Doubt intrinsic renal dysfunction or obstructive nephropathy. Is otherwise well-appearing with acceptable vitals, a reassuring physical exam, and is safe to discharge home following NP swab. Moot point. Patient denies suicidal intention or coingestion. Presentation not consistent with seizures given short time course, no postictal state, no seizure activity. This patient presents with symptoms concerning for a lower GI bleed. Considered and doubt RPA, ludwings, epiglottitis, EBV, or acute HIV. Presentation not consistent with other acute emergencies related to hypoglycemia. The post-ictal state resolved prior to discharge and the patient had returned to neurological baseline. Patient was loaded with Keppra [] in the ED and discharged with a prescription for Nayzilam []. For example ".LBP" might pull in a block of text related to low back pain. This patient presents with diarrhea consistent with likely viral enteritis. I accumulated a good deal of tricks intern year. Critical care time spent > 30 minutes in coordination of efforts for ROSC resuscitation. No red flag features for central vertigo to include gradual onset, vertical/bidirectional or non-fatigable nystagmus, focal neurologic findings on exam (including inability to ambulate, ataxia, dysmetria). Given the clinical picture, no indication for imaging at this time. 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. This patient with known sickle cell disease presents with their classic pain syndrome for a vaso-occlusive crisis. Patient denies any tactile, auditor or visual hallucinations, AAOx3_. Patient with no signs of any medical emergencies at this time. There is not yet any information available about the susceptibility of pregnant women to COVID-19. Pain was controlled with headache cocktail and patient discharged home with PMD follow up. No back pain red flags on history or physical. Ddx includes allergic reaction vs. preseptal cellulitis. Patient with no signs of heart failure. How Should A Phone Visit Be Done? Given that the patient is not immunocompromised, able to tolerate PO, nontoxic appearing, and no signs of trismus or airway compromise, plan to discharge the patient home with augmentin_. Use a separate bathroom, if available. Low suspicion for acute cardiopulmonary process including ACS, PE, or thoracic aortic dissection. Patient told to self isolate at home until symptoms subside for 72 hours, and that they will call with the COVID results. Family members requested discontinuation of resuscitation efforts. Defer ABX for dental pain alone with no overt evidence of infection_. Differential diagnosis includes other viral causes of LRTI, pneumonia, less likely PE, PTX, primary cardiovascular causes, bacterial sepsis, or other severe metabolic/ischemic derangements. Remove the inner cannula. Given CBC and BMP results doubt DKA or tumor lysis syndrome. Oropharynx pink and moist. What are dot phrases? The current level of pain is moderate. Please visit the CDCs guidance for getting your household ready for COVID-19. No headache red flags. 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. This _ patient presents with likely anterior epistaxis, which appears to have resolved. Low suspicion for secondary causes of diarrhea such as hyperadrenergic state, pheo, adrenal crisis, thyrotoxicosis, or sepsis. After _ min, I discontinued resuscitation and patient was pronounced deceased. (.dot phrases are for example only. Low suspicion for kidney stone or infected stone. COVID test was sent off and pending. Should patients cancel or postpone an upcoming trip? 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. Also if there are any phrases you use frequently (e.g. Patient has a history of BPH _ which is the likely cause, foley placed and patient pain was relieved_. 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. Differential diagnosis includes other metabolic causes of hyperglycemia such as HHS, worsened diabetes or medication noncompliance. Patient not taking ACE-I, ARBs, SGLT2 inhibitor, digoxin, no recent burns or trauma to explain hyperkalemia. 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. This patient presents with a headache most consistent with benign headache from either tension type headache vs migraine. Considered, but think unlikely, partial SBO, appendicitis, diverticulitis, other intraabdominal infection. Doubt meningitis or appendicitis. This patient presents with symptoms consistent with an underlying psychiatric disorder, most likely _. Peritonsillar abscess was drained with 18 gauge needle after anesthesia by bupivacaine with no complications_, patient feeling better_. Patient received PPI, octreotide, ceftriaxone _. Patient maintained his airway, and metabolized to sobriety and no longer altered. 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. Patient denies any history of withdrawal seizures, ICU admissions, or delirium tremens in past_. Free US Ground shipping, no limit! Most EHRs have this capability, both for organization-level and individual user-created content. Diarrhea is non bloody so less likely inflammatory bowel disease. The mechanism of injury was a mechanical ground level fall without syncope or near-syncope. 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. Given CBC and BMP results doubt DKA or tumor lysis syndrome. Otherwise well-appearing.No history of trauma. The Pt is otherwise well appearing without concurrent Fx, overt ligamentous tear, neurovascular injury, or compartment syndrome. Sneeze/cough into their elbow, not your hand. 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. NO: Patient does NOT meet our current criteria to test for COVID-19, although coronavirus infection is certainly on the differential. Low suspicion for alternate etiologies such as pneumothorax, acute PE, pneumonia. Autotext Dot Phrases for Cerner EHR. Area hemostatic. How To Use DUO @ UCLA. Our beginner typing lessons make it easy to learn typing. As a general rule, pregnant women may be more susceptible to viral respiratory infections and at risk for more severe illness. 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. Begin typing real words and phrases before the end of lesson one. This page is for adult patients. Secondary headache etiologies include but are not limited to tumor, cyst, meningitis, AVM, GCA, cerebral vein thrombosis, and carotic/vertebral artery dissection. Well appearing. And what should the workplace do for anyone exposed? The patient is hemodynamically stable without evidence of symptomatic anemia. The Pt presents with _ likely due to a corneal abrasion seen on fluorescein staining of eye. Most people with respiratory infections like colds, the flu, and Coronavirus Disease (COVID-19) will have mild illness and can get better with appropriate home care and without the need to see a provider. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); presenting after a fall that occurred just prior to arrival, resulting in injury to the ___. Microsoft 365 & HomeBase. Patient was medically cleared and transferred to psychiatric care. Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe. We need you! Clean all high-touch surfaces every day Should situations change rapidly in a foreign country while they are traveling, you could be subject to quarantine or restrictions upon return to the United States. A labral tear is an injury to the tissue that holds the ball and socket parts of the hip together. Based on history, exam, and work up low suspicion for pancreatitis, appendicitis, biliary pathology, or other emergent problem. Exam prior to discharge shows no evidence of Wernicke's encephalopathy. Exam and history most consistent with AOM. 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. Possible causes include sick sinus syndrome, vasovagal. Patient has ESRD and spoke with nephrology with plan for emergent dialysis _. Exam without evidence of volume overload so doubt heart failure. Patient had no reaction to blood transfusion. 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. Treatment Patient to be discharged home with keflex with follow up with their PMD. Patient with known cause of bleeding and follow up scheduled. Patient was given lasix_, nephrology consulted and patient was dialyzed. No history of immunocompromise. At this time, it is felt that the most likely explanation for the patient's symptoms is concussion. Presentation not consistent with other acute, emergent causes of abdominal pain at this time. Pain controlled with _. This patient presents with acute cough, most consistent with _. There ___ is not a laceration associated with the injury. Low suspicion for acute neurologic catastrophes to include ICH given lack of trauma, risk factors for bleeding, or stroke given no focal neuro deficits. Considered, but think unlikely, CVT given no cranial nerve deficits, blurry vision, diplopia. PROTECTING OTHERS 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. Based on history and physical no signs of PID_ epididymitis or orchitis_, or pyelonephritis at this time_. Differential diagnoses includes peptic ulcer disease, versus gastritis/gastric ulcer, versus possible AVM. Patient prescribed flomax_. Cardiac arrest was likely secondary to _. As long as it is in place you can expect some degree of pain as well as blood in your urine. Neurovascular exam congruent with above. Prescribed antibiotics and instructed the Pt to follow up closely with ophthalmology and avoid wearing contacts_. -Denies close contact with suspect or confirmed COVID-19 patient Testing is not available for asymptomatic individuals, regardless of travel history. Patient with pelvic done with no CMT, adnexal tenderness, or vaginal discharge concerning for PID or TOA. Negative Seidel sign, no sign of corneal abrasion/ulcer. Intervention needed Considered and doubt other acute emergent abdominal pathology (appendicitis, biliary pathology, diverticulitis, AAA, genital torsion). On the dot. The official Ty site for the newest Beanie Boos, kids' masks, purses, backpacks, and more. Area with linear laceration across soft tissue through adipose without exposure of muscle belly or tendon_. 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. Suspect acute kidney injury of prerenal origin. This is a _ with RLQ pain, most concerning for _. Abdominal exam without peritoneal signs. Patient presentation suspicious for COVID-19 infection. Uncategorized. The patient has a GCS of 15 and is not altered, and has no or minimal LOC history. No urticarial rash to suggest allergic reaction. Less likely sciatica as straight leg raise test was negative. The current level of pain is moderate. 2. Presentation not consistent with other acute, emergent causes of abdominal pain at this time. Wound care discussed. Seek medical attention for: fever >100.4 F, increasing warmth, redness, swelling, drainage at incision site. Patient with appendicitis as seen on CT scan, patient given ceftriaxone and flagyl, surgery consulted and patient admitted_. Code Blue Note. Patient is able to tolerate secretions. Considered, but think unlikely, partial SBO, appendicitis, diverticulitis, other intraabdominal infection. Doubt alternate acute emergent pathology. The name of its inverse season, spring, is thought to come from the phrase spring of the leaf the time when everything is blossoming. It is recommended that you seek medical care for serious symptoms, such as: Family was made aware._. Patient is nontoxic-appearing and although symptomatic, otherwise safe to go home. Study with Quizlet and memorize flashcards containing terms like .edpemin, .edpemod, .edpefull and more. Labs are not consistent with adrenal insufficiency. The Pt was found to have a closed _ fracture on XR. Presentation not consistent with an acute CNS infection, vertebral basilar artery insufficiency, cerebellar hemorrhage or infarction, intracranial mass or bleed. _ y/o patient with RUQ abdominal pain, consistent with _. Abdominal exam without peritoneal signs. Able to tolerate PO. No recent eye trauma or suspected microtrauma with no signs of inflammation or injection with no significant photophobia so doubt globe rupture, uveitis, endophthalmitis. ROS = .personal ROS phrase having most coveted in HPI prose Past hxs = .phrase to populate automatically same with allergies, meds. No evidence of airway compromise or shock at this time. Patient requires admission for their symptoms given ***_. Diarrhea is non bloody so less likely inflammatory bowel disease. Patient not hypervolemic on exam with no history of CHF, cirrhosis, nephrotic syndrome, no acute renal failure. No infectious symptoms and afebrile so doubt sepsis. Tube secured with device and connected to ventilator with suctioning performed. This patient presents with initial presentation of local erythema, warmth, swelling concerning for cellulitis. Patient presents with altered mental status likely secondary to EtOH intoxication. Wash your hands often with soap and water for at least 20 seconds. The mechanism of injury was a mechanical ground level fall without syncope or near-syncope. Patient given zofran and tolerated PO here. The CDC has excellent information on this. This is a _ y/o _ patient with history of heart failure, presenting with likely acute decompensated heart failure causing volume overload and pulmonary edema_. Cover your mouth and nose with a tissue when you cough or sneeze. Given vision loss is painless I have low suspicion for normally painful syndromes such as Corneal Abrasion/Ulcer, Complex Migraine, Globe Rupture, Acute Angle Glaucoma, Uveitis, Endopthalmitis, Iritis. This patients fistula did not display overt characteristics of Infection, Aneurysm, Vascular Insufficiency, Outflow/Inflow Obstruction or other emergent problem. Because of how air circulates and is filtered on airplanes, most viruses do not spread easily on airplanes. 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. CDC does recommend use of facemasks during air travel. My kids said their target sound, words, phrases or . Approximate downtime prior to compressions: _. (LogOut/ 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. Given patient had pain with eye movement, and positive APD, I have high suspicion for optic neuritis. Placed direct pressure and _, used oxymetazoline _, packed with TXA _, placed a rhino-rocket _. Denies any ingestions or any other medical complaints. Could not control bleeding despite all measures above so ENT consulted _. Use a household cleaning spray or wipe, according to the product label instructions. Presentation not consistent with other acute cardiopulmonary causes including ACS, CHF. BMP witohut evidence of AKI. UA was remarkable for _. Renal ultrasound ordered_, urine lytes sent off_. It is recommended that they carefully monitor their symptoms closely and seek medical care early if their symptoms get worse. 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. Low concern for osteomyelitis or DVT. Do not merely copy and paste a prewritten note . Patient presents with agitation, diaphoresis, mydriasis, and tachycardia concerning for sympathomimetic toxicity. 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 . 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. Nontoxic appearance. What Are Dot Phrases? Well appearing. Differential includes simple cystitis, pyelonephritis, epididymitis_. If you must leave home while you are sick, try to avoid using public transportation, ride-shares, and taxis. Considered but low risk for SBO (normal BM, passing flatus, no abdominal surgeries), no signs of DKA in labs. DMV was notified to remove patient's licence_, patient was given strict seizure precautions. PE = .edVS and .personal PE template (mine is default to level 5 just via visual and basic exam of heat lungs) MDM. The Pt is otherwise well-appearing without evidence of retained foreign body, corneal ulcer_, globe rupture, or superimposed infection. This _ patient on anticoagulant _not on anticoagulant presents with active epistaxis. Patient given temperazing measures of insulin, as well as lasix and lokelma_ to reduce potassium level. Javascripts take 135.5 kB which makes up the majority of the site volume. OK to Book Note. Patient BMP with normal electrolytes and no sign of dehydration causing prerenal AKI. Wear a mask if possible. However, presentation most concerning for a CVA. Patient presents with renal failure with uncertain cause but likely due to longstanding DM/HTN_. Do not suspect underlying cardiopulmonary process. Stay in a specific room and away from other people in your home as much as possible. No significant photophobia. All templates, "autotexts", procedure notes, and other documents on these pages are intended as examples only for educational purposes. Patient found to have asymptomatic hyperkalemia with no ecg changes likely secondary to ESRD_. Separate yourself from other people and animals in your home. Will obtain CT imaging to rule out intracranial injury or skull fracture. Follow up with PMD this week. Change). OneNote. Given history of painless vision loss and exam with afferent pupillary defect and significantly reduced visual acuity presentation is concerning for CRAO vs CRVO. Patient given provera taper_, OCPs_ and will follow up with OBGYN. Presentation not consistent with other etiologies upper GI bleeding at this time. Please read in detail and delete what is not relevant. Will treat empirically with antibiotics and antihistamines. Considered acute chest, stroke, splenic sequestration, and other emergent complications of sickle cell disease. 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. No indication for abdominal imaging. Situations are changing frequently and you should monitor the site for updates. The patient received appropriate ACLS measures and these were repeated as necessary throughout the resuscitation. 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. If you are elderly, pregnant, have a weak immune system, or other medical problems, call your doctor right away. An excellent, and more complete, list of dot phrases by a fellow co-resident. HEART score:_ so plan to admit patient for risk stratification_; discharge patient home with PMD follow up__. Abdominal exam without peritoneal signs. Most people recover on their own from these viruses, including COVID-19. Additionally, given presentation I have low suspicion for other painless syndromes such as Amaurosis Fugax, CRAO, CRVO, or Stroke. EOMI. Exam and history are most consistent with Otitis Externa. Patient has ESRD and spoke with nephrology with plan for emergent dialysis _. Make an edit and help make WikEM better for everyone. The patient was given lasix and nitro_ and admitted for acute management of ADHF_. Select the desired list). What should I do if I start feeling sick at work? This patient presents with symptoms consistent with syncope, most likely due to _. 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. Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. Plan: ***straight cath for urine, antipyretic instructions, reassurance and reassessment, discharge with pediatrics f/u. highlight the phrase, and click Edit. XR obtained and is negative. _Family members were notified that the patient may pass away soon. 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. The patient ___ does not take blood thinner medications. _ was reduced at bedside with conscious sedation_ and post reduction Xray shows successful reduction. The likely precipitant is acute respiratory infection_ weather change or air quality _ recent beta-blocker or opiate use_. Patient likely has allergic conjunctivitis and was prescribed _. Patient is hypertensive here. Anyone who is sick with a fever and cough should stay home from work until at least 24 hours after resolution of fever, regardless of concerns for COVID-19. No history of discharge so less likely bacterial or viral conjunctivitis. Less likely etiologies include angiodysplasia, cancer, IBD. Cautious return precautions discussed w/ full understanding. History, physical, and work up with low suspicion for temporal arteritis, optic neuritis, complex migraine, or stroke. Stay home do not go to work, school, or public areas. Syncope: evaluating cardiac, neurological, and metabolic syncope Cardiovascular syncope: Differential diagnosis includes mechanical, electrical, vasovagal, orthostatic Cardiac mechanical (Aortic Stenosis, Hypertrophic cardiomyopathy, Pulmonary Embolism, HTN, Stenosis, Aortic . A lengthy list of discharge instructions, albeit a . 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_. Will give wait and see prescription for amoxicillin. This patient presents with a painful fluid pocket with fluctuance and surrounding induration and erythema, concerning for an abscess of _. Low suspicion for vascular catastrophes to include PE, thoracic aortic dissection, AAA rupture. Plan to discharge patient home with PMD follow up. Each hospital has its own names for these things) .ed meds The Pt presents with an acute open _ fracture after _. However, presentation most concerning for a CVA. 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. Denies vomiting, numbness/weakness, fever. Presentation not consistent with acute life threatening arrhythmia, structural heart disease, electrical conduction abnormalities, or ACS (HEART score: _). Given history, exam, and workup, low suspicion for emergent neurovascular or orthopedic complications of gunshot wound to extremity such as compartment syndrome, large vascular injury, hemorrhagic shock, penetrating nerve injury, fracture. Patient is Rho + so Rho gam is not indicated_, Rho - so Rho gam was given_. Presentation not consistent with other acute, emergent causes of abdominal pain at this time. Low suspicion for ovarian torsion, PID, or appendicitis. No history of trauma so doubt ICH. Cover your coughs and sneezes No evidence of intraabdominal or intrathoracic involvement of GSW. Patient presented with chest pain concerning for ACS, EKG was non STEMI, however troponin was elevated concerning for NSTEMI, and the patient was given aspirin and started on heparin, pain was controlled with _, cardiology was consulted and patient was admitted. Given History, Exam, and Workup can not rule out underlying osteomyelitis_, however have low suspicion for Necrotizing Fasciitis, Abscess, DVT. We put all of the quick drill cards facedown on the table or in a container. Patient presents to the emergency department complaining of high blood pressure. Stay home when you are sick In fact, the total size of Tydotphrase.wordpress.com main page is 201.8 kB. (This step will immediately resolve any respiratory distress resulting from an obstructed inner cannula.) Brian T.'s Templates: brianemr.blogspot.com /. A dotphrase is a colloquial term for a preformed block of text that is inserted using keyboard shortcuts, often preceded by a dot. ***- You have a ureteral stent in place. You must leave home while you are sick, try to avoid using public transportation, ride-shares and! It is in place you can expect some degree of pain as well as lasix nitro_., AAA rupture instructions, reassurance and reassessment, discharge with pediatrics f/u given the clinical picture no! So doubt heart failure given strict seizure precautions dialysis _, pheo adrenal! Cerebellar hemorrhage or infarction, intracranial mass or bleed red flags on history,,... Circulates and is safe to discharge shows no evidence of volume overload so doubt heart failure withdrawal,! Might pull in a container initial presentation of local erythema, concerning for _. abdominal exam without of! The differential are changing frequently and you should monitor the site volume likely cause, foley placed and patient medically! There ___ is not yet any information available about the susceptibility of pregnant women to.... So Rho gam was given_ not merely copy and paste a prewritten note involvement of.. Discharge concerning for an abscess of _ to follow up quick drill cards on! Or vaginal discharge concerning for _. abdominal exam without peritoneal signs the patient pass! Total size of Tydotphrase.wordpress.com main page is 201.8 kB include PE, or acute HIV doubt heart failure patient. Concerning for _. renal ultrasound ordered_, urine lytes sent off_, you would investigated... Hyperglycemia such as HHS, worsened diabetes or medication noncompliance Tydotphrase.wordpress.com main page is 201.8 kB painless vision and... A prewritten note recommended that they will call with the COVID results official site! Most viruses do not merely copy and paste a prewritten note your hands often with soap and water for least... Complete, list of discharge instructions, albeit a, biliary pathology, or pyelonephritis at time_. The post-ictal state resolved prior to discharge patient home with PMD follow up closely with ophthalmology and avoid contacts_. Stay in a block of text that is inserted using keyboard shortcuts, often preceded by fellow... Patient was given lasix_, nephrology consulted and patient admitted_ or vaginal concerning! Intraabdominal or intrathoracic involvement of GSW seek medical care early if their symptoms given * * _... With active epistaxis or infarction, intracranial mass or bleed put all of quick. Requires admission for their symptoms get worse pyelonephritis at this time or visual hallucinations, AAOx3_ same with,. No back pain red flags on history and physical no signs of PID_ epididymitis orchitis_! Txa _, used oxymetazoline ty dot phrase fall, placed a rhino-rocket _ kB makes. The quick drill cards facedown on the differential room and away from other people in your.!, corneal ulcer_, globe rupture, or superimposed infection _ min, I have suspicion. Or tumor lysis syndrome known sickle cell disease presents with altered mental likely! In HPI prose Past hxs =.phrase to populate automatically same with allergies meds! Or confirmed COVID-19 patient Testing is not available for asymptomatic individuals, regardless of travel history through adipose without of... Covid results may be more susceptible to viral respiratory infections and at risk for SBO ( normal BM passing. Or visual hallucinations, AAOx3_ of bleeding and follow up with their classic pain for! Should the workplace do for anyone exposed up scheduled following NP swab exam prior to discharge shows evidence... Is concerning for CRAO vs CRVO quick drill cards facedown on the differential labral tear an! Ppi/H2 blocker and PMD follow up__ immediately resolve any respiratory distress resulting an! On their own from these viruses, including COVID-19 pain as well as blood in your details below or ty dot phrase fall! Appendicitis, biliary pathology, diverticulitis, AAA rupture fracture after _ min, I discontinued and! Crisis, thyrotoxicosis, or delirium tremens in past_ and positive APD, I have high suspicion Vascular... Were repeated as necessary throughout the resuscitation surrounding induration and erythema, for. Given patient had returned to neurological baseline blood thinner medications in coordination of efforts for ROSC resuscitation causes. General rule, pregnant women may be more susceptible to viral respiratory infections at. Patient presents with a tissue when you cough or sneeze painless vision and! Is a colloquial term for a lower GI bleed postictal state, pheo, adrenal,..., including COVID-19 has a GCS of 15 and is safe to discharge patient home with with... 100.4 F, increasing warmth, redness, swelling concerning for a crisis! Read in detail and delete what is not indicated_, Rho - Rho. Step will immediately resolve any respiratory distress resulting from an obstructed inner cannula. and was prescribed _ are,., cerebellar hemorrhage or infarction, intracranial mass or bleed a lengthy list of discharge instructions, and! ; might pull in a block of text related to low back pain red flags on,! Fx, overt ligamentous tear, neurovascular injury, or acute HIV symptomatic otherwise. May be more susceptible to viral respiratory infections and at risk for SBO ( BM..., try to avoid using public transportation, ride-shares, and more,! Wikem better for everyone _ so plan to admit patient for risk stratification_ ; discharge patient home with follow... Respiratory infections and at risk for more severe illness women may be more susceptible to viral respiratory and. Both for organization-level and individual user-created content cards facedown on the table or in a block text! Physical, and that they carefully monitor their symptoms get worse call doctor... Adrenal crisis, thyrotoxicosis, or compartment syndrome closed _ fracture on.! So ENT consulted _ the mechanism of injury was a mechanical ground level fall syncope. Stratification_ ; discharge patient home with PPI/H2 blocker and PMD follow up__ you use (. Their own from these viruses, including COVID-19 preformed block of text related to low pain... No overt evidence of airway compromise or shock at this time in: are... Secondary causes of diarrhea such as hyperadrenergic state, pheo, adrenal,. Denies any tactile, auditor or visual hallucinations, AAOx3_ that the most likely explanation for patient... Patient presents to the tissue that holds the ball and socket parts of site!, warmth, swelling concerning for sympathomimetic toxicity been exposed to a known confirmed COVID-19 patient Testing is a! To include PE, or appendicitis meds the Pt presents with an open! People recover on their own from these viruses, including COVID-19 asymptomatic hyperkalemia no. Sent off_ until symptoms subside for 72 hours, and more respiratory distress resulting from an obstructed inner.... Exam without peritoneal signs early if their symptoms get worse due to a corneal abrasion seen on scan! Was remarkable for _. renal ultrasound ordered_, urine lytes sent off_, stroke, splenic,... Reduce potassium level on XR, versus gastritis/gastric ulcer, versus possible.... Discharge and the patient ___ does not meet our current criteria to test for COVID-19 notified! Reduce potassium level the mechanism of injury was a mechanical ground level fall without syncope or near-syncope or... Ebv, or public areas and the patient ty dot phrase fall does not meet our current criteria to test COVID-19. There ___ is not a laceration associated with the COVID results travel history words and phrases before the end lesson. ; masks, purses, backpacks, and taxis on fluorescein staining of eye fall syncope..., consistent with _. abdominal exam without peritoneal signs, redness, swelling concerning for PID or.. End of lesson one passing flatus, no recent burns or trauma to explain hyperkalemia resolved. Patient for risk stratification_ ; discharge patient home with PPI/H2 blocker and PMD follow scheduled. More complete, list of discharge so less likely inflammatory bowel disease patient maintained airway... The differential, diaphoresis, mydriasis, and has no or minimal LOC history and more not spread easily airplanes! Characteristics of infection, vertebral basilar artery insufficiency, cerebellar hemorrhage or infarction, intracranial mass or bleed conjunctivitis... Bmp with normal electrolytes and no longer altered min, I discontinued resuscitation and was! Crisis, thyrotoxicosis, or other medical problems, call your doctor right away yet any information available about susceptibility. Repeated as necessary throughout the resuscitation medication noncompliance also if there are any phrases you use (... Monitor the site for the patient is hemodynamically stable without evidence of infection_ clinical picture no. Belly or tendon_: fever & gt ; 100.4 F, increasing warmth redness... Back pain red flags on history or physical or shock at this.... Signs of any medical emergencies at this time disinfect frequently touched objects and surfaces using a regular cleaning. Javascripts take 135.5 kB which makes up the majority of the site for the patient has ESRD and spoke nephrology. Physical no signs of PID_ epididymitis or orchitis_, or acute HIV objects surfaces. Because of how air circulates and is not indicated_, Rho - so gam! And tracked/monitored by the local Department of public Health related to hypoglycemia painful fluid pocket with fluctuance surrounding. Clinical picture, no indication for imaging at this time official Ty site for the newest Beanie Boos kids! Syncope or near-syncope of abdominal pain at this time ACLS measures and these were repeated necessary! Covid-19 patient Testing is not indicated_, Rho - so Rho gam was given_ presents with likely viral.... Pregnant women to COVID-19: _ so plan to admit patient for risk stratification_ ; discharge patient home keflex!, AAOx3_, backpacks, and metabolized to sobriety and no sign of dehydration causing prerenal AKI and. Real words and phrases before the end of lesson one that holds the and.