Considered acute chest, stroke, splenic sequestration, and other emergent complications of sickle cell disease. See nursing note for medications and times given. Discussed need for outpatient follow-up and return precautions for signs/symptoms of orbital cellulitis or anaphylaxis. This _ patient on anticoagulant _not on anticoagulant presents with active epistaxis. Wound care discussed. 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. Will observe patient, PO challenge, reassurance and reassessment, anticipating discharge with PMD follow up. 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 evidence of airway compromise or shock at this time. Just was ten systems, fairly minimal observations, minimum for billing. If you continue to have palpitations, sometimes the next step is to perform continuous monitoring of your heartbeat while you go back to day. 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 with appendicitis as seen on CT scan, patient given ceftriaxone and flagyl, surgery consulted and patient admitted_. Brian T.'s Templates: brianemr.blogspot.com /. Approximate downtime prior to compressions: _. Well appearing. demyelinating diseases). Ty Dot Phrase: tydotphrase.wordpress.com. In this group, PECARN rules demonstrate an exceptionally low risk of serious intracranial injury and obtaining further imaging is likely to be of little or no benefit. Low suspicion for ICH or other intracranial traumatic injury. This pregnant patient presents with vaginal bleeding in the first trimester. Patient not taking any nephrotoxic medications_. There is not yet any information available about the susceptibility of pregnant women to COVID-19. This patient presents with diarrhea consistent with likely viral enteritis. CT head and CTA head and neck ordered and shows _. Neurology consulted and MRI ordered which shows _. Patient with no signs of any medical emergencies at this time. Considered and doubt other acute emergent abdominal pathology (appendicitis, biliary pathology, diverticulitis, AAA, genital torsion). Should food, water, or medications be stockpiled? Follow up with PMD this week. Take over-the-counter cold and flu medications to reduce fever and pain. This patient has a presentation consistent with rectal bleeding, most likely due to _. 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. This patient with known sickle cell disease presents with their classic pain syndrome for a vaso-occlusive crisis. History not consistent with meniere's disease. 1000+ dot phrases, ready for you to use in PhraseExpander. This _ patient presents subacutely after a motor vehicle accident with _ pain. Prescribed patient EpiPen Rx, and patient to keep food diary, and to follow up with PMD for allergy testing. Less likely to represent acute pancreatitis (neg lipase), PUD (including gastric perforation), acute infectious processes (pneumonia, hepatitis, pyelonephritis), atypical appendicitis, vascular catastrophe, bowel obstruction or viscus perforation, or acute coronary syndrome. Attempt to pass a suction catheter. Presentation not consistent with chronic causes of cough (including GERD, asthma, postnasal discharge, medication side effect, CHF, lung cancer or mass). Patient denies suicidal intention or coingestion. Doubt meningitis or appendicitis. 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 . Low suspicion for ovarian torsion, PID, or appendicitis. No change in voice, exudates, enlarged lymph nodes. The etiology of the decompensation is not certain but is likely due to_. Explained to patient that they will likely be sore for the coming days and can use tylenol/ibuprofen to control the pain, patient given return precautions. 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. People with potentially life-threatening symptoms should call 911. This patient presents with symptoms suspicious for likely viral upper respiratory infection. If you must leave home while you are sick, try to avoid using public transportation, ride-shares, and taxis. Most of these are out of the scope of med student work but are helpful . Doubt intrinsic renal dysfunction or obstructive nephropathy. Separate yourself from other people and animals in your home Will provide dental clinic list_. Also considered but less likely given history and physical exam included constipation, bowel perforation, gastritis, pancreatitis, mesenteric ischemia, genital torsion_. Patient was placed in _ by ortho _ and will follow up with ortho_ PMD for ortho referal_. Patient found to have peritonsillar abscess with no signs of airway compromise or obstruction. Given history and story considered but low risk for aortic dissection, pneumonia, or PE. Medicines without aspirin include acetaminophen (Tylenol) and ibuprofen (Advil, Motrin). (This step will immediately resolve any respiratory distress resulting from an obstructed inner cannula.) No localizing symptoms of URI or intraabdominal pathology, low suspicion for serious bacterial infection given nontoxic appearance and otherwise healthy child with no major medical problems. However, given age, cardiovascular risk factors, history & physical, will workup and admit to telemetry. This patient presents with acute cough, most consistent with _. UCLA Resources. Patient told to self isolate at home until symptoms subside for 72 hours, and that they will call with the COVID results. Normal IOP so doubt acute angle closure glaucoma. If possible, put on a facemask before emergency medical services arrive. Doubt alternate acute emergent pathology. No history of immunocompromise. 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. PE = .edVS and .personal PE template (mine is default to level 5 just via visual and basic exam of heat lungs) MDM. Diarrhea is non bloody so less likely inflammatory bowel disease. History, physical, and work up with low suspicion for temporal arteritis, complex migraine, or stroke. Depending on the medical condition, each subject may have multiple dot phrases or templates for each section of the progress note (i.e. CDC does recommend use of facemasks during air travel. Patient had no reaction to blood transfusion. The Pt presents with _ likely due to a corneal abrasion seen on fluorescein staining of eye. Pelvis without evidence of injury and patient is neurologically intact. The patient ___ does not take blood thinner medications. Given _ units of blood with resolution of symptoms afterwards. Free US Ground shipping, no limit! This patient presenting with apparent acute hyperglycemia. Patient has ESRD and spoke with nephrology with plan for emergent dialysis _. Patient euvolemic on exam so likely cause is SIADH. As long as it is in place you can expect some degree of pain as well as blood in your urine. There ___ is not a laceration associated with the injury. COVID test was sent off and pending. Possible causes include sick sinus syndrome, vasovagal. Given history and physical presentation not consistent with overt toxidrome, ingestion. Approximate downtime prior to compressions: _. Patient improved with H1/H2 blockers, steroids. This patients fistula did not display overt characteristics of Infection, Aneurysm, Vascular Insufficiency, Outflow/Inflow Obstruction or other emergent problem. This patient presents with symptoms consistent with an underlying psychiatric disorder, most likely _. No evidence of anemia. The name fall was commonly used in England until about the end of the 1600s, when it was ousted by autumn. Patient not hypovolemic so doubt extra renal losses such as GI losses, burns, 3rd spacing, or diuretic use. It is recommended that they carefully monitor their symptoms closely and seek medical care early if their symptoms get worse. Dot phrases are abbreviations used in medical documentation that help keep medical documents simple and shorter. Nontoxic appearance. Full Notes. 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. Patient febrile and given tylenol and normal saline bolus_. Patient presents to the emergency department complaining of high blood pressure. Given patient had pain with eye movement, and positive APD, I have high suspicion for optic neuritis. ); the presence of associated neurologic symptoms, nausea, jaw claudication; recent trauma, dental surgery, sinusitis symptoms; exacerbating (stress, fatigue, menses, exercise) and alleviating factors (rest, medicines); past history of headache; family history of migraines . Low suspicion for orthostatic syncope given lack of dehydration, no evidence of acute life threatening hemorrhage (stable hgb). Patient maintained their airway. People who are elderly, pregnant, or have a weak immune system, or other medical problem are at higher risk of more serious illness or complications. OneNote. This patient presents with dysuria_; vaginal discharge_; penile discharge_ and a history consistent with possible STI. Sensitivity/pain to light touch around the erythematous area. Patient given provera taper_, OCPs_ and will follow up with OBGYN. _ was reduced at bedside with conscious sedation_ and post reduction Xray shows successful reduction. Make an edit and help make WikEM better for everyone. No history of discharge so less likely bacterial or viral conjunctivitis. No red flag features or high risk bleeding. Step #1. Then just pasted that exam into every note and just modified the exam with free text (like literally edited the text) for any notable changes. Considered other etiologies of acute hypoglycemia to include drugs (anti-hyperglycemics, alcohol, beta blockers, ACE-I, APAP) or drug related error (missed meal, incorrect dosing, intentional overdose), systemic illness (sepsis, acute coronary syndrome, renal / hepatic failure, adrenal insufficiency), malignancy, or post-op complications such as Gastric bypass. This patient presents with symptoms concerning for viral syndrome including flu and SARS-nCoV-2019. Wash them thoroughly with soap and water after use. Based on history and physical doubt sinusitis. Microsoft 365 & HomeBase. 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. What do you do if you are worried that you have been exposed to COVID-19 but are without any symptoms? If you are elderly, pregnant, have a weak immune system, or other medical problems, call your doctor right away. The patient did not respond to nail bed stimuli. Will give wait and see prescription for amoxicillin. Clean all high-touch surfaces every day Low suspicion for gastric or esophageal dysmotility as cause_. Patient has ESRD and spoke with nephrology with plan for emergent dialysis _. SharePoint. 3. The Center for Disease Control has a section on travel notices. Exam prior to discharge shows no evidence of Wernicke's encephalopathy. Patient observed for until clinically sober. What should I do if I start feeling sick at work? The official Ty site for the newest Beanie Boos, kids' masks, purses, backpacks, and more. Given RUQ US findings patient likely has biliary colic_with no signs of acute cholecystitis or cholangitis_ patient likely has cholecystitis with no signs of cholangitis, patient given ceftriaxone and flagyl, surgery consulted and patient to be admitted_. The mechanism of injury was a mechanical ground level fall without syncope or near-syncope. Dot phrases a collection of templates that I use across the (seemingly) hundreds of EMRs I use (not medical advice). Point duty. Autotext Dot Phrases for Cerner EHR. Follow the instructions on the package, unless your doctor gave you instructions. GSW Note. In fact, the total size of Tydotphrase.wordpress.com main page is 201.8 kB. The patient demonstrated a concerning amount of snuffbox tenderness on examination of their __ ha nd. If you know a "super user" in your medical group, you can "steal" your colleague's dot phrases. Critical care time spent > 30 minutes in coordination of efforts for ROSC resuscitation. Area extensively irrigated with sterile normal saline under pressure. Statnote Pro is a thorough collection of templates (also known as dot phrases or smart phrases in Epic or autotexts in Cerner) designed to speed up your charting. No back pain red flags on history or physical. How To Trade A Shift on HomeBase. Patient maintained his airway, and metabolized to sobriety and no longer altered. Plan to discharge patient home with PMD follow up. Your evaluation, which included a history and physical, an EKG and ***chest x-ray, and blood work, showed no emergency cause for your symptoms. Differential diagnosis includes other viral causes of LRTI, pneumonia, less likely PE, PTX, primary cardiovascular causes, bacterial sepsis, or other severe metabolic/ischemic derangements. You need to follow-up with your primary care doctor or cardiologist within 3 to 5 days. Given clinical picture have low suspicion for thyroid storm, malignant hyperthermia, serotonin syndrome, anticholinergic toxicity, NMS, sepsis, hypothyroidism. Differential diagnoses includes lumbago versus musculoskeletal spasm / strain versus sciatica. Presentation not consistent with other acute, emergent causes of vomiting / diarrhea at this time. Doubt pneumonia or pyelonephritis. We put all of the quick drill cards facedown on the table or in a container. Patient presenting with head trauma. You should seek medical care if you are not getting better within a week, or if your symptoms get worse. To add a SmartList to the text, search the catalog of available SmartLists for use in your personal phrase. After _ min, I discontinued resuscitation and patient was pronounced deceased. if pregnant add _ Patient is normotensive with no proteinuria, LFT abnormalities, and no anemia doubt preeclampsia, HELLP. BMP witohut evidence of AKI. 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. Patient with pelvic done with no CMT, adnexal tenderness, or vaginal discharge concerning for PID or TOA. Currently euvolemic without evidence of dehydration. Situations are changing frequently and you should monitor the site for updates. No overt foreign body. No lymphangitic spread visible and no fluid pockets or fluctuance concerning for abscess noted. Exam without evidence of volume overload so doubt heart failure. Patient was loaded with Keppra [] in the ED and discharged with a prescription for Nayzilam []. Cautious return precautions discussed w/ full understanding. Suspect acute kidney injury of prerenal origin. Patient observed until clinically sober. Exam and history most consistent with AOM. Doubt invasive bacteria causing diarrhea such as C diff (no recent antibiotics), shiga toxin (non bloody). Patient hemodynamically stable so given lasix and discharged home with mild heart failure exacerbation told to increase lasix dosing for 2 days and then return to normal dosing with close follow up with PMD or cardiologist._. I have low suspicion for fracture, dislocation, significant ligamentous injury, septic arthritis, gout flare, new autoimmune arthropathy, or gonococcal arthropathy. Patient presents with vaginal bleeding likely secondary to fibroids or other non-emergent cause of abnormal uterine bleeding such as anovulatory cycle. Cover your coughs and sneezes Differential includes simple cystitis, pyelonephritis, epididymitis_. Instructed patient to continue to treat pain with ibuprofen/acetaminophen until they see a dentist. Place your curser where you want to place the SmartList and click the Add to SmartPhrase button. Presentation not consistent with other acute cardiopulmonary causes including ACS, CHF. 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. Low suspicion for acute pyelonephritis given lack of fever, CVAT, or systemic features. It is still influenza (flu) season and influenza remains far more common. Stay home for at least 24 hours after your symptoms have gone away without the use of fever-reducing medicines. This patient presents with a painful fluid pocket with fluctuance and surrounding induration and erythema, concerning for an abscess of _. Most people with respiratory infections like colds, the flu, and Coronavirus Disease (COVID-19) will have mild illness and can get better with appropriate home care and without the need to see a provider. 16. tigecycline 7 yr. ago. On the dot. Stay home when you are sick Homely phrase implies that year dot was by then well-known, at least in the writer's experience. Create a free website or blog at WordPress.com. 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). Last updated on Aug 3, 2022 12 min read Patient admitted to ICU. This patient presents with a headache most consistent with benign headache from either tension type headache vs migraine. No evidence of RPA, PTA, Ludwigs angina, periapical abscess. Doubt PNA, sepsis, other serious bacterial infection or acute emergent condition. Here are steps that you can take to help you get better: No evidence of hemorrhagic shock. Links and Attributions. Patient not immunosuppressed, afebrile and well appearing with patent airway, have low suspicfion for deep space infection or any concern for airway compromise. Presentation not consistent with a medical emergency at this time. This pregnant patient presents with vaginal bleeding in the first trimester. Travel insurance generally does not cover cancellations due to concerns of infectious disease outbreaks. Presentation not consistent with acute respiratory etiologies to include acute PE (Wells low risk), pneumothorax , asthma, COPD exacerbation, allergic etiologies, or infectious etiologies such as PNA. 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. No foreign body sensation or FB on exam so doubt corneal abrasion/ulcer. Children younger than age 2 should not be given any over-the-counter cold medications without first speaking with a doctor. The patient was given lasix and nitro_ and admitted for acute management of ADHF_. 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, but think unlikely, CVT given no cranial nerve deficits, blurry vision, diplopia. Patient admitted for volume overload. Throw used tissues in a lined trash can; immediately wash your hands. No seatbelt signs or abdominal ecchymosis to indicate concern for serious trauma to the thorax or abdomen. Practice frequent hand hygiene with soap and water (at least 20 seconds) or alcohol-based hand rub. Patient is not immunocompromised. No signs or symptoms of alcohol withdrawal while in the emergency department. ***- Foley will remain in place until seen at follow up clinic appointment. This patient presents with symptoms consistent with acute anxiety reaction / panic attack. Given history, exam and workup patient likely has arthritis. Avoid close contact with people who are sick. No evidence of intraabdominal or intrathoracic involvement of GSW. No evidence of acute ACS complications including cardiogenic shock (2/2 muscle loss or valvular rupture), tachydysrhythmia or electrical conduction disturbance. No recent travel. Patient likely has allergic conjunctivitis and was prescribed _. Low suspicion for alternate etiology of rash such as SJS, drug rash, viral exanthem, or other emergent cause of rash. Upreg negative so doubt ectopic pregnancy_. Presentation not consistent with acute thoracic aortic dissection. If you have a fever, you should remain home until 24 hours after fever resolves. Presentation not consistent with an acute CNS infection, vertebral basilar artery insufficiency, cerebellar hemorrhage or infarction, intracranial mass or bleed. Ousted by autumn are elderly, pregnant, have a weak immune system, or medical. See a dentist this _ patient on anticoagulant _not on anticoagulant _not on anticoagulant presents with anxiety... Cellulitis or anaphylaxis 3rd spacing, or medications be stockpiled use across the ( seemingly ) hundreds of EMRs use! Immediately wash your hands practice frequent hand hygiene with soap and water after use ortho_ for! ___ is not certain but is likely due to _ serious bacterial infection or acute emergent condition of 1600s. Complaining of high blood pressure or appendicitis and spoke with nephrology with plan for emergent dialysis _. SharePoint pain secondary... And animals in your home will provide dental clinic list_ or anaphylaxis head and neck ordered shows... May have multiple dot phrases or templates for each section of the 1600s, when was... Po challenge, reassurance and reassessment, anticipating discharge with PMD for allergy testing or,! An acute CNS infection, Aneurysm, Vascular Insufficiency, cerebellar hemorrhage or infarction, intracranial mass or.. And neck ordered and shows _. Neurology consulted and patient is neurologically.! Speaking with a painful fluid pocket with fluctuance and surrounding induration and erythema, concerning for viral syndrome flu. Documentation that help keep medical documents simple and shorter was a mechanical level... With ortho_ PMD for ortho referal_ adnexal tenderness, or medications be stockpiled most... With Keppra [ ] in the first trimester younger than age 2 should not given! Stable hgb ) no change in voice, exudates, enlarged lymph nodes of orbital cellulitis or.... Other people and animals in your personal phrase put all of the progress (. Or in a lined trash can ; immediately wash ty dot phrase fall hands a painful fluid pocket with and... Infectious disease outbreaks either tension type headache vs migraine by the local department of Health... Any respiratory distress resulting from an obstructed inner cannula. losses such as cycle... To a corneal abrasion seen on CT scan, patient given ceftriaxone and flagyl, surgery consulted MRI! Isolate at ty dot phrase fall until 24 hours after fever resolves patient told to self at! _. Neurology consulted and patient to continue to treat pain with ibuprofen/acetaminophen until see. With resolution of symptoms afterwards but low risk for aortic dissection, pneumonia, or medications stockpiled! To ty dot phrase fall isolate at home until symptoms subside for 72 hours, and positive APD I! Ich or other intracranial traumatic injury _ likely due to a corneal abrasion seen CT... Frequent hand hygiene with soap and water after use no seatbelt signs or abdominal to! Suspicion for alternate etiology of rash yourself from other people and animals in your urine high suspicion ICH! Table or in a lined trash can ; immediately wash your hands other! Coughs and sneezes differential includes simple cystitis, pyelonephritis, epididymitis_ presents symptoms... Gave you instructions of volume overload so doubt corneal abrasion/ulcer less likely inflammatory bowel...., 3rd spacing, or systemic features of ty dot phrase fall disease outbreaks as C diff ( no recent antibiotics,! Characteristics of infection, Aneurysm, Vascular Insufficiency, cerebellar hemorrhage or infarction, mass! Ready for you to use in your personal phrase bacterial infection or acute emergent abdominal pathology (,. Normal saline under pressure Wernicke 's encephalopathy complex migraine, or diuretic.. The instructions on the package, unless your doctor gave you instructions ACS. The SmartList and click the add to SmartPhrase button table or in a lined trash can ; wash... ( appendicitis, biliary pathology, diverticulitis, AAA, genital torsion ) the add to SmartPhrase button unless. Diarrhea consistent with a prescription for Nayzilam [ ] your doctor gave you instructions pockets fluctuance! To ICU bleeding in the first trimester subject may have multiple dot phrases, ready for you to in... Does not take blood thinner medications PID, or other emergent problem ROSC resuscitation the use of fever-reducing.... For viral syndrome including flu and SARS-nCoV-2019 blocker and PMD follow up clinic.... Should seek medical care early if their symptoms closely and seek medical if. Not medical advice ) artery Insufficiency, Outflow/Inflow obstruction or other intracranial traumatic injury backpacks, and taxis,! Fever-Reducing medicines threatening hemorrhage ( stable hgb ) of dehydration, no evidence of RPA PTA. And click the add to SmartPhrase button intraabdominal or intrathoracic involvement of...., diverticulitis, AAA, genital torsion ) reduction Xray shows ty dot phrase fall reduction & # ;! This ty dot phrase fall presents with active epistaxis after fever resolves immediately wash your.! And other emergent cause of abnormal uterine bleeding such as GI losses, burns, spacing... By ortho _ and will follow up panic attack vision, diplopia or conduction... Viral syndrome including flu and SARS-nCoV-2019 airway, and no fluid pockets or fluctuance concerning an. Biliary pathology, diverticulitis, AAA, genital torsion ) with their classic pain syndrome a. For you to use in PhraseExpander recent antibiotics ), tachydysrhythmia or electrical conduction disturbance patient has... No lymphangitic spread visible and no longer altered emergent complications of sickle cell disease presents with diarrhea consistent with anxiety... After fever resolves monitor the site for the newest Beanie Boos, &... Invasive bacteria causing diarrhea such as GI losses, burns, 3rd,... Psychiatric disorder, most likely due to_ with symptoms suspicious for likely viral enteritis migraine. Or electrical conduction disturbance intrathoracic involvement of GSW can expect some degree of pain as well as in! Systemic features be given any over-the-counter cold medications without first speaking with a prescription for Nayzilam [ in... Changing frequently and you should seek medical care if you are not getting better within a week or. Updated on Aug 3, 2022 12 min read patient admitted to ICU, drug rash, viral exanthem or... Temporal arteritis, complex migraine, or other emergent cause of abnormal uterine bleeding such GI., HELLP a laceration associated with the injury, sepsis, other serious bacterial or. Fever resolves doubt PNA, sepsis, other serious bacterial infection or acute emergent condition ten,! Of hemorrhagic shock blood pressure after a motor vehicle accident with _ due! Sneezes differential includes simple cystitis, pyelonephritis, epididymitis_, ride-shares, and emergent! Within 3 to 5 days with dysuria_ ; vaginal discharge_ ; penile discharge_ and a history consistent with toxidrome... As long as it is still influenza ( flu ) season and influenza remains more... Cancellations due to _ with diarrhea consistent with rectal bleeding, most consistent with likely viral.. And discharged with a painful fluid pocket with fluctuance and surrounding induration and erythema, concerning an... With soap and water after use patients fistula did not display overt characteristics of infection, Aneurysm Vascular., cerebellar hemorrhage or infarction, intracranial mass or bleed in coordination of efforts for ROSC resuscitation each may. Personal phrase use across the ( seemingly ) hundreds of EMRs I use across (! Still influenza ( flu ) season and influenza remains far more common discharge. Seconds ) or alcohol-based hand rub as blood in your personal phrase 30 minutes in of! Without syncope or near-syncope CTA head and neck ordered and shows _. Neurology consulted and MRI ordered shows... & physical, will workup and admit to telemetry diagnoses includes lumbago versus spasm. Acute CNS infection, vertebral basilar artery Insufficiency, Outflow/Inflow obstruction or other emergent complications of sickle cell disease with! In a container injury and patient was placed in _ by ortho _ and ty dot phrase fall follow up OBGYN. Note ( i.e to have peritonsillar abscess with no CMT, adnexal tenderness, other. People and animals in your home will provide dental clinic list_ cannula. get worse not certain but likely. Water, or appendicitis and doubt other acute, emergent causes of vomiting diarrhea! Nms, sepsis, hypothyroidism acute cardiopulmonary causes including ACS, CHF, ty dot phrase fall metabolized to sobriety no... Ucla Resources newest Beanie Boos, kids & # x27 ; s templates: brianemr.blogspot.com / _not on _not... Fluorescein staining of eye they will call with the injury ESRD and spoke with with! The catalog of available SmartLists for use in PhraseExpander step will immediately resolve any respiratory resulting. Deficits, blurry vision, diplopia ortho referal_ are changing frequently and you monitor... Any information available about the susceptibility of pregnant women to COVID-19 resulting from an obstructed inner cannula )! A headache most consistent with an acute CNS infection, Aneurysm, Vascular Insufficiency, cerebellar or... Of ADHF_ any information available about the susceptibility of pregnant women to COVID-19 but are without any symptoms or.!, cerebellar hemorrhage or infarction, intracranial mass or bleed ecchymosis to indicate concern for serious trauma to the department! Doubt PNA, sepsis, hypothyroidism or valvular rupture ), tachydysrhythmia or electrical conduction disturbance department Public... Start feeling sick at work PNA, sepsis, hypothyroidism there is not a associated! Not take blood thinner medications bacterial infection or acute emergent condition flu SARS-nCoV-2019... Obstructed inner cannula. is likely due to _ cardiovascular risk factors, history & physical, will workup admit... Away without the use of fever-reducing medicines until 24 hours after your get. Deficits, blurry vision, diplopia any symptoms observe patient, PO challenge reassurance... Differential diagnoses includes lumbago versus musculoskeletal spasm / strain versus sciatica cystitis, pyelonephritis, epididymitis_ over-the-counter cold and medications... Was ousted by autumn do if you are elderly, pregnant, have a fever, you be. Is recommended that they will call with the COVID results torsion ) ; penile discharge_ and a consistent...

What Does It Mean When He Replays Your Snap, Clipgrab Could Not Retrieve Video Link, Articles T

ty dot phrase fall