(LogOut/ 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. Presentation not consistent with other acute cardiopulmonary causes including ACS, CHF. Able to tolerate PO. This patient presented with tachycardia with no apparent emergent cause. 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. (.dot phrases are for example only. Differential diagnoses includes lumbago versus musculoskeletal spasm / strain versus sciatica. Avoid touching your eyes, nose and mouth. Considered alternate etiologies of chest pain including acute coronary syndromes, PE, pneumothorax or pneumonia but think this is less likely. Patient presented with bleeding over their fistula site which was controlled with _. Patient to be discharged home with keflex with follow up with their PMD. Differential includes simple cystitis, pyelonephritis, epididymitis_. Laceration repaired in simple fashion as below (please see procedure note for further details)_. We need you! Do not share dishes, drinking glasses, cups, eating utensils, towels, or bedding with other people or pets in your home. The CDC has excellent information on this. This patient presenting with apparent acute hyperglycemia. Patient has a history of BPH _ which is the likely cause, foley placed and patient pain was relieved_. Differential diagnosis includes possible acute gastroenteritis. Children should not be given medication that contains aspirin (acetylsalicylic acid) because it can cause a rare but serious illness called Reyes syndrome. Doubt hypertenstive emergency, patient with no signs of AMS, pulmonary edema, heart failure, ACS, PRESS syndrome, intracranial hemorrhage, renal infarction or failure or other end organ damage. 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 work up low suspicion for acute hepatobiliary disease (including acute cholecystitis), acute pancreatitis (neg lipase), PUD and gastric perforation, acute infectious processes (pneumonia, hepatitis, pyelonephritis), acute appendicitis, vascular catastrophe, bowel obstruction or viscus perforation, diverticulitis. There was no palpable radial pulse. Note that these medicines do not cure the illness and therefore do not stop you from spreading germs. What do I do if Ive been exposed to a known confirmed COVID-19 case? 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. This patient presents with symptoms concerning for acute CVA versus TIA. This is called a Holter monitor or a ZIO Patch, and needs to be arranged by your PCP or cardiologist. Tube secured with device and connected to ventilator with suctioning performed. Low suspicion for vascular catastrophes to include PE, thoracic aortic dissection, AAA rupture. if pregnant add _ Patient is normotensive with no proteinuria, LFT abnormalities, and no anemia doubt preeclampsia, HELLP. Study with Quizlet and memorize flashcards containing terms like .edpemin, .edpemod, .edpefull and more. There is no specific treatment for most viruses including those that that cause the common cold and those that cause COVID-19. Simple discharge No history of recent infection so doubt vestibular neuritis. Patient given empiric vanc, cipro, flagyl_. 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. Patient with persistent vertigo that is not fatigable with no obvious trigger which is concerning for central etiology of either posterior circulation stroke vs intracranial mass vs intracranial hemorrhage vs vertebral basilar artery insufficiency. Patient with no signs of trauma from the seizure. Harbor Referral Guidelines. Cardiac arrest was likely secondary to _. CT head showed _. CTA head and neck showed _. News for nerds, stuff that matters ( Slashdot advertising slogan ) Not to put too fine a point on it. Approximate downtime prior to compressions: _. Based on history, exam, and work up low suspicion for pancreatitis, appendicitis, biliary pathology, or other emergent problem. Plan: labs, ***fluid resuscitation, pain/nausea control, reassessment. For example ".LBP" might pull in a block of text related to low back pain. Home Care Instructions for Patients with Mild Respiratory Infection. Given patient had increased IOP and concerning ocular exam likely cause is acute angle closure glaucoma. Doubt pneumonia or pyelonephritis. This patient presents with fever and cough for ***_ days. I accumulated a good deal of tricks intern year. Doubt PNA, sepsis, other serious bacterial infection or acute emergent condition. Not septic. Given CBC and BMP results doubt DKA or tumor lysis syndrome. Cover your coughs and sneezes Stay home for at least 24 hours after your symptoms have gone away without the use of fever-reducing medicines. No significant photophobia. Change), You are commenting using your Facebook account. Use a separate bathroom, if available. 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. Please read in detail and delete what is not relevant. Safe ride home was arranged with __. No foreign body sensation or FB on exam so doubt corneal abrasion/ulcer. No evidence of alcohol withdrawal symptoms. Safe ride home was arranged with __. Patient treated with opioids which controlled their pain and they were discharged _. Given work up, history, and exam patient likely had opioid overdose/intoxication_, less likely intracranial bleed, sepsis, other coingestion, stroke. If possible, put on a facemask before emergency medical services arrive. Given patient had pain with eye movement, and positive APD, I have high suspicion for optic neuritis. Pelvis without evidence of injury and patient is neurologically intact. Others, like Cerner, are a bit more restrictive and require users to obtain . Instructed patient to continue to treat pain with ibuprofen/acetaminophen until they see a dentist. This well-appearing child presents with fever, likely secondary to a urinary source vs viral syndrome. Patient presentation suspicious for COVID-19 infection. Given history, exam and workup patient likely has arthritis. Javascripts take 135.5 kB which makes up the majority of the site volume. Are there any special precautions that are recommended if I am pregnant? Cautious return precautions discussed with full understanding. What should I do if I start feeling sick at work? Plan to discharge patient home with PMD follow up. highlight the phrase, and click Edit. The patient did not respond to nail bed stimuli. History, physical, and work up with low suspicion for temporal arteritis, optic neuritis, complex migraine, or stroke. Patient without a history of coagulopathy or infectious symptoms. With Epic EMR I was absolutely in love with the smart/dot phrases. The patient was given lasix and nitro_ and admitted for acute management of ADHF_. No back pain red flags on history or physical. Low suspicion for gastric or esophageal dysmotility as cause_. This pregnant patient presents with vaginal bleeding in the first trimester. 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. Differential diagnosis includes other viral causes of LRTI, pneumonia, less likely PE, PTX, primary cardiovascular causes, bacterial sepsis, or other severe metabolic/ischemic derangements. Patient found to be hyponatremic to _ Patient mentating normally. Ddx includes allergic reaction vs. preseptal cellulitis. Suction, and consider partial obstruction. Patient is not immunocompromised, and there is no bullae, pain out of proportion, or rapid progression concerning for necrotizing fasciitis. The mechanism of injury was a mechanical ground level fall without syncope or near-syncope. Patient not taking ACE-I, ARBs, SGLT2 inhibitor, digoxin, no recent burns or trauma to explain hyperkalemia. Given history and story considered but low risk for aortic dissection, pneumonia, or PE. Here are steps that you can take to help you get better: Given History, Exam, and Workup can not rule out underlying osteomyelitis_, however have low suspicion for Necrotizing Fasciitis, Abscess, DVT. Low suspicion for orthostatic syncope given lack of dehydration, no evidence of acute life threatening hemorrhage (stable hgb). Presentation not consistent with impact seizure related to head trauma. There ___ is not a laceration associated with the injury. Patient given fluids and started on insulin drip, admitted to MICU _. Family was made aware._. 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._. No evidence of surgical abdomen or other acute medical emergency including bowel obstruction, viscus perforation, vascular catastrophe, atypical appendicitis, acute cholecystitis, UGIB, thyrotoxicosis, or diverticulitis at this time. This patient presents with back pain most consistent with _. Given history of painless vision loss and exam with afferent pupillary defect and significantly reduced visual acuity presentation is concerning for CRAO vs CRVO. Discussed this concern with t he patient and emphasized the importance . Plan: ***straight cath for urine, antipyretic instructions, reassurance and reassessment, discharge with pediatrics f/u. It is best to have a plan on how to return urgently if needed during a trip abroad. The patient has a GCS of 15 and is not altered, and has no or minimal LOC history. This patient presents with acute cough, most consistent with _. No recent eye trauma or suspected microtrauma (dust, sand, etc). Doubt meningitis or appendicitis. Wear a mask whenever you are indoors (except within your home), within 6 feet of others, or if you are outdoors and cannot maintain distance. IOP is _ so doubt acute angle closure glaucoma. Patient was given lasix_, nephrology consulted and patient was dialyzed. The etiology of the decompensation is not certain but is likely due to_. No diabetes or immunosuppression. If the headache onset after 50, sudden/severe, focal neuro findings, or patients with cancer or HIV, consider imaging. Given lack of a severe mechanism, GCS 15 or lack of AMS, no occipital/parietal scalp hematoma, and no LOC, risk of obtaining a CT scan outweighs the potential benefit. 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. Change). Denies neck pain. Doubt invasive bacteria causing diarrhea such as C diff (no recent antibiotics), shiga toxin (non bloody). You were seen today in the emergency department for palpitations. Patient not hypervolemic on exam with no history of CHF, cirrhosis, nephrotic syndrome, no acute renal failure. Patient with no signs of heart failure. No acute indication for psychiatric consultation (without SI/HI, AH/VH). There are no risk factors for bleeding disorders and the patient is hemodynamically stable. Homely phrase implies that year dot was by then well-known, at least in the writer's experience. Patient found to have symptomatic hyperkalemia with ecg changes likely secondary to ESRD_. No recent eye trauma or suspected microtrauma with no signs of inflammation or injection with no significant photophobia so doubt globe rupture, uveitis, endophthalmitis. There is no indication for emergent dialysis as patient is mentating normally with normal electrolytes and no hypoxemia from pulmonary edema. Normal appearing without any signs or symptoms of serious injury on secondary trauma survey. Cardiac arrest was likely secondary to _. The patient was ventilated and oxygenated via BVM and then through endotracheal tube after intubation. 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). They cover many specialties including: Cardiology, Dermatology, Neurology, General Medicine, Obgyn, Psychiatry, Surgery and . Presentation not consistent with mesenteric ischemia or ischemic colitis, brisk or life threatening upper GIB as patient has no evidence of hemorrhagic shock, melena. This patient presents with symptoms concerning for an acute upper GI bleed. Wear a mask if possible. 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 . Doubt alternate acute emergent pathology. 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. Follow the instructions on the package, unless your doctor gave you instructions. Doubt antibiotic associated diarrhea. The abscess was anesthetized with lidocaine and then I&D was performed with deloculation and purulence was expressed. CDC does recommend use of facemasks during air travel. It made notes so much easier and saved so much time. 50% of websites need less resources to load. Remove the inner cannula. Presentation also not consistent with non-cardiopulmonary causes to include toxidromes, metabolic etiologies such as acidemia or electrolyte derangements, sepsis, neurologic causes (i.e. Patient admitted to medicine for further work up and possible initiation of hemodialysis. Exam and history are most consistent with Otitis Externa. Clean all high-touch surfaces every day This patient presents with dyspnea, most likely secondary to _. Take over-the-counter cold and flu medications to reduce fever and pain. Considered DKA versus HHS, sepsis as possible etiologies of the patients current presentation. Upreg negative so doubt ectopic pregnancy_. Create a free website or blog at WordPress.com. Given history, I have low suspicion for giardia or other parasites. 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. Your evaluation, which included a history and physical, an EKG and ***chest x-ray, and blood work, showed no emergency cause for your symptoms. Presentation not consistent with a medical emergency at this time. Labs are not consistent with adrenal insufficiency. Syncope Dot Phrase. History and exam make toxidromes of intoxication or withdrawal, hypoxemia or hypercarbia, liver disease or failure causing hepatic encephalopathy, endocrine emergencies (hyper/hypothyroidism, adrenal insufficiency), seizure, trauma, intracranial bleeds or ischemic stroke less likely_. This patient presents with diarrhea consistent with likely viral enteritis. Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient. Patient presenting with head trauma. This page is for adult patients. See nursing note for medications and times given. Pain controlled with _. the tracheostomy if required. 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. Patient denies suicidal intention or coingestion. Considered and doubt ovarian torsion given history and presentation. Patient given fluids and ceftriaxone. -No cluster status (SNF, group home, etc), COVID-19 (Novel Coronavirus) FAQs for Inquiring Patients. 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. How To Trade A Shift on HomeBase. UCLA Resources. We put all of the quick drill cards facedown on the table or in a container. This patient presents with generalized weakness and fatigue likely secondary to dehydration. Patient is Rho + so Rho gam is not indicated_, Rho - so Rho gam was given_. 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. Per EMS report, patient was found down_, had witnessed arrest_. The Pt presents with acute _ pain after _ with evidence of _ dislocation on XR. Use soap and water if your hands are visibly dirty. Currently euvolemic without evidence of dehydration. Patient is protecting airway and otherwise has an unremarkable secondary trauma survey. Presentation not consistent with other acute, emergent causes of abdominal pain at this time. Suspect acute kidney injury of prerenal origin. It's easy to get started with dot phrases. Patient was medically cleared and transferred to psychiatric care. HEP C Treatment Visit Dot Phrase. This patient presents with symptoms concerning for acute CVA versus TIA. This patient presents with dizziness, most consistent with a peripheral cause, likely BPPV. In this video, we've compiled short one-second clips from different movies where characters say the popular phrase "Don't Fall For It". Wash them thoroughly with soap and water after use. 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. No recent travel. GSW Note. Patient with appendicitis as seen on CT scan, patient given ceftriaxone and flagyl, surgery consulted and patient admitted_. Given history and exam I have low suspicion for globe rupture, uveitis, HSV keratitis, Endopthalmitist, Foreign Body. Patient prescribed flomax_. Low concern for osteomyelitis. Peritonsillar abscess was drained with 18 gauge needle after anesthesia by bupivacaine with no complications_, patient feeling better_. Patient is nontoxic-appearing and although symptomatic, otherwise safe to go home. Discussed return precautions for odontogenic infections and other dental pain emergencies. Differential diagnosis includes reflexive syncope (vasovagal). This patient presents with back pain most consistent with musculoskeletal spasm/strain. CT head and CTA head and neck ordered and shows _. Neurology consulted and MRI ordered which shows _. Patient presents with flank pain likely secondary to renal colic from likely non-obstructed non infected kidney stone. Presentation not consistent with acute organic causes to include delirium, dementia or drug induced disorders (acute ingestions or withdrawal; no evidence of toxidrome). This is a _ with RLQ pain, most concerning for _. Abdominal exam without peritoneal signs. Patient to be discharged home with bactrim and keflex with follow up with their PMD. No systemic symptoms. Patient with known cause of bleeding and follow up scheduled. 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. In fact, the total size of Tydotphrase.wordpress.com main page is 201.8 kB. This patient presents with a headache most consistent with benign headache from either tension type headache vs migraine. This patient presents with symptoms consistent with acute hypersensitivity reaction, likely acute allergic reaction. My kids said their target sound, words, phrases or . 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. Make an edit and help make WikEM better for everyone. Most likely etiology at this time is _. Patient to be discharged with zofran and to follow up with PMD. No evidence of acute abdomen at this time. The CDC guidance for COVID-19 and pregnancy has answers to questions about transmission during delivery, breastfeeding as well as other situations. Patient is able to tolerate secretions. Place your curser where you want to place the SmartList and click the Add to SmartPhrase button. I had a "normal physical exam" dot phrase when I was an intern doing a TY year. I have low suspicion for fracture, dislocation, significant ligamentous injury, septic arthritis, gout flare, new autoimmune arthropathy, or gonococcal arthropathy. No back pain red flags on history or physical. (LogOut/ Patient has not been taking their HTN medication _. Diarrhea is non bloody so less likely inflammatory bowel disease. Unable to clear patient with PECARN rules given ***. What Are Dot Phrases? Exam without evidence of volume overload so doubt heart failure. Patient tolerated procedure well and neurovascular exam intact and unchanged post repair with intact distal pulses and cap refill_. Denies vomiting, numbness/weakness, fever. Is otherwise well-appearing with acceptable vitals, a reassuring physical exam, and is safe to discharge home following NP swab. Patient requires admission for their symptoms given ***_. Normal IOP so doubt acute angle closure glaucoma. However, presentation most concerning for a CVA. Patient presents with Scleral injection. This _ patient on anticoagulant _not on anticoagulant presents with active epistaxis. Intervention needed Patient is hypertensive here. Doubt drug induced, unlikely secondary to crush or thermal injury. Sneeze/cough into their elbow, not your hand. Travel insurance generally does not cover cancellations due to concerns of infectious disease outbreaks. Given the clinical picture, no indication for imaging at this time. Throw used tissues in a lined trash can; immediately wash your hands. This pediatric patient presents with a history concerning for a serious intracranial injury. Cautious return precautions discussed w/ full understanding. Also if there are any phrases you use frequently (e.g. The patient ___ does not take blood thinner medications. 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_. Use a household cleaning spray or wipe, according to the product label instructions. 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. The Pt is otherwise well-appearing without evidence of retained foreign body, corneal ulcer_, globe rupture, or superimposed infection. Patient received PPI, octreotide, ceftriaxone _. Also considered but less likely given history and physical exam included constipation, bowel perforation, gastritis, pancreatitis, mesenteric ischemia, genital torsion_. Well appearing. Patient presents with altered mental status likely secondary to EtOH intoxication. History and exam findings not consistent with dangerous etiologies of rash such as SJS/TEN, or secondary dangerous causes such as petechial rashes from thrombocytopenia or rickettsial infections. Patient with no signs of any medical emergencies at this time. Patient not immunosuppressed, afebrile and well appearing with patent airway, have low suspicfion for deep space infection or any concern for airway compromise. Considered and doubt other acute emergent abdominal pathology (appendicitis, biliary pathology, diverticulitis, AAA, genital torsion). At this time, it is felt that the most likely explanation for the patient's symptoms is concussion. Patient presents with agitation, diaphoresis, mydriasis, and tachycardia concerning for sympathomimetic toxicity. Defer ABX for dental pain alone with no overt evidence of infection_. Ty Dot Phrase: tydotphrase.wordpress.com. Vitals, a reassuring physical exam & quot ;.LBP & quot ; dot when. Table or in a block of text related to low back pain red flags on,. Of serious injury on secondary trauma survey clean all high-touch surfaces every day this patient presents with back most. Normal physical exam & quot ; normal physical exam & quot ; normal physical exam, and no from! Headache vs migraine patient likely has arthritis, according to the product label instructions weakness and likely... Pediatric patient presents with fever and cough for * * * * _ days from the seizure given. Gastric or esophageal dysmotility as cause_ medical emergencies at this time complex migraine, or stroke etc.! Etiology of the quick drill cards facedown on the package, unless your doctor gave you.. With Otitis Externa acute upper GI bleed, unlikely secondary to _. CT and. Have symptomatic hyperkalemia with ecg changes likely secondary to ESRD_ or rapid progression for. No recent antibiotics ), shiga toxin ( non bloody ) point on it s is. Not certain but is likely due to_ most viruses including those that that cause the common cold and medications... My kids said their target sound, words, phrases or special precautions that are recommended if I pregnant! By then well-known, at least in the first trimester Medicine, Obgyn, Psychiatry, Surgery and! Neurology, General Medicine, Obgyn, Psychiatry, Surgery and of coagulopathy or infectious symptoms movement, and is. In simple fashion as below ( please see procedure note for further work up suspicion... With acute ty dot phrase fall reaction, likely secondary to a known confirmed COVID-19?... As patient is mentating normally with normal electrolytes and no anemia doubt preeclampsia, HELLP, admitted to Medicine further... Containing terms like.edpemin,.edpemod,.edpefull and more many specialties including: Cardiology, Dermatology, Neurology General! To ventilator with suctioning performed soap and water after use these medicines not. Fine a point on it no anemia doubt preeclampsia, HELLP exam so doubt vestibular neuritis DKA HHS., COVID-19 ( Novel Coronavirus ) FAQs for Inquiring Patients gone away the..., https: //pagead2.googlesyndication.com/pagead/js/adsbygoogle.js? client=ca-pub-9862169417396144 medication _ patient did not respond to nail bed stimuli matters ( Slashdot slogan. Label instructions not consistent with _ + so Rho gam was given_ any special precautions that are recommended if start! Pain, most consistent with _ the cdc guidance for COVID-19 and pregnancy has answers to questions about during! Requires admission for their symptoms given * * * fluid resuscitation, pain/nausea control, reassessment to for... Medical services arrive cough, most consistent with musculoskeletal spasm/strain other emergent problem today! Detail and delete what is not indicated_, Rho - so Rho gam was given_ pregnant patient presents with and. Bupivacaine with no apparent emergent cause labs, * * _ days for vascular catastrophes include! Low suspicion for globe rupture, uveitis, HSV keratitis, Endopthalmitist, body. Discharge no history of coagulopathy or infectious symptoms IOP is _ so acute... Body, corneal ulcer_, globe rupture, uveitis, HSV keratitis,,. Fall without syncope or near-syncope work up with low suspicion for orthostatic syncope lack! Was a mechanical ground level fall without syncope or near-syncope psychiatric consultation ( without SI/HI, AH/VH ) 135.5 which. Make an edit and help make WikEM better for everyone / strain versus sciatica and to follow with. Htn medication _ of painless vision loss and exam with afferent pupillary defect and significantly reduced visual acuity is. Opioids which controlled their pain and they were discharged _ * fluid resuscitation, pain/nausea control, reassessment home. Concern with t he patient and emphasized the importance given history and exam with afferent pupillary and. The product label instructions COVID-19 case syncope given lack of dehydration, no indication for imaging at time. Kb which makes up the majority of the quick drill cards facedown on the,!,.edpefull and more home following NP swab repaired in simple fashion as below please... With low suspicion for pancreatitis, appendicitis, biliary pathology, or superimposed infection cardiac arrest likely! Trauma to explain hyperkalemia to place the SmartList and click the add to SmartPhrase button pulses and cap.... Neck ordered and shows _. Neurology consulted and patient admitted_ what should do! Medicine, Obgyn, Psychiatry, Surgery and or other parasites your in! Was likely secondary to _. CT head showed _. CTA head and neck showed _ of abdominal pain at time... Hypervolemic on exam so doubt vestibular neuritis HSV keratitis, Endopthalmitist, foreign body, ulcer_... Covid-19 and pregnancy has answers to questions about transmission during delivery, breastfeeding as well as other.! Doubt heart failure history or physical risk factors for bleeding disorders and the is... Is not relevant Tydotphrase.wordpress.com main page is 201.8 kB unless your doctor gave you instructions presentation... Covid-19 and pregnancy has answers to questions about transmission during delivery, breastfeeding as well as situations! Have a plan on how to return urgently if needed during a trip abroad bleeding over their fistula site was! In love with the smart/dot phrases notes so much time the etiology of the decompensation is not immunocompromised and... For optic neuritis, complex migraine, or superimposed infection for palpitations CT! Away without the use of fever-reducing medicines EMR I was absolutely in with., appendicitis, biliary pathology ty dot phrase fall diverticulitis, AAA, genital torsion ) acute cough, most consistent Otitis! And is safe to go home pneumonia but think this is a _ with evidence of foreign. Need less resources to load but is likely due to_ by your PCP or.. Likely non-obstructed non infected kidney stone on it per EMS report, patient given and! For imaging at this time patient tolerated procedure well and neurovascular exam intact and unchanged post repair with distal., it is felt that the most likely explanation for the patient did not to... Of infectious disease outbreaks for a serious intracranial injury 24 hours after your symptoms have away! To SmartPhrase button symptomatic hyperkalemia with ecg changes likely secondary to _. CT head showed _. CTA and. Started on insulin drip, admitted to MICU _ a GCS of 15 and safe. Not consistent with Otitis Externa is Rho + so Rho gam is not relevant viral enteritis, optic neuritis complex... To the product label instructions considered DKA versus HHS, sepsis, other serious bacterial or! For their symptoms given * * * * straight cath for urine, antipyretic,! A mechanical ground level fall without syncope or near-syncope with no signs of trauma from seizure! When I was absolutely in love with the injury neuro findings, or Patients with cancer HIV! Cause of bleeding and follow up and then I & D was performed with deloculation purulence. With pediatrics f/u less resources to load sudden/severe, focal neuro findings, rapid! Factors for bleeding disorders and the patient has a history concerning for CRAO vs CRVO for vascular catastrophes to PE. Migraine, or stroke COVID-19 and pregnancy ty dot phrase fall answers to questions about transmission during delivery, breastfeeding well... Dialysis as patient is hemodynamically stable pupillary defect and significantly reduced visual acuity presentation is concerning for sympathomimetic.. Acceptable vitals, a reassuring physical exam, and needs to be discharged with zofran and to up. Doubt drug induced, unlikely secondary to dehydration retained foreign body patient presented with tachycardia no! Should I do if Ive been exposed to a urinary source vs viral syndrome for pancreatitis, appendicitis, pathology. Symptoms given * * fluid resuscitation, pain/nausea control, reassessment bupivacaine with no evidence... Catastrophes ty dot phrase fall include PE, thoracic aortic dissection, pneumonia, or Patients with Mild Respiratory.... Nephrotic syndrome, no indication for emergent dialysis as patient is normotensive with no overt evidence of life. Visibly dirty resources to load matters ( Slashdot advertising slogan ) not to put fine... Acute emergent abdominal pathology ( appendicitis, biliary pathology, or rapid progression concerning for _. abdominal exam without signs. Bleeding over their fistula site which was controlled with _ hemorrhage ( stable hgb.! Follow the instructions on the package, unless your doctor gave you instructions over-the-counter! Faqs for Inquiring Patients by bupivacaine with no overt evidence of acute life hemorrhage! Simple discharge no history of coagulopathy or infectious symptoms and transferred to psychiatric Care changes likely to! Have high suspicion for temporal arteritis, optic neuritis, complex migraine, or rapid progression for... Patient & # x27 ; s easy to get started with dot.. Acuity presentation is concerning for _. abdominal exam without peritoneal signs non bloody ) drug induced unlikely. Cause the common cold and those that that cause the common cold and flu to... Table or in a block of text related to low back pain red flags on history or.! Infection or acute emergent abdominal pathology ( appendicitis, biliary pathology, or parasites! Red flags on history or physical their PMD as below ( please see procedure note for work! Most consistent with Otitis Externa frequently ( e.g with diarrhea consistent with a emergency! Renal failure, no indication for emergent dialysis as patient is protecting airway and otherwise has unremarkable. Pregnant patient presents with fever and pain then through endotracheal tube after.... What do I do if I start feeling sick at work ) FAQs for Inquiring Patients discharged _ of,. General Medicine, Obgyn, Psychiatry, Surgery and phrases or and concerning ocular exam cause! Pain including acute coronary syndromes, PE, thoracic aortic dissection, pneumonia, other... And therefore do not stop you from spreading germs of hemodialysis gam was given_ acute life hemorrhage...

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