Area extensively irrigated with sterile normal saline under pressure. Patient BMP with normal electrolytes and no sign of dehydration causing prerenal AKI. Patient non toxic appearing with no signs of infection or ischemia. If it passes, you have a patent airway. Discussed return precautions for odontogenic infections and other dental pain emergencies. It's easy to get started with dot phrases. A dot phrase is a colloquial term for a preformed block of text that is inserted using keyboard shortcuts, often preceded by a dot. Stay in a specific room and away from other people in your home as much as possible. This patient presents with generalized weakness and fatigue likely secondary to dehydration. This patient presented with tachycardia with no apparent emergent cause. (This step will immediately resolve any respiratory distress resulting from an obstructed inner cannula.) Patient offered transferred to rehab facility but declined. Will observe patient, PO challenge, reassurance and reassessment, anticipating discharge with PMD follow up. I have low suspicion for fracture, dislocation, significant ligamentous injury, septic arthritis, gout flare, new autoimmune arthropathy, or gonococcal arthropathy. Seek medical attention for: fever >100.4 F, increasing warmth, redness, swelling, drainage at incision site. This patient presents with chest pain and an EKG showing _ STEMI or STEMI equivalent (Wellens, de Winters, Sgarbossa criteria)_. No evidence of anemia. Abdominal exam without peritoneal signs. Will treat empirically with antibiotics and antihistamines. How Should A Phone Visit Be Done? COVID test was sent off and pending. No infectious symptoms and afebrile so doubt sepsis. What should I do if I start feeling sick at work? 1000+ dot phrases, ready for you to use in PhraseExpander. Presentation not consistent with an acute CNS infection, vertebral basilar artery insufficiency, cerebellar hemorrhage or infarction, intracranial mass or bleed. 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. Patient is HDS and without a history of coagulopathy or infectious symptoms. Ventilate via. Do not merely copy and paste a prewritten note . Initial Rhythm: _, ROSC was achieved and patient was transported to hospital but in route patient rearrested. This patient who presents with rash for _, consistent with _. The Pt is otherwise neurovascularly intact without evidence of compartment syndrome or hemodynamic instability. Patient admitted to ICU. Ddx includes allergic reaction vs. preseptal cellulitis. 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. _ y/o patient with RUQ abdominal pain, consistent with _. Abdominal exam without peritoneal signs. Initial Rhythm: _, ROSC was achieved and patient was transported to hospital, upon arrival patient was ventilated and oxygenated via BVM and then through endotracheal tube after intubation. CDC does recommend use of facemasks during air travel. NO: Patient does NOT meet our current criteria to test for COVID-19, although coronavirus infection is certainly on the differential. Given history and exam I have low suspicion for corneal abrasion or ulcer, globe rupture, uveitis, HSV keratitis, Endopthalmitis, Retinal Detachment, Angle Closure Glaucoma, Foreign Body, hyphema. The tetanus immunization status is ___ up to date. My kids said their target sound, words, phrases or . Others, like Cerner, are a bit more restrictive and require users to obtain . Avoid touching your eyes, nose and mouth. Laceration repaired in simple fashion as below (please see procedure note for further details)_. Intervention needed What are dot phrases? Could not control bleeding despite all measures above so ENT consulted _. 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. Neurovascular exam congruent with above. Given history, I have low suspicion for giardia or other parasites. This result falls beyond the top 1M of websites and identifies a large and not optimized web page that may take ages to load. This pediatric patient presents with a history concerning for a serious intracranial injury. Patient has ESRD and spoke with nephrology with plan for emergent dialysis _. Sepsis). Exam without evidence of volume overload so doubt heart failure. Presentation not consistent with acute intracranial bleed to include SAH (lack of risk factors, headache history). Considered, but think unlikely, partial SBO, appendicitis, diverticulitis, other intraabdominal infection. Considered but low risk for any emergent causes including unstable heart block (ekg with no signs of Mobitz II, complete heart block), right coronary artery myocardial infarction (neg trop_, non STEMI, no chest pain), infection (afebrile, no leukocytosis, no recent illness), hypothyroidism, hyperkalemia, hypoglycemia, dehydration, or intoxication (beta blockade, calcium channel blockade, clonidine, digoxin, opiates, alcohol or other). Doubt invasive bacteria causing diarrhea such as C diff (no recent antibiotics), shiga toxin (non bloody). However, due to concern for an occult scaphoid fracture, the patient was placed in a thumb spica splint and instructed to follow up with their PCP for repeat exam and radiography in 10-14 days. 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. Patient observed for __ and was clinically sober at time of discharge. Follow up with PMD this week. There was no loss of consciousness, confusion, seizure, or memory impairment. Most likely etiology at this time is _. To reduce the chance of getting sick use general infection prevention measures such as hand washing, covering your mouth and nose when you cough or sneeze and discarding any tissues carefully, and staying home when you are sick. How To Use DUO @ UCLA. Presentation not consistent with other etiologies upper GI bleeding at this time. Presentation not consistent with acute organic causes to include delirium, dementia or drug induced disorders (acute ingestions or withdrawal; no evidence of toxidrome). Return precautions given. Patient given fluids and started on insulin drip, admitted to MICU _. 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_. Use a separate bathroom, if available. Take over-the-counter cold and flu medications to reduce fever and pain. demyelinating diseases). Differential diagnosis includes other metabolic causes of hyperglycemia such as HHS, worsened diabetes or medication noncompliance. Create a free website or blog at WordPress.com. No evidence of acute abdomen at this time. Patient tolerated procedure well and neurovascular exam intact and unchanged post repair with intact distal pulses and cap refill_. 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. 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 . Well appearing. Also, clean any surfaces that may have body fluids on them. Patient admitted for volume overload. WHAT IS A DOTPHRASE? 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. The Pt presents with acute _ pain after _ with evidence of _ dislocation on XR. 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). Not septic. Point Break ( Keanu Reeves movie ) Point Percy at the porcelain. Prompt follow up with primary care physician discussed and return for suture removal in _ days. By avoiding a visit to a healthcare facility, you protect yourself from getting a new infection and protect others from catching an infection from you. Testing is not available for asymptomatic individuals, regardless of travel history. HEENT: Normocephalic, atraumatic, PERRLA. Patient observed for until clinically sober. This pregnant patient presents with vaginal bleeding in the first trimester. The patient is suffering from bradycardia without concerning signs of instability on exam such as altered mental status, hypotension, evidence of cardiac end organ dysfunction, or acute heart failure. 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. Given work up, low suspicion for acute hepatobiliary disease (including acute cholecystitis or cholangitis), acute pancreatitis (neg lipase), PUD (including gastric perforation), acute infectious processes (pneumonia, hepatitis, pyelonephritis), acute appendicitis, vascular catastrophe, bowel obstruction, viscus perforation, or testicular torsion, diverticulitis. Drink plenty of fluids 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. Situations are changing frequently and you should monitor the site for updates. Patient discharged home and will follow up with dentist. No signs or symptoms of alcohol withdrawal while in the emergency department. There was no loss of consciousness, confusion, seizure, or memory impairment. The Department of Health will have jurisdiction and will provide you with specific instructions on what to do if they develop symptoms. Symptoms treated with ativan. No history of trauma so doubt ICH. Placed direct pressure and _, used oxymetazoline _, packed with TXA _, placed a rhino-rocket _. Per EMS report, patient was found down_, had witnessed arrest_. (LogOut/ This patient presents with nausea, vomiting & diarrhea. Patient presents in alcohol withdrawal last drink was _ ago. No evidence of hemorrhagic shock. HPC Pre-Clinic HUDDLES. Given the H&P, I suspect this patient is suicidal/homicidal/gravely disabled_ and patient was placed on 5150. (LogOut/ See nursing note for medications and times given. 16. tigecycline 7 yr. ago. Patient is hypertensive here. We need you! Patient was placed in _ by ortho _ and will follow up with ortho_ PMD for ortho referal_. Exam and history most consistent with AOM. Given painless vision loss low suspicion for normally painful syndromes such as corneal abrasion/ulcer, complex migraine, globe rupture, acute angle closure glaucoma, optic neuritis, temporal arteritis, uveitis, endophthalmitis, iritis. Full Notes. Differential includes simple cystitis, pyelonephritis, epididymitis_. No perforated tympanic membrane, discharged with Ciprodex_ and patient to follow up with PMD in 1 to 2 days. Patient treated with opioids which controlled their pain and they were discharged _. There is no specific treatment for most viruses including those that that cause the common cold and those that cause COVID-19. We put all of the quick drill cards facedown on the table or in a container. Considered, but think unlikely, CVT given no cranial nerve deficits, blurry vision, diplopia. Presentation not consistent with chronic causes of cough (including GERD, asthma, postnasal discharge, medication side effect, CHF, lung cancer or mass). Clean your hands often 3. The patient was ventilated and oxygenated via BVM and then through endotracheal tube after intubation. Low suspicion for ovarian torsion, PID, or appendicitis. This patient presents with symptoms consistent with syncope, most likely due to _. Patient presents with renal failure with uncertain cause but likely due to longstanding DM/HTN_. Presentation not consistent with impact seizure related to head trauma. 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. Safe ride home was arranged with __. Patient is protecting airway and otherwise has an unremarkable secondary trauma survey. Macros or dot phrases may be imported into Orchid/Cerner to expedite charting. There is not yet any information available about the susceptibility of pregnant women to COVID-19. This patient presenting with apparent acute hyperglycemia. Patient given temperazing measures of calcium gluconate, bicarb, insulin, as well as lasix and lokelma_ to reduce potassium level. I considered, but think unlikely, dangerous causes of this patients symptoms to include ACS, CHF or COPD exacerbations, pneumonia, pneumothorax. Patient is able to tolerate secretions. Low concern for osteomyelitis or DVT. Given history and physical presentation not consistent with overt toxidrome, ingestion. With Epic EMR I was absolutely in love with the smart/dot phrases. Doubt intrinsic renal dysfunction or obstructive nephropathy. Presentation not consistent with acute life threatening arrhythmia, structural heart disease, electrical conduction abnormalities, or ACS (HEART score: _). Patient told to self isolate at home until symptoms subside for 72 hours, and that they will call with the COVID results. ***- You have a ureteral stent in place. Is otherwise well-appearing with acceptable vitals, a reassuring physical exam, and is safe to discharge home following NP swab. Primary headaches include tension, migraine, and cluster. Low suspicion for acute neurologic catastrophes to include ICH given lack of trauma, risk factors for bleeding, or stroke given no focal neuro deficits. Pelvis without evidence of injury and patient is neurologically intact. Try to stay at least 6 feet from others. Suction, and consider partial obstruction. Unable to clear patient with PECARN rules given ***. 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_. HPI, PE, A/P, procedure, billing code.) Begin typing real words and phrases before the end of lesson one. 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 . If possible, put on a facemask before emergency medical services arrive. No indication for abdominal imaging. Patient without a history of coagulopathy or infectious symptoms. Discussed need for outpatient follow-up and return precautions for signs/symptoms of orbital cellulitis or anaphylaxis. Exam and history are most consistent with Otitis Externa. Will give wait and see prescription for amoxicillin. Will obtain CT imaging to rule out intracranial injury or skull fracture. if pregnant add _ Patient is normotensive with no proteinuria, LFT abnormalities, and no anemia doubt preeclampsia, HELLP. Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe. . The patient has a GCS of 15 and is not altered, and has no or minimal LOC history. Considered DKA versus HHS, sepsis as possible etiologies of the patients current presentation. Will send UA and empirically treat for gonorrhea/chlamydia with IM CTX and PO doxycycline. On this particular day (below), we put them in the tree shaped box from the Sneaky Snacky Squirrel Game. Patient given zofran and tolerated PO here. Select the desired list). Patient with no head trauma to suggest intracranial hemorrhage, no overt signs of opioid intoxication or coingestion. Key History: Location (especially unilateral vs. bilateral), quality, intensity, duration, timing (does it disturb sleep? People with potentially life-threatening symptoms should call 911. Low suspicion for inflammatory bowel disorder, rectal ulcer (HIV, syphilis, STI) or rectal foreign body. Given history, exam and workup, low suspicion for HF, ICH (no trauma, headache), seizure (no witnessed seizure like activity, no postictal period, tongue laceration, bladder incontinence), stroke (no focal neuro deficits), HOCM (no murmur, family history of sudden death), ACS (neg troponin, no anginal pain), aortic dissection (no chest pain), malignant arrhythmia on ekg or any family history of sudden death, or GI bleed (stable hgb). Patient with pelvic done with no CMT, adnexal tenderness, or vaginal discharge concerning for PID or TOA. Doubt antibiotic associated diarrhea. No history of trauma. The multiple senses of the word fall come in handy for the helpful reminder " Spring Forward, Fall . No recent travel. Per EMS report, patient was found down_, had witnessed arrest_. Please visit the CDCs guidance for getting your household ready for COVID-19. This patient presents with symptoms concerning for acute CVA versus TIA. Area with linear laceration across soft tissue through adipose without exposure of muscle belly or tendon_. Sneeze/cough into their elbow, not your hand. Given clinical picture have low suspicion for thyroid storm, malignant hyperthermia, serotonin syndrome, anticholinergic toxicity, NMS, sepsis, hypothyroidism. Considered, but think unlikely, partial SBO, appendicitis, diverticulitis, other intraabdominal infection. Patient observed until clinically sober. Given the clinical picture, no indication for imaging at this time. I have a low suspicion at this time for mastoiditis, malignant otitis externa, herpes or ramsey hunt syndrome, or retained foreign body. Considered alternate etiologies of this patients pain to include fracture, MSK pain, infection/abscess, and other ischemic etiologies (stroke, MI) but doubt these are likely. Low suspicion for kidney stone or infected stone. Doubt carotid artery dissection given no focal neuro deficits, no neck trauma or recent neck strain. The mechanism of injury was a mechanical ground level fall without syncope or near-syncope. Patient maintained his airway, and metabolized to sobriety and no longer altered. Please return to the emergency department for chest pain, shortness of breath, lightheadedness or dizziness, or other symptoms that are concerning to you. Wound care discussed. Differential diagnosis includes other viral causes of LRTI, pneumonia, less likely PE, PTX, primary cardiovascular causes, bacterial sepsis, or other severe metabolic/ischemic derangements. Differential diagnosis includes reflexive syncope (vasovagal). Fall-Mechanical-Ground Level HPI. Because of how air circulates and is filtered on airplanes, most viruses do not spread easily on airplanes. This patient presents with hyperglycemia and symptoms concerning for DKA. --DELETE EVERYTHING ABOVE HERE-- Clinic Note and Treatment Plan HPI - No H/o Jaundice, GIB, Varices, Encephalopathy, SBP, or Ascites Review of Systems - The Patient relates the following as they may pertain to medication use - No Fatigue, No Headache, No Nausea, No Diarrhea, No . Patient offered transferred to rehab facility but declined. Should people telecommute? Patient is not immunocompromised. the tracheostomy if required. However, presentation most concerning for a CVA. The patient ___ does not take blood thinner medications. Whether it's a warnin. Patient has not been taking their HTN medication _. The current level of pain is moderate. No airway compromise. Clean all high-touch surfaces every day 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. This patient presents with fever and cough for ***_ days. BMP witohut evidence of AKI. DMV was notified to remove patient's licence_, patient was given strict seizure precautions. No evidence of acute abdomen at this time, low suspicion for appendicitis given negative CT scan_. 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. Moot point. This patient presents with symptoms consistent with an underlying psychiatric disorder, most likely _. Jumping off point. Patient with no signs of trauma from the seizure. 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. If you do visit a healthcare facility, put on a mask to protect other patients and staff. Given history and physical temporal arteritis unlikely, as is acute angle closure glaucoma. Given History and Exam I have low suspicion for this presentation being caused by PTA, RPA, Ludwigs angina, Epiglottitis or Bacterial Tracheitis, EBV, acute HIV, or Strep throat. Well appearing. Considered and doubt RPA, ludwings, epiglottitis, EBV, or acute HIV. No evidence of acute abdomen at this time. Place your curser where you want to place the SmartList and click the Add to SmartPhrase button. Patient was pronounced deceased. Family was made aware._. There was no loss of consciousness, confusion, seizure, or memory impairment. Low suspicion for ICH or other intracranial traumatic injury. Presentation not consistent with other acute cardiopulmonary causes including ACS, CHF. This showed no significant findings. The patient demonstrated a concerning amount of snuffbox tenderness on examination of their __ ha nd. Given _ units of blood with resolution of symptoms afterwards. 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. A labral tear is an injury to the tissue that holds the ball and socket parts of the hip together. Patient advised to follow up with PMD for better blood sugar control. And what should the workplace do for anyone exposed? Peritonsillar abscess was drained with 18 gauge needle after anesthesia by bupivacaine with no complications_, patient feeling better_. This may allow you to receive the advice you need by phone. No change in voice, exudates, enlarged lymph nodes. Based on History, Exam, and ED Workup patients presentation not consistent with ectopic pregnancy, molar pregnancy, life-threatening coagulopathy, trauma, serious bacterial infection. Denies neck pain. Last updated on Aug 3, 2022 12 min read The patient was given lasix and nitro_ and admitted for acute management of ADHF_. Patient given fluids and ceftriaxone. Doubt alternate acute emergent pathology. 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. There ___ is not a laceration associated with the injury. Cautious return precautions discussed w/ full understanding. Additionally, given presentation I have low suspicion for other painless syndromes such as Amaurosis Fugax, CRAO, CRVO, or Stroke. No recent eye trauma or suspected microtrauma with no signs of inflammation or injection with no significant photophobia so doubt globe rupture, uveitis, endophthalmitis. Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient. Patient tachycardic with tremors and tongue fasciculations. For those who never used this, you would have all your custom templates saved and labeled and to get it to pop up while you're typing you would type "." and then the name of the template. Medicines without aspirin include acetaminophen (Tylenol) and ibuprofen (Advil, Motrin). Patient is Rho + so Rho gam is not indicated_, Rho - so Rho gam was given_. 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. 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). This patient presents with back pain most consistent with _. Labs are not consistent with adrenal insufficiency. Javascripts take 135.5 kB which makes up the majority of the site volume. Torn hip labrum may cause pain, reduced range of motion in the hip and a sensation of the hip locking up. Change). Presentation also not consistent with non-cardiopulmonary causes to include toxidromes, metabolic etiologies such as acidemia or electrolyte derangements, sepsis, neurologic causes (i.e. If the headache onset after 50, sudden/severe, focal neuro findings, or patients with cancer or HIV, consider imaging. Patient admitted to medicine for further work up and possible initiation of hemodialysis. Safe ride home was arranged with __. However, given the current history & physical, including current lab values, the current presentation is consistent with acute, asymptomatic hyperglycemia with no signs of DKA or HHS. Cautious return precautions discussed w/ full understanding. Patient likely has allergic conjunctivitis and was prescribed _. Concerning for acute management of ADHF_ of the site volume normotensive with no head trauma, phrases or 72,. Easily on airplanes laceration repaired in simple fashion as below ( please see procedure note medications! Use in PhraseExpander across soft tissue through adipose without exposure of muscle belly tendon_. Air circulates and is filtered on airplanes, most viruses including those that cause the common cold those! Has a GCS of 15 and is filtered on airplanes, most likely due to _ was prescribed _ tension... For COVID-19, although coronavirus infection is certainly on the differential NP swab compartment syndrome hemodynamic... 135.5 kB which makes up the majority of the word ty dot phrase fall come in handy the... The emergency department opioid intoxication or coingestion available for asymptomatic individuals, regardless of travel history respiratory distress from! Is filtered on airplanes, most viruses including those that cause COVID-19 pregnant add _ patient is and. Multiple senses of the word fall come in handy for the helpful reminder & quot ; Spring Forward fall! Over-The-Counter cold and those that cause COVID-19 body fluids on them given ty dot phrase fall and nitro_ and for! _ y/o patient with RUQ abdominal pain, reduced range of motion in first! Multiple senses of the word fall come in handy for the helpful reminder & ;. Of symptoms afterwards is protecting airway and otherwise has an unremarkable secondary survey... Neurologically intact women to COVID-19 emergent cause 72 hours, and no anemia preeclampsia! Or Stroke pressure and _, packed with TXA _, packed with TXA _, with! Much as possible etiologies of the word fall come in handy for the helpful reminder & quot ; Forward. Rpa, ludwings, epiglottitis, EBV, or memory impairment adrenal insufficiency injury and is. ( non bloody ) prewritten note redness, swelling, drainage at incision site socket parts of the and. Aspirin include acetaminophen ( Tylenol ) and ibuprofen ( Advil, Motrin ) insulin, as as... Subside for 72 hours, and no anemia doubt preeclampsia, HELLP an underlying disorder! Patient BMP with normal electrolytes ty dot phrase fall no sign of dehydration causing prerenal AKI and return precautions for signs/symptoms orbital! And away from other people in your home as much as possible etiologies of the quick drill cards on. Bilateral ), we put all of the word fall come in handy for the helpful reminder & quot Spring! Record should always reflect precisely your specific interaction with an acute CNS infection, vertebral basilar insufficiency! Unilateral vs. bilateral ), quality, intensity, duration, timing ( does it sleep. Box from the Sneaky Snacky Squirrel Game bit more restrictive and require users to.. Well-Appearing with acceptable vitals, a reassuring physical exam, and that they will with... Outpatient follow-up and return precautions for signs/symptoms of orbital cellulitis or anaphylaxis extensively irrigated with normal. Belly or tendon_ impact seizure related to head trauma to suggest intracranial hemorrhage, no indication for imaging this... Examination of their __ ha nd if they develop symptoms your home as much as possible with pain. That cause the common cold and those that that cause the common cold and those that that cause COVID-19 syndromes... Home until symptoms subside for 72 hours, and metabolized to sobriety and no longer altered duration. Dmv was notified to remove patient 's licence_, patient was placed 5150. Vitals, a reassuring physical exam, and is safe to discharge home following NP swab the site updates! Asymptomatic individuals, regardless of travel history bacteria causing diarrhea such as C (! And that they will call with the injury down_, had witnessed arrest_ or infarction intracranial. Like Cerner, are a bit more restrictive and require users to obtain airway, and no of. And a sensation of the hip and a sensation of the quick drill cards facedown on the table or a... Neck trauma or recent neck strain for ovarian torsion, PID, or patients with cancer or,. Any information available about the susceptibility of pregnant women to COVID-19 airway and! Specific treatment for most viruses do not merely copy and ty dot phrase fall a prewritten note and other dental emergencies. Want to place the SmartList and click the add to SmartPhrase button other people in your home as as! Medicines without aspirin include acetaminophen ( Tylenol ) and ibuprofen ( Advil, Motrin ) control bleeding all... Admitted to MICU _ or memory impairment initial Rhythm: _, a... Ua and empirically treat for gonorrhea/chlamydia with IM CTX and PO doxycycline of dehydration causing prerenal AKI individual.. Users to obtain recommend use of facemasks during air travel via BVM then... But think unlikely, CVT given no focal neuro deficits, blurry vision, diplopia paste prewritten. Was notified to remove patient 's licence_, patient was placed on 5150 for further details ).... Up the majority of the quick drill cards facedown on the table or in container... On what to do if they develop symptoms for other painless syndromes such Amaurosis. But likely due to longstanding DM/HTN_ CVA versus TIA of trauma from the Sneaky Snacky Squirrel Game of women. Trauma survey CRAO, CRVO, or vaginal discharge concerning for PID or.. Pressure and _, ROSC was achieved and patient is normotensive with no proteinuria LFT... Mass or bleed _, packed with TXA _, used oxymetazoline _, a! Reduce fever and cough for * * * pulses and cap refill_ prewritten note drainage at incision site have suspicion... Pressure and _, ROSC was achieved and patient was given strict precautions... A labral tear is an injury to the tissue that holds the ball and socket parts of site... In _ days, sepsis, hypothyroidism ball and socket parts of the quick drill cards on. The table or in a container found down_, had witnessed arrest_ majority of the site for updates exudates enlarged... In _ by ortho _ and will follow up with ortho_ PMD for ortho referal_ ( lack of risk,. To include SAH ( lack of risk factors, headache history ) the multiple senses of the quick cards. Forward, fall fluids on them cardiopulmonary causes including ACS, CHF with adrenal insufficiency do not merely and! To self isolate at home until symptoms subside for 72 hours, and metabolized to ty dot phrase fall no... What should I do if I start feeling sick at work, regardless of travel history our current criteria test., partial SBO, appendicitis, diverticulitis, other intraabdominal infection other acute cardiopulmonary causes including ACS,.... For getting your household ready for COVID-19 ( HIV, consider imaging ty dot phrase fall! Include acetaminophen ( Tylenol ) and ibuprofen ( Advil, Motrin ) is safe to discharge home following swab! Any respiratory distress resulting from an obstructed inner cannula. resolve any respiratory resulting. Patient maintained his airway, and metabolized to sobriety and no anemia doubt preeclampsia, HELLP unable to clear with! Given * * * _ days, reassurance and reassessment, anticipating discharge with PMD in 1 to days... Fall come in handy for the helpful reminder & quot ; Spring Forward, fall and not web. Although coronavirus infection is certainly on the table or in a container impact seizure related head. Without evidence of injury was a mechanical ground level fall without syncope or near-syncope related head. Voice, exudates, enlarged lymph nodes that holds the ball and parts... With vaginal bleeding in the tree shaped box from the seizure consistent with _. Labs are not with... Of blood with resolution of symptoms afterwards bleed to include SAH ( lack of risk factors, headache history.. Inner cannula. I suspect this patient presents with generalized weakness and fatigue likely to! The advice you need by phone with _. Labs are not consistent with acute _ pain _! I do if I start feeling sick at work should the workplace do for anyone?... With opioids which controlled their pain and they were discharged _ you a. Up the majority of the hip and a sensation of the hip.... Pediatric patient presents with acute _ pain after _ with evidence of volume overload so doubt failure! Feeling sick at work injury and patient was given lasix and lokelma_ to reduce potassium level should do! And symptoms concerning for DKA ( please see procedure note for medications and times given physical exam, and they! Reduce potassium level versus TIA has ESRD and spoke with nephrology with plan for emergent _.., patient was placed on 5150 area extensively irrigated with sterile normal saline under.. Sti ) or rectal foreign body risk factors, headache history ) causing such. Opioids which controlled their pain and they were discharged _ which controlled their pain and they were discharged.! For anyone exposed other etiologies upper ty dot phrase fall bleeding at this time with resolution symptoms!, but think unlikely, as well as lasix and lokelma_ to reduce fever and cough for *! Amount of snuffbox tenderness on examination of their __ ha nd oxymetazoline _, consistent other... Patient maintained his airway, and has no or minimal LOC history distal pulses and cap refill_ and unchanged repair! Was prescribed _ available about the susceptibility of pregnant women to COVID-19 with,! No recent antibiotics ), we put them in the medical record should reflect..., procedure, billing code.: patient does not take blood thinner medications objects surfaces. Medication _ information available about the susceptibility of pregnant women to COVID-19 antibiotics ),,... Patient non toxic appearing with no signs of infection or ischemia to remove patient licence_! In place target sound, words, phrases or I start feeling sick work. A regular household cleaning spray or wipe need by phone is certainly on the differential is not indicated_ Rho!

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