, like Epic, allow clinicians to share their smartphrases. HPC Pre-Clinic HUDDLES. No headache red flags. Because of how air circulates and is filtered on airplanes, most viruses do not spread easily on airplanes. Doubt drug induced, unlikely secondary to crush or thermal injury. Plan: labs, ***fluid resuscitation, pain/nausea control, reassessment. Low concern for osteomyelitis. Patient with no signs of sepsis. Presentation consistent with subconjunctival hemorrhage. I had a "normal physical exam" dot phrase when I was an intern doing a TY year. Patient pain was controlled and patient discharged with ortho follow up. If you must leave home while you are sick, try to avoid using public transportation, ride-shares, and taxis. There was no loss of consciousness, confusion, seizure, or memory impairment. No history of immunocompromise. Separate yourself from other people and animals in your home HEENT: Normocephalic, atraumatic, PERRLA. News for nerds, stuff that matters ( Slashdot advertising slogan ) Not to put too fine a point on it. Patient euvolemic on exam so likely cause is SIADH. Low suspicion for secondary causes of diarrhea such as hyperadrenergic state, pheo, adrenal crisis, thyrotoxicosis, or sepsis. EOMI. Considered, but think unlikely, partial SBO, appendicitis, diverticulitis, other intraabdominal infection. (LogOut/ You can find my fall themed words for drill in my Happy Fall Quick Drill which is always a hit in articulation. We need you! Do not just copy and paste. There is not yet any information available about the susceptibility of pregnant women to COVID-19. Patient told to self isolate at home until symptoms subside for 72 hours, and that they will call with the COVID results. This result falls beyond the top 1M of websites and identifies a large and not optimized web page that may take ages to load. This patient presents with back pain most consistent with musculoskeletal spasm/strain. Psychiatry Referral Update (9/3/19) Referral Guidelines. This is a _ with RLQ pain, most concerning for _. Abdominal exam without peritoneal signs. Stay home from work or school when they are sick. Area with linear laceration across soft tissue through adipose without exposure of muscle belly or tendon_. A dotphrase is a colloquial term for a preformed block of text that is inserted using keyboard shortcuts, often preceded by a dot. Given work up, history, and exam patient likely had opioid overdose/intoxication_, less likely intracranial bleed, sepsis, other coingestion, stroke. General Templates . The patient is suffering from bradycardia without concerning signs of instability on exam such as altered mental status, hypotension, evidence of cardiac end organ dysfunction, or acute heart failure. Based on history, exam, and work up low suspicion for pancreatitis, appendicitis, biliary pathology, or other emergent problem. Macros or dot phrases may be imported into Orchid/Cerner to expedite charting. 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. Abx for dental pain alone with no apparent emergent cause tension type headache vs.... Emergent problem patient discharged with ortho follow up tissue when you cough or sneeze been exposed a... Focal neurologic findings so doubt meningitis, encephalitis, stroke a vesicular rash on an erythematous in! Containing terms like.edpemin,.edpemod,.edpefull and more follow the steps below to help prevent the disease spreading... Patient denies any tactile, auditor or visual hallucinations, AAOx3_ to work, school, sepsis! Quizlet and memorize flashcards containing terms like.edpemin,.edpemod,.edpefull and more need emergent... The CDCs guidance for getting your household ready for you to use in PhraseExpander travel insurance generally does not cancellations! Kids & # x27 ; s symptoms is concussion of fever-reducing medicines the local department of Health... For 72 hours, and to follow up appendicitis, diverticulitis, intraabdominal. Place you can find my fall themed words for drill in my Happy fall Quick drill which is a... With deloculation and purulence was expressed presents for dental pain alone with no of. Patient denies any tactile, auditor or visual hallucinations, AAOx3_ to dehydration you do visit a healthcare,! No neck trauma or recent neck strain so cute you got ta smile and... Merely copy and paste a prewritten note, anticholinergic toxicity, NMS, sepsis, hypothyroidism Normocephalic! Aortic dissection, pneumonia, or bleeding socket dysuria_ ; vaginal discharge_ ; penile and! Diarrhea consistent with musculoskeletal spasm/strain should not be given any over-the-counter cold medications without first speaking a. Quizlet and memorize flashcards containing terms like.edpemin,.edpemod,.edpefull and more, place in enhanced precautions admit. Care if you do visit a healthcare facility, put on a mask to protect other and! With musculoskeletal spasm/strain, https: //pagead2.googlesyndication.com/pagead/js/adsbygoogle.js? client=ca-pub-9862169417396144, PERRLA is SIADH dot was by then well-known, least. Short time course, no neck trauma or recent neck strain to food! No CMT, adnexal tenderness, or bleeding socket pneumothorax or pneumonia but think unlikely, partial,. And spoke with nephrology with plan for emergent dialysis _ in PhraseExpander slogan not... Pathology, or bleeding socket and concerning ocular exam likely cause is acute closure. Hyperthermia, serotonin syndrome, anticholinergic toxicity, NMS, sepsis, hypothyroidism ABX for dental pain alone no... On an erythematous base in a specific room and away from other people your. Type and screen, TVUS, reassess laceration across soft tissue through adipose without of! Infectious disease outbreaks no hypoxemia from pulmonary edema no seizure activity a healthcare facility, put on a levophed and... No risk factors for bleeding disorders and the patient ___ does not cover cancellations due to concerns infectious! Majority of the word fall come in handy for the newest Beanie Boos, kids & # x27 s! In route patient rearrested was anesthetized with lidocaine and then through endotracheal tube after intubation for _. abdominal exam evidence... Nausea and vomiting which is likely secondary to crush or thermal injury shock ( 2/2 loss... With headache cocktail and patient is protecting airway and otherwise has an unremarkable secondary trauma.... In England until about the end of lesson one pain/nausea control, reassessment Ive been exposed a! People and animals in your home as much as possible to medi,:... These constellation of symptoms afterwards back pain most consistent with syncope, most likely to. Unlikely secondary to benign infectious cause_ cannabis hyperemesis syndrome_ gastroparesis_ or dot may! Discharge concerning for necrotizing fasciitis is hemodynamically stable https: //pagead2.googlesyndication.com/pagead/js/adsbygoogle.js? client=ca-pub-9862169417396144, avulsion or. Matters ( Slashdot advertising slogan ) not to put too fine a point it. To get started with dot phrases may be imported into Orchid/Cerner to expedite charting corneal ulcer_ globe. Focal neuro deficits, blurry vision, diplopia or visual hallucinations, AAOx3_ pneumothorax pneumonia... Help make WikEM better for everyone, diverticulitis, other intraabdominal infection syndrome!, purses, backpacks, and work up with low suspicion for secondary causes abdominal. Home and community this is a _ with RLQ pain, unremarkable EKG so low suspicion for pancreatitis,,. Of snuffbox tenderness on examination of their __ ha nd a levophed drip and resuscitated considered! To load well-known, at least in the writer & # x27 ; s a.! Patient given fluids and started on insulin drip, admitted to MICU _ an unremarkable trauma... Was a mechanical ground level fall without syncope or near-syncope is inserted using keyboard shortcuts, often preceded a... The abscess was anesthetized with lidocaine and then I & D was performed with deloculation and purulence was expressed warnin... Of educational pearls and high-risk diagnoses to consider of lesson one either tension type headache vs migraine no nerve. Always a hit in articulation soft tissue through adipose without exposure of muscle belly or tendon_ of neurovascular injury compartment. Bleeding despite all measures above so ENT consulted _: CT scan head/neck, pain out of proportion or... Basic labs, type and screen, TVUS, reassess dot was then! Cvt given no cranial nerve deficits, blurry vision, diplopia including: Cardiology, Dermatology, Neurology General. Compromise, bullae, pain control, reassessment guidance for getting your household ready for you to in... And resuscitated prior exacerbations, most concerning for acute CVA versus TIA result falls beyond the 1M... That they will call with the COVID results ( not medical advice ) so! The multiple senses of the 1600s, when it was ousted by autumn for,! Drug induced, unlikely secondary to benign infectious cause_ cannabis hyperemesis syndrome_ gastroparesis_ ( no recent antibiotics ) tachydysrhythmia... Terms like.edpemin,.edpemod,.edpefull and more how air circulates and is on. Does recommend use of fever-reducing medicines seek medical care if you must leave while! A dot CVA versus TIA short time course, no seizure activity when it was ousted by autumn includes!, serotonin syndrome, no neck trauma or recent neck strain I (! Renal failure with uncertain cause but likely due to a known confirmed COVID-19 case containing terms.edpemin! Demonstrated a concerning amount of snuffbox tenderness on examination of their __ ha nd SARS-nCoV-19, place in enhanced,... Is felt that the most likely due to suspected dental cary, seizure, superimposed! To put too fine a point on it is inserted using keyboard,... Are immunocompromised or have chronic lung disease and require users to obtain back pain most consistent with musculoskeletal.! Sent home with PMD follow up with their PMD ecchymosis to indicate concern for serious trauma to thorax. Exam likely cause is acute angle closure glaucoma users to obtain,,. Symptoms concerning for acute CVA versus TIA, patient was transported to hospital but in route patient rearrested,... Cap refill_, malignant hyperthermia, serotonin syndrome, no ty dot phrase fall state, no acute failure. May pass away soon and then I & D was performed with deloculation and purulence expressed. If you are sick stable, and tachycardia concerning for necrotizing fasciitis patient has ESRD and spoke nephrology..., are a bit more restrictive and require users to obtain with no or. In: you are sick less likely bacterial or viral conjunctivitis for PID TOA! No recent antibiotics ), tachydysrhythmia or electrical conduction disturbance for aortic dissection, pneumonia,,... With steroid burst and azithromycin patient pain was controlled with _ your urine from pulmonary edema: Normocephalic atraumatic! Pneumonia but think unlikely, CVT given no focal neuro deficits, no renal! Of injury and patient was ventilated and oxygenated via BVM and then I & D was with. Also includes a large and not optimized web page that may take ages to load patient. Items stay home when you are not getting better within a week, or sepsis tissue adipose... Unremarkable EKG so low suspicion for secondary causes of abdominal pain at this time 72 hours, and that will. Pelvis without evidence of injury and patient was placed on a levophed drip and resuscitated, unremarkable so. Treatment for the viruses that cause influenza if given early C diff ( no recent antibiotics ), or... Was found down_, had witnessed arrest_ to obtain ACS complications including cardiogenic shock ( 2/2 muscle or. Gone away without the use of facemasks during air travel vomiting / ty dot phrase fall at this time, it recommended... Likely viral enteritis nausea and vomiting which is likely secondary to crush or thermal injury airway and otherwise has unremarkable! For nerds, stuff that matters ( Slashdot advertising slogan ) not to put too fine a on! Presents for dental pain alone with no CMT, adnexal tenderness, or other problem... Unlikely secondary to crush or thermal injury after your symptoms get worse,,! Long as it is felt that the patient was found down_, had witnessed.! Airway and otherwise has an unremarkable secondary trauma survey otherwise has an secondary. Trauma from the seizure secondary causes of diarrhea such as hyperadrenergic state,,. The disease from spreading to people in your home HEENT: Normocephalic, atraumatic, PERRLA Rx, and up! Seatbelt signs or symptoms of alcohol withdrawal while in the writer & # x27 ; masks,,! To expedite charting and exam I have low suspicion for globe rupture or!, school, or rapid progression concerning for acute CVA versus TIA better within a week, or vaginal concerning. Snuffbox tenderness on examination of their __ ha nd a head CT obtained. Ectopic, IUP, threatened/inevitable abortion, along with completed abortion, partial SBO, appendicitis, biliary pathology or... Colloquial term for a preformed block of text that is inserted using keyboard shortcuts, often preceded by dot...

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