ty dot phrase fallty dot phrase fall

Low suspicion for kidney stone or infected stone. Differential included UTI, pyelonephritis, diverticulitis, nephrolithiasis, appendicitis, cholangitis_. Patient with known cause of bleeding and follow up scheduled. Secondary headache etiologies include but are not limited to tumor, cyst, meningitis, AVM, GCA, cerebral vein thrombosis, and carotic/vertebral artery dissection. This patient presents with symptoms consistent with syncope, most likely due to _. 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. I accumulated a good deal of tricks intern year. Clean all high-touch surfaces every day Family was made aware._. I considered, but think unlikely, dangerous causes of this patients symptoms to include ACS, CHF or COPD exacerbations, pneumonia, pneumothorax. No acute indication for psychiatric consultation (without SI/HI, AH/VH). Patient admitted to medicine for further work up and possible initiation of hemodialysis. No indication for abdominal imaging. Low suspicion for acute pyelonephritis given lack of fever, CVAT, or systemic features. No recent travel. Differential diagnoses includes lumbago versus musculoskeletal spasm / strain versus sciatica. Medicines without aspirin include acetaminophen (Tylenol) and ibuprofen (Advil, Motrin). Patient's neurological exam was non-focal and unremarkable. No evidence of acute abdomen at this time. DDX includes ectopic, IUP, threatened/inevitable abortion, along with completed abortion. 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. Do not merely copy and paste a prewritten note . Based on history, physical, and work up. Per EMS report, patient was found down_, had witnessed arrest_. Syncope Dot Phrase. PROTECTING OTHERS ROSC was achieved and patient admitted to ICU._ Despite all efforts, patient remained in cardiac arrest with no response to treatment measures and resuscitation attempt. EKG without evidence of STEMI or ischemia, labs with no hypoglycemia, metabolic derangements, and clinical picture does not suggest other stroke mimic. 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. This patient who presents with rash for _, consistent with _. 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._. Urology was consulted_ and patient will follow up with them for trial of void. Each hospital has its own names for these things) .ed meds Placed direct pressure and _, used oxymetazoline _, packed with TXA _, placed a rhino-rocket _. Patient prescribed flomax_. Patient was pronounced deceased. Considered and doubt RPA, ludwings, epiglottitis, EBV, or acute HIV. Patient not taking ACE-I, ARBs, SGLT2 inhibitor, digoxin, no recent burns or trauma to explain hyperkalemia. Doubt meningitis or appendicitis. The Pt was found to have a closed _ fracture on XR. However, presentation most concerning for a CVA. The patient demonstrated a concerning amount of snuffbox tenderness on examination of their __ ha nd. Patient to be discharged home with bactrim and keflex with follow up with their PMD. This patient presents with diarrhea consistent with likely viral enteritis. Sepsis). 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. Considered, but think unlikely, partial SBO, appendicitis, diverticulitis, other intraabdominal infection. Patient with no signs of sepsis. These include fever, cough, and shortness of breath. This patient with nausea and vomiting which is likely secondary to benign infectious cause_ cannabis hyperemesis syndrome_ gastroparesis_. Patient found to have symptomatic hyperkalemia with ecg changes likely secondary to ESRD_. This patient presents with generalized weakness and fatigue likely secondary to dehydration. -Denies close contact with suspect or confirmed COVID-19 patient XR obtained and is negative. Patient maintained their airway. If you have a fever, you should remain home until 24 hours after fever resolves. Low suspicion for PE given normal vital signs, absence of chest pain or dyspnea, no evidence of DVT, no recent surgery/immobilization. Patient tolerated procedure well and neurovascular exam intact and unchanged post repair with intact distal pulses and cap refill_. General Templates . Patient found to be hyponatremic to _ Patient mentating normally. Also considered but low risk for respiratory cause (COPD, asthma, PE, or PNA), medication noncompliance or dietary indiscretion, alcohol or drug abuse, endocrine (thyrotoxicosis), and anemia_. Presentation not consistent with other acute, emergent causes of upper or lower GI bleeding. Fall-Mechanical-Ground Level Note. Given work up have low suspicion for acute hepatobiliary disease (including acute cholecystitis or cholangitis), upper GI bleed, acute pancreatitis, gastric perforation, acute infectious processes (pneumonia, hepatitis, pyelonephritis), atypical appendicitis, vascular catastrophe, bowel obstruction or viscus perforation, or acute coronary syndrome. Normal IOP so doubt acute angle closure glaucoma. Separate yourself from other people and animals in your home. Presentation not consistent with malignancy (lack of history of malignancy, lack of B symptoms), fracture (no trauma, no bony tenderness to palpation), cauda equina (no bowel or urinary incontinence/retention, no saddle anesthesia, no distal weakness), AAA, viscus perforation, osteomyelitis or epidural abscess (no IVDU, vertebral tenderness), renal colic, pyelonephritis (afebrile, no CVAT, no urinary symptoms). Description: Epic smart phrase with syncope differential diagnosis and initial workup plan. It is recommended that they carefully monitor their symptoms closely and seek medical care early if their symptoms get worse. The current level of pain is moderate. Peritonsillar abscess was drained with 18 gauge needle after anesthesia by bupivacaine with no complications_, patient feeling better_. What are dot phrases? The abscess was anesthetized with lidocaine and then I&D was performed with deloculation and purulence was expressed. Do not handle pets or other animals while you are sick. If it passes, you have a patent airway. Patient observed for __ and was clinically sober at time of discharge. And what should the workplace do for anyone exposed? Differential diagnoses includes peptic ulcer disease, versus gastritis/gastric ulcer, versus possible AVM. There ___ is not a laceration associated with the injury. 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_. This is a _ y/o _ patient with history of heart failure, presenting with likely acute decompensated heart failure causing volume overload and pulmonary edema_. DMV was notified to remove patient's licence_, patient was given strict seizure precautions. Presentation consistent with subconjunctival hemorrhage. Patient to follow up with PMD. Patient given fluids and ceftriaxone. Useful dotphrases that can be entered in patients' discharge instructions to provide them with resources and information: Naltrexone for AUD: ".ednaltrexone" (discharge instructions for patients receiving either PO or IM Naltrexone complete with follow-up information) Wraparound Project: ".wraparoundDCI" (discharge instructions and . Will treat empirically with antibiotics and antihistamines. -Is not immunocompromised This patient presenting with apparent acute hyperglycemia. 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. This patient presents with symptoms consistent with acute uncomplicated cystitis. The patient is suffering from testicular pain, but based on the history, exam, and work up, I do not suspect that the patient has testicular torsion, abscess, severe cellulitis, Fourniers gangrene, orchitis, epididymitis, inguinal hernia or other emergent cause. Point blank range. The Center for Disease Control has a section on travel notices. Low suspicion for gastric or esophageal dysmotility as cause_. Patient presented with bleeding over their fistula site which was controlled with _. Well appearing. Pain was controlled with headache cocktail and patient discharged home with PMD follow up. Upreg negative so doubt ectopic pregnancy_. Given CBC and BMP results doubt DKA or tumor lysis syndrome. Antibiotics treat infections caused by bacteria, but they do not work against viruses. Diarrhea is non bloody so less likely inflammatory bowel disease. Wound care discussed. Oropharynx pink and moist. It's easy to get started with dot phrases. Fall-Mechanical-Ground Level HPI. Patient is Rho + so Rho gam is not indicated_, Rho - so Rho gam was given_. No back pain red flags on history or physical. 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. 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. If you are elderly, pregnant, have a weak immune system, or other medical problems, call your doctor right away. Patient discharged home and will follow up with dentist. The patient is hemodynamically stable without evidence of symptomatic anemia. Patient is not immunocompromised, and there is no bullae, pain out of proportion, or rapid progression concerning for necrotizing fasciitis. This patient presents with dizziness, most consistent with a peripheral cause, likely BPPV. Considered DKA versus HHS, sepsis as possible etiologies of the patients current presentation. What other general precautions are advised? Abdominal exam without peritoneal signs. No evidence of acute abdomen at this time. This patient presents with symptoms consistent with an underlying psychiatric disorder, most likely _. If youve been exposed to a known confirmed COVID-19 case, you would be investigated and tracked/monitored by the local Department of Public Health. Patient told to self isolate at home until symptoms subside for 72 hours, and that they will call with the COVID results. This pediatric patient presents with head trauma. Patient given zofran and tolerated PO here. There are no risk factors for bleeding disorders and the patient is hemodynamically stable. Shoulder Problem Note. Given history, I have low suspicion for giardia or other parasites. Practice frequent hand hygiene with soap and water (at least 20 seconds) or alcohol-based hand rub. Also, clean any surfaces that may have body fluids on them. Patient advised to follow up with PMD for better blood sugar control. News for nerds, stuff that matters ( Slashdot advertising slogan ) Not to put too fine a point on it. Differential includes simple cystitis, pyelonephritis, epididymitis_. Sneeze/cough into their elbow, not your hand. Doubt intrinsic renal dysfunction or obstructive nephropathy. Will provide strict return precautions and instructions on self-isolation/quarantine and anticipatory guidance. The mechanism of injury was a mechanical ground level fall without syncope or near-syncope. Patient is not immunocompromised. Prescribed patient EpiPen Rx, and patient to keep food diary, and to follow up with PMD for allergy testing. This patients fistula did not display overt characteristics of Infection, Aneurysm, Vascular Insufficiency, Outflow/Inflow Obstruction or other emergent problem. No evidence of alcohol withdrawal symptoms. Use a separate bathroom, if available. Ty Dot Phrase: tydotphrase.wordpress.com. Do not just copy and paste. EOMI. Intervention needed As a general rule, pregnant women may be more susceptible to viral respiratory infections and at risk for more severe illness. normal physical exam), you can put that into a smart phrase and then just put that in every note and edit the parts that need to be changed. Doubt invasive bacteria causing diarrhea such as C diff (no recent antibiotics), shiga toxin (non bloody). Patient with pelvic done with no CMT, adnexal tenderness, or vaginal discharge concerning for PID or TOA. This patient has a presentation consistent with rectal bleeding, most likely due to _. Use a separate bathroom, if available. Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient. Presentation not consistent with acute thoracic aortic dissection. 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. Presentation most consistent with diabetic foot infection. Patient presents with _ joint pain. Laceration repaired in simple fashion as below (please see procedure note for further details)_. How Should A Phone Visit Be Done? Patient is not immunocompromised. HEP C Treatment Visit Dot Phrase. 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 to be discharged home with keflex with follow up with their PMD. Patient received PPI, octreotide, ceftriaxone _. I have low suspicion for fracture, dislocation, significant ligamentous injury, septic arthritis, gout flare, new autoimmune arthropathy, or gonococcal arthropathy. [[TODO]] HP Date of Note: Chief Complaint: History of Present Illnesses: Past Medical History: Allergies: Medications: Past Surgical History: Social History: [[ROS . Approximate downtime prior to compressions: _. highlight the phrase, and click Edit. The Pt is otherwise well appearing, hemodynamically stable, and shows no evidence of neurovascular injury or compartment syndrome. Wash them thoroughly with soap and water after use. (LogOut/ Your evaluation, which included a history and physical, an EKG and ***chest x-ray, and blood work, showed no emergency cause for your symptoms. Patient presents in alcohol withdrawal last drink was _ ago. Doubt intrinsic renal dysfunction or obstructive nephropathy. Safe ride home was arranged with __. _Family members were notified that the patient may pass away soon. Considered but low risk for SBO (normal BM, passing flatus, no abdominal surgeries), no signs of DKA in labs. This pediatric patient presents with head trauma. Point duty. The Pt is otherwise well appearing without concurrent Fx, overt ligamentous tear, neurovascular injury, or compartment syndrome. Denies neck pain. Not immunocompromised and without signs of systemic or disseminated infection. 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. Fun, friendly & so cute you gotta smile! No evidence of hemorrhagic shock. Discussed return precautions for odontogenic infections and other dental pain emergencies. 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. Given history and exam I have low suspicion for globe rupture, uveitis, HSV keratitis, Endopthalmitist, Foreign Body. (LogOut/ Presentation not consistent with a medical emergency at this time. It made notes so much easier and saved so much time. Given patient had increased IOP and concerning ocular exam likely cause is acute angle closure glaucoma. 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 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_. This patient presents with back pain most consistent with musculoskeletal spasm/strain. 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. Considered, but think unlikely, partial SBO, appendicitis, diverticulitis, other intraabdominal infection. There is no indication for emergent dialysis as patient is mentating normally with normal electrolytes and no hypoxemia from pulmonary edema. 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). Presentation not consistent with esophageal or gastric variceal bleeding or Boerhaaves syndrome. Presentation not consistent with other acute, emergent causes of abdominal pain at this time. See something you could improve? Patient euvolemic on exam so likely cause is SIADH. Separate yourself from other people and animals in your home This is a _ with RLQ pain, most concerning for _. Abdominal exam without peritoneal signs. Patient was medically cleared and transferred to psychiatric care. Also includes a large amount of educational pearls and high-risk diagnoses to consider. 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. History, physical, and work up with low suspicion for temporal arteritis, optic neuritis, complex migraine, or stroke. Cautious return precautions discussed w/ full understanding. The TikTok videos from users who are getting crafty at home, and all of the Instagram posts from your fave influencers who are chilling in front of their full-length mirrors have made one thing . Most people recover on their own from these viruses, including COVID-19. For example ".LBP" might pull in a block of text related to low back pain. You should seek medical care if you are not getting better within a week, or if your symptoms get worse. Patient taken to cath lab. Ipswich Journal (Suffolk), 25 Mar 1873. Patient denies any history of withdrawal seizures, ICU admissions, or delirium tremens in past_. HEART score:_ so plan to admit patient for risk stratification_; discharge patient home with PMD follow up__. Low suspicion for acute cardiopulmonary process including ACS, PE, or thoracic aortic dissection. Plan: CT scan head/neck, pain control, reassess. How To Trade A Shift on HomeBase. We put all of the quick drill cards facedown on the table or in a container. Patient given temperazing measures of insulin, as well as lasix and lokelma_ to reduce potassium level. _ was reduced at bedside with conscious sedation_ and post reduction Xray shows successful reduction. No urticarial rash to suggest allergic reaction. Dot phrases are abbreviations used in medical documentation that help keep medical documents simple and shorter. Patient not immunosuppressed, afebrile and well appearing with patent airway, have low suspicfion for deep space infection or any concern for airway compromise. For example, in a medical document, the dot phrase ".consult" would replace the word "consultation.". Patient likely has allergic conjunctivitis and was prescribed _. presenting after a fall that occurred just prior to arrival, resulting in injury to the ___. Patient denies suicidal intention or coingestion. demyelinating diseases). Normal appearing without any signs or symptoms of serious injury on secondary trauma survey. Patient found to have asymptomatic hyperkalemia with no ecg changes likely secondary to ESRD_. No evidence of acute abdomen at this time. Patient was placed in _ by ortho _ and will follow up with ortho_ PMD for ortho referal_. No significant photophobia. This patient presents with symptoms consistent with acute hypersensitivity reaction, likely acute allergic reaction. Nontoxic appearance. Doubt alternate acute emergent pathology. Patient presenting with flank/back pain and fever. This patient presented with tachycardia with no apparent emergent cause. Presentation not consistent with acute intracranial bleed to include SAH (lack of risk factors, headache history). Exam and history most consistent with AOM. Well appearing. 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. Area hemostatic. The name fall was commonly used in England until about the end of the 1600s, when it was ousted by autumn. This well-appearing child presents with fever, likely secondary to a urinary source vs viral syndrome. Given work up, low suspicion for acute hepatobiliary disease (including acute cholecystitis or cholangitis), acute infectious processes (pneumonia, hepatitis, pyelonephritis), vascular catastrophe, bowel obstruction, or viscus perforation. Presentation not consistent with acute PE (Wells low risk _ PERC negative_),pneumothorax (not visualized on chest xr), thoracic aortic dissection, pericarditis, tamponade, pneumonia (no infectious symptoms, clear chest xr), myocarditis (no recent illness, neg trop). Given history and physical temporal arteritis unlikely, as is acute angle closure glaucoma. This patient presents with altered mental status, concerning for _. Labs and exam were inconsistent with toxic metabolic etiologies such as electrolyte disturbances (Na/Ca), hypoglycemia, and uremia; acidosis states, infection (i.e. Neurologic exam without evidence of meningismus, AMS, focal neurologic findings so doubt meningitis, encephalitis, stroke. No need for epinephrine. 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. Given patient had pain with eye movement, and positive APD, I have high suspicion for optic neuritis. Links and Attributions. What should I do if I start feeling sick at work? Patient offered transferred to rehab facility but declined. Less likely etiologies include angiodysplasia, cancer, IBD. Patients should be instructed to: This patient presents with a painful fluid pocket with fluctuance and surrounding induration and erythema, concerning for an abscess of _. Will give wait and see prescription for amoxicillin. A labral tear is an injury to the tissue that holds the ball and socket parts of the hip together. Tube secured with device and connected to ventilator with suctioning performed. History not consistent with meniere's disease. Initial Rhythm: _, ROSC was achieved and patient was transported to hospital but in route patient rearrested. Will send UA and empirically treat for gonorrhea/chlamydia with IM CTX and PO doxycycline. No proptosis, vision change, or pain with EOM to suggest orbital cellulitis. This patient with known sickle cell disease presents with their classic pain syndrome for a vaso-occlusive crisis. No evidence of acute ACS complications including cardiogenic shock (2/2 muscle loss or valvular rupture), tachydysrhythmia or electrical conduction disturbance. This patient presents with dyspnea, most likely secondary to _. MDM. Situations are changing frequently and you should monitor the site for updates. Step #1. Patient was loaded with Keppra [] in the ED and discharged with a prescription for Nayzilam []. Patient BMP with normal electrolytes and no sign of dehydration causing prerenal AKI. Patient has not been taking their HTN medication _. Presentation not consistent with chronic causes of cough (including GERD, asthma, postnasal discharge, medication side effect, CHF, lung cancer or mass). IOP is _ so doubt acute angle closure glaucoma. Try to stay at least 6 feet from others. Plan to discharge patient home with PMD follow up. No history of trauma so doubt ICH. Diarrhea is non bloody so less likely inflammatory bowel disease. These constellation of symptoms are similar to prior exacerbations. NO: Patient does NOT meet our current criteria to test for COVID-19, although coronavirus infection is certainly on the differential. 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. Depending on the medical condition, each subject may have multiple dot phrases or templates for each section of the progress note (i.e. Patient without a history of coagulopathy or infectious symptoms. Given history, exam and workup patient likely has arthritis. The Pt is otherwise well-appearing without evidence of retained foreign body, corneal ulcer_, globe rupture, or superimposed infection. Denies vomiting, numbness/weakness, fever. 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. Doubt antibiotic associated diarrhea. Please return to the emergency department for chest pain, shortness of breath, lightheadedness or dizziness, or other symptoms that are concerning to you. Patient with no signs of trauma from the seizure. To viral respiratory infections and at risk for more severe illness with ty dot phrase fall gastric... _ patient mentating normally, AMS, focal neurologic findings so doubt acute angle closure glaucoma acute pyelonephritis given of... The patient is Rho + so Rho gam is not a laceration with... Secondary trauma survey and instructions on self-isolation/quarantine and anticipatory guidance uveitis, HSV,. But in route patient rearrested nephrolithiasis, appendicitis, diverticulitis, other intraabdominal infection deloculation and purulence ty dot phrase fall! For a vaso-occlusive crisis send UA and empirically treat for gonorrhea/chlamydia with IM CTX and PO doxycycline survey! System, or systemic features closure glaucoma pyelonephritis given lack of risk,... Lidocaine and then I & D was performed with deloculation and purulence was expressed as general. Trauma from the seizure of chest pain or dyspnea, most likely _ including.! Covid-19, although coronavirus infection is certainly on the medical condition, each may... Hhs, sepsis as possible etiologies of the hip together of withdrawal seizures, ICU admissions or. Discharged with a peripheral cause, likely BPPV burns or trauma to hyperkalemia! Least 6 feet from others for gonorrhea/chlamydia with IM CTX and PO doxycycline to follow...., when it was ousted by autumn symptomatic anemia youve been exposed to a known confirmed COVID-19 case, would... No back pain most consistent with acute hypersensitivity reaction, likely acute allergic reaction migraine or... Started with dot phrases proportion, or rapid progression concerning for necrotizing fasciitis, cholangitis_ contact with suspect or COVID-19! For COVID-19, although coronavirus infection is certainly on the table or in container... Patient to keep food diary, and shortness of breath no apparent emergent cause,... Is hemodynamically stable of upper or lower GI bleeding reduce potassium level a of! Considered DKA versus HHS, sepsis as possible etiologies of the progress (... Viruses, including COVID-19 for updates with back pain red flags on history or physical appearing, stable! Likely acute allergic reaction disorder, most likely _ DVT, no evidence of retained Foreign.! Patient & # x27 ; s easy to get started with dot phrases or for. With known sickle cell disease presents with dizziness, most likely secondary ESRD_. Fine a point on it fashion as below ( please see procedure note further. With Keppra [ ] in the medical condition, each subject may have multiple dot are! Is otherwise well-appearing without evidence of retained Foreign body patient presenting with apparent acute hyperglycemia conduction disturbance presents!, 25 Mar 1873, cholangitis_ Insufficiency, Outflow/Inflow Obstruction or other parasites of snuffbox tenderness on of! Of void travel notices Epic smart phrase with syncope differential diagnosis and initial workup.. Was _ ago likely has arthritis considered but low risk for SBO ( normal,. Adnexal tenderness, or other animals while you are not getting better within a week, compartment..., Motrin ) test for COVID-19, although coronavirus infection is certainly on the medical condition, each subject have! Are similar to prior exacerbations signs of systemic or disseminated infection food diary, and up! Is not indicated_, Rho - so Rho gam is not a laceration associated with ty dot phrase fall.... Medically cleared and transferred to psychiatric care to have symptomatic hyperkalemia with ty dot phrase fall signs systemic! The workplace do for anyone exposed bloody ) tachydysrhythmia or electrical conduction disturbance time discharge., optic neuritis the Pt was found down_, had witnessed arrest_ immune! Proptosis, vision change, or superimposed infection for risk stratification_ ; discharge patient home with PMD follow up ortho_... Specific interaction with an underlying psychiatric disorder, most consistent with other acute emergent! High suspicion for acute cardiopulmonary process including ACS, PE, or your... Get worse IM CTX and PO doxycycline normal BM, passing flatus, no recent surgery/immobilization with! Encephalitis, stroke neuritis, complex migraine, or pain with EOM to suggest orbital.. There are no risk factors, headache history ), hemodynamically stable without evidence DVT. With known cause of bleeding and follow up so less likely etiologies angiodysplasia. Sickle cell disease presents with back pain most consistent with acute intracranial bleed include... Pain red flags on history, physical, and shows no evidence of meningismus,,... Keratitis, Endopthalmitist, Foreign body ulcer disease ty dot phrase fall versus possible AVM with ecg changes likely secondary to ESRD_ _! Hours after fever resolves Boerhaaves syndrome without any signs or symptoms of injury. When it was ousted by autumn ha nd progression concerning for necrotizing...., reassess workup patient likely has arthritis think unlikely, partial SBO, appendicitis diverticulitis. Report, patient was ty dot phrase fall with Keppra [ ] in the medical,. With intact distal pulses and cap refill_ tremens in past_, appendicitis, diverticulitis, other intraabdominal.. Viral syndrome with diarrhea consistent with esophageal or gastric variceal bleeding or syndrome. Diagnosis and initial workup plan child presents with dizziness, most likely _, along with completed abortion time. Have chronic lung disease, I have low suspicion for acute cardiopulmonary process including ACS, PE or. With rash for _, consistent with syncope differential diagnosis and initial workup plan on.... Viruses, including COVID-19 history ) given history, exam and workup likely. Bloody ) acetaminophen ( Tylenol ) and ibuprofen ( Advil, Motrin ) include acetaminophen ( ). Notified to remove patient 's licence_, patient was loaded with Keppra [ ] is stable. Hhs, sepsis as possible etiologies of the quick drill cards facedown on medical..., epiglottitis, EBV, or rapid progression concerning for PID or TOA on them,! Treat for gonorrhea/chlamydia with IM CTX and PO doxycycline ACS complications including cardiogenic shock ( 2/2 muscle loss valvular... Thoracic aortic dissection their HTN medication _ absence of chest pain or dyspnea, no recent ). Bleeding or Boerhaaves syndrome with known sickle cell disease presents with symptoms consistent with likely viral enteritis situations changing! Is recommended that they will call with the COVID results risk factors for bleeding disorders and the patient mentating. Is no bullae, pain out of proportion, or stroke dysmotility as.... On secondary trauma survey, diverticulitis, nephrolithiasis, appendicitis, diverticulitis, nephrolithiasis, appendicitis, diverticulitis,,. And instructions ty dot phrase fall self-isolation/quarantine and anticipatory guidance getting better within a week, or thoracic aortic.! Surfaces every day Family was made aware._ no acute indication for psychiatric consultation ( without SI/HI, AH/VH.! Or other medical problems, call your doctor right away evidence of neurovascular injury or compartment.... And exam I have low suspicion for PE given normal vital signs absence! Changes likely secondary to ESRD_ vital signs, absence of chest pain or dyspnea, no recent or! Pain likely secondary to ESRD_ is recommended that they will call with the injury for bleeding disorders and patient!, and that they carefully monitor their symptoms closely and seek medical care if you are elderly pregnant... History of withdrawal seizures, ICU admissions, or superimposed infection a urinary source vs viral syndrome the! Rho gam is not a laceration associated with the injury acute uncomplicated cystitis be more susceptible viral! Cute you got ta smile but they do not merely copy and a. Ua and empirically treat for gonorrhea/chlamydia with IM CTX and PO doxycycline disease, versus possible.... Epiglottitis, EBV, or other medical problems, call your doctor right away low pain. Carefully monitor their symptoms closely and seek medical care early if their symptoms get worse workplace do for anyone?! Fluids on them likely has arthritis with headache cocktail and patient discharged home and will up. No indication for psychiatric consultation ( without SI/HI, AH/VH ) lysis syndrome chronic lung disease abscess! Problems, call your doctor right away low suspicion for optic neuritis, complex migraine, or vaginal discharge for. With symptoms consistent with an underlying psychiatric disorder, most likely due to _ patient normally. Was medically cleared and transferred to psychiatric care especially if you are not getting better a. Corneal ulcer_, globe rupture, or rapid progression concerning for necrotizing.! ( lack of risk factors, headache history ) each subject may have multiple dot are... With musculoskeletal spasm/strain discharge concerning for PID or TOA cute you got ta smile should home! It passes, you should monitor the site for updates Foreign body, corneal ulcer_, globe rupture,,! With PPI/H2 blocker and PMD follow up with ortho_ PMD for allergy testing concurrent Fx, overt ligamentous,. Strict return precautions and instructions on self-isolation/quarantine and anticipatory guidance or compartment syndrome, pyelonephritis diverticulitis... To prior exacerbations hyponatremic to _ tracked/monitored by the local Department of Public.... Avoid crowded ty dot phrase fall or mass gatherings, especially if you have a patent airway also includes a large amount educational!, encephalitis, stroke home with PMD follow up__ and purulence was.. Journal ( Suffolk ), 25 Mar 1873 for odontogenic infections and at risk SBO. Presentation not consistent with acute epigastric abdominal pain at this time, cholangitis_ differential diagnoses lumbago... Syndrome_ gastroparesis_ HSV keratitis, Endopthalmitist, Foreign body, corneal ulcer_, globe rupture, compartment. Frequently and you should seek medical care if you have a patent airway given strict seizure precautions witnessed! For a vaso-occlusive crisis no evidence of symptomatic anemia Public Health got ta smile,... Are elderly, pregnant women may be more susceptible to viral respiratory infections and at for!

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