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Discussed this concern with t he patient and emphasized the importance . Avoid crowded places or mass gatherings, especially if you are immunocompromised or have chronic lung disease. Patient presents with renal failure with uncertain cause but likely due to longstanding DM/HTN_. Change), You are commenting using your Facebook account. Differential diagnoses include diverticulitis (most common cause) versus hemorrhoids. Given the H&P, I suspect this patient is suicidal/homicidal/gravely disabled_ and patient was placed on 5150. Low suspicion for kidney stone or infected stone. Point blank range. GI Bleed Note. Attempt to pass a suction catheter. Low suspicion for acute neurologic catastrophes to include ICH given lack of trauma, risk factors for bleeding, or stroke given no focal neuro deficits. All templates, "autotexts", procedure notes, and other documents on these pages are intended as examples only for educational purposes. Patient received empiric Ancef and orthopedics was consulted who reduced the fracture under conscious sedation and placed in splint with plan to admit patient for likely orthopedic operation. Given CBC and BMP results doubt DKA or tumor lysis syndrome. Patient with known cause of bleeding and follow up scheduled. Low suspicion for PE given normal vital signs, absence of chest pain or dyspnea, no evidence of DVT, no recent surgery/immobilization. Antibiotics treat infections caused by bacteria, but they do not work against viruses. Patient without a history of coagulopathy or infectious symptoms. Patient found to be hyponatremic to _ Patient mentating normally. Denies any ingestions or any other medical complaints. 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. 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. Patient presents in alcohol withdrawal last drink was _ ago. Considered and doubt ovarian torsion given history and presentation. Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. Doubt acute bacterial diarrhea. The current level of pain is moderate. You were seen today in the emergency department for palpitations. [[TODO]] HP Date of Note: Chief Complaint: History of Present Illnesses: Past Medical History: Allergies: Medications: Past Surgical History: Social History: [[ROS . Low concern for osteomyelitis or DVT. Low suspicion for secondary causes of diarrhea such as hyperadrenergic state, pheo, adrenal crisis, thyrotoxicosis, or sepsis. Patient admitted to medicine for further work up and possible initiation of hemodialysis. Given the clinical picture, no indication for imaging at this time. The mechanism of injury was a mechanical ground level fall without syncope or near-syncope. Do not just copy and paste. This patient presents with hyperglycemia and symptoms concerning for DKA. This patient presents with acute cough, most consistent with _. This patient presents with a painful fluid pocket with fluctuance and surrounding induration and erythema, concerning for an abscess of _. Abdominal exam without peritoneal signs. Considered DKA versus HHS, sepsis as possible etiologies of the patients current presentation. Considered and doubt other acute emergent abdominal pathology (appendicitis, biliary pathology, diverticulitis, AAA, genital torsion). This patient with known sickle cell disease presents with their classic pain syndrome for a vaso-occlusive crisis. Initial Rhythm: _, ROSC was achieved and patient was transported to hospital but in route patient rearrested. Moot point. 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. How To Use DUO @ UCLA. Will send UA and empirically treat for gonorrhea/chlamydia with IM CTX and PO doxycycline. Patient with pelvic done with no CMT, adnexal tenderness, or vaginal discharge concerning for PID or TOA. Considered but low risk for SBO (normal BM, passing flatus, no abdominal surgeries), no signs of DKA in labs. Use a separate bathroom, if available. Neurovascular exam congruent with above. []-year-old patient presenting with swollen eye. The current level of pain is moderate. Begin typing real words and phrases before the end of lesson one. Given ceftriaxone and prescribed cefdinir/keflex_. Presentation not consistent with mesenteric ischemia or ischemic colitis, brisk or life threatening upper GIB as patient has no evidence of hemorrhagic shock, melena. No recent eye trauma or suspected microtrauma with no signs of inflammation or injection with no significant photophobia so doubt globe rupture, uveitis, endophthalmitis. For example, in a medical document, the dot phrase ".consult" would replace the word "consultation.". There was no loss of consciousness, confusion, seizure, or memory impairment. No change in voice, exudates, enlarged lymph nodes. You can find my fall themed words for drill in my Happy Fall Quick Drill which is always a hit in articulation. News for nerds, stuff that matters ( Slashdot advertising slogan ) Not to put too fine a point on it. The patient ___ does not take blood thinner medications. 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). Patient presents with _ joint pain. 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. Please read in detail and delete what is not relevant. Also includes a large amount of educational pearls and high-risk diagnoses to consider. It is still influenza (flu) season and influenza remains far more common. These abbreviations start with a "." or a dot, and are then followed by a short phrase that stands for something longer. Will provide dental clinic list_. Family was made aware._. Differential includes ectopic, IUP, threatened/inevitable abortion, along with completed abortion. Testing is not available for asymptomatic individuals, regardless of travel history. 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. They cover many specialties including: Cardiology, Dermatology, Neurology, General Medicine, Obgyn, Psychiatry, Surgery and . HPI dot phrase. The patient did not respond to nail bed stimuli. 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 ___. Cover your coughs and sneezes 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. 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. Tube secured with device and connected to ventilator with suctioning performed. CT head showed _. CTA head and neck showed _. Prompt follow up with primary care physician discussed and return for suture removal in _ days. For example ".LBP" might pull in a block of text related to low back pain. Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient. Wash them thoroughly with soap and water after use. Is otherwise well-appearing with acceptable vitals, a reassuring physical exam, and is safe to discharge home following NP swab. To add a SmartList to the text, search the catalog of available SmartLists for use in your personal phrase. No recent eye trauma or suspected microtrauma with no signs of inflammation or injection with no significant photophobia so doubt globe rupture, uveitis, endophthalmitis. Given CBC and BMP results doubt DKA or tumor lysis syndrome. This patient presents with symptoms most consistent with an acute COPD exacerbation. No seatbelt signs or abdominal ecchymosis to indicate concern for serious trauma to the thorax or abdomen. Try to stay at least 6 feet from others. Presentation not consistent with seizures given short time course, no postictal state, no seizure activity. 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. Presentation not consistent with malignancy (lack of history of malignancy, lack of B symptoms), fracture (no trauma, no bony tenderness to palpation), transverse myelitis, (no sensory loss, no distal weakness), thoracic aortic dissection (equal peripheral pulses, no tachycardia, story does not fit), pneumonia (afebrile, no infectious symptoms), pulmonary embolism (Wells low risk), osteomyelitis or epidural abscess (no IVDU, vertebral tenderness). _ patient with a vesicular rash on an erythematous base in a dermatomal pattern consistent with herpes zoster. (LogOut/ 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. We put all of the quick drill cards facedown on the table or in a container. Wash your hands often with soap and water for at least 20 seconds. This patient presents with symptoms concerning for an acute upper GI bleed. Cardiac compressions were performed immediately by staff in order to sustain blood flow. No infectious symptoms and afebrile so doubt sepsis. Patient presents to the emergency department complaining of high blood pressure. Differential included UTI, pyelonephritis, diverticulitis, nephrolithiasis, appendicitis, cholangitis_. Practice frequent hand hygiene with soap and water (at least 20 seconds) or alcohol-based hand rub. Low suspicion for orthostatic syncope given lack of dehydration, no evidence of acute life threatening hemorrhage (stable hgb). Vision is unilateral with no other focal neuro deficits so doubt stroke, patient exam and history make retinal detachment, vitreous hemorrhage, posterior vitreous detachment lower on differential. A dot phrase is a colloquial term for a preformed block of text that is inserted using keyboard shortcuts, often preceded by a dot. It made notes so much easier and saved so much time. No indication for abdominal imaging. -No cluster status (SNF, group home, etc), COVID-19 (Novel Coronavirus) FAQs for Inquiring Patients. 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. Given history, I have low suspicion for giardia or other parasites. Patient was pronounced deceased. The etiology of the decompensation is not certain but is likely due to_. There was no palpable radial pulse. Each hospital has its own names for these things) .ed meds Patient not taking ACE-I, ARBs, SGLT2 inhibitor, digoxin, no recent burns or trauma to explain hyperkalemia. Presentation consistent with subconjunctival hemorrhage. Doubt antibiotic associated diarrhea. Patient not taking any nephrotoxic medications_. Doubt invasive bacteria causing diarrhea such as C diff (no recent antibiotics), shiga toxin (non bloody). Macros or dot phrases may be imported into Orchid/Cerner to expedite charting. This may allow you to receive the advice you need by phone. (This step will immediately resolve any respiratory distress resulting from an obstructed inner cannula.) Here are steps that you can take to help you get better: DMV was notified to remove patient's licence_, patient was given strict seizure precautions. 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. Take over-the-counter cold and flu medications to reduce fever and pain. It's easy to get started with dot phrases. Given History, Exam, and Workup can not rule out underlying osteomyelitis_, however have low suspicion for Necrotizing Fasciitis, Abscess, DVT. Patient is not immunocompromised. Remove the inner cannula. Plan at this time is to treat symptomatically, instruct to follow up with PCP or derm PRN. The Pt presents with _ likely due to a corneal abrasion seen on fluorescein staining of eye. 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. Patient offered transferred to rehab facility but declined. PE = .edVS and .personal PE template (mine is default to level 5 just via visual and basic exam of heat lungs) MDM. Medicines without aspirin include acetaminophen (Tylenol) and ibuprofen (Advil, Motrin). Presentation most consistent with diabetic foot infection. Patient is nontoxic appearing and not in need of emergent medical intervention. This pediatric patient presents with head trauma. My kids said their target sound, words, phrases or . This patient presents with back pain most consistent with _. 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. The mechanism of injury was a mechanical ground level fall without syncope or near-syncope. 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. 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. I have a low suspicion at this time for mastoiditis, malignant otitis externa, herpes or ramsey hunt syndrome, or retained foreign body. No airway compromise. These constellation of symptoms are similar to prior exacerbations. Based on history, physical, and work up. Presentation not consistent with other acute, emergent causes of vomiting / diarrhea at this time. Patient maintained his airway, and metabolized to sobriety and no longer altered. No airway swelling, wheezing, vomiting/diarrhea, or tachycardia/hypotension to suggest anaphylaxis. 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. For pediatric patients, see: MDM for different chief complaints (peds).". You need to follow-up with your primary care doctor or cardiologist within 3 to 5 days. No significant photophobia. Dot phrases a collection of templates that I use across the (seemingly) hundreds of EMRs I use (not medical advice). If the headache onset after 50, sudden/severe, focal neuro findings, or patients with cancer or HIV, consider imaging. UA was remarkable for _. Renal ultrasound ordered_, urine lytes sent off_. If female add _no signs of ovarian torsion, tubo ovarian abscess, PID, neg Upreg so doubt ectopic pregnancy. Patient denies any tactile, auditor or visual hallucinations, AAOx3_. No acute indication for psychiatric consultation (without SI/HI, AH/VH). Instructed patient to continue to treat pain with ibuprofen/acetaminophen until they see a dentist. Use soap and water if your hands are visibly dirty. Other items on the differential include dissection, AMI, hypoglycemia or other metabolic derangement such as hepatic/uremic encephalopathy, medication side effect, or post-ictal Todds paralysis. Unable to clear patient with PECARN rules given ***. No proptosis, vision change, or pain with EOM to suggest orbital cellulitis. 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_. Patient is hypertensive here. Pelvis without evidence of injury and patient is neurologically intact. Patient taken to cath lab. 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. Denies vomiting, numbness/weakness, fever. Patient admitted for volume overload. This result falls beyond the top 1M of websites and identifies a large and not optimized web page that may take ages to load. Presentation not consistent with acute intracranial bleed to include SAH (lack of risk factors, headache history). Patient to be discharged home with bactrim and keflex with follow up with their PMD. Patient received PPI, octreotide, ceftriaxone _. Patient had no reaction to blood transfusion. -Is not immunocompromised Based on canadian syncope rule, patient is low risk and well appearing here, plan to discharge the patient home with PMD follow up. What do you do if you are worried that you have been exposed to COVID-19 but are without any symptoms? Based on History, Exam, and ED Workup patients presentation not consistent with ectopic pregnancy, molar pregnancy, life-threatening coagulopathy, trauma, serious bacterial infection. Patient is nontoxic-appearing and although symptomatic, otherwise safe to go home. 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 . Clean all high-touch surfaces every day AMS NOS Note. Will treat empirically with antibiotics and antihistamines. 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. Do not handle pets or other animals while you are sick. Travel insurance generally does not cover cancellations due to concerns of infectious disease outbreaks. Clean your hands often Pain treated in ED with ____. Otherwise well-appearing.No history of trauma. Plan: ***straight cath for urine, antipyretic instructions, reassurance and reassessment, discharge with pediatrics f/u. Less likely to represent acute pancreatitis (neg lipase), PUD (including gastric perforation), acute infectious processes (pneumonia, hepatitis, pyelonephritis), atypical appendicitis, vascular catastrophe, bowel obstruction or viscus perforation, or acute coronary syndrome. This patient presents with symptoms consistent with acute hypersensitivity reaction, likely acute allergic reaction. No evidence of tooth fracture, avulsion, or bleeding socket. After discontinuation of resuscitation, I did not observe spontaneous breathing or appreciate heart sounds on auscultation. Sometimes there is treatment for the viruses that cause influenza if given early. demyelinating diseases). Select the desired list). On the dot. However, given age, cardiovascular risk factors, history & physical, will workup and admit to telemetry. Fall-Mechanical-Ground Level HPI. Doubt alternate acute emergent pathology. Suction, and consider partial obstruction. Discussed need for outpatient follow-up and return precautions for signs/symptoms of orbital cellulitis or anaphylaxis. Critical care time spent > 30 minutes in coordination of efforts for ROSC resuscitation. If you know a "super user" in your medical group, you can "steal" your colleague's dot phrases. 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._. _ y/o patient with RUQ abdominal pain, consistent with _. Abdominal exam without peritoneal signs. People with potentially life-threatening symptoms should call 911. Patient found to have peritonsillar abscess with no signs of airway compromise or obstruction. A labral tear is an injury to the tissue that holds the ball and socket parts of the hip together. Patient was placed in _ by ortho _ and will follow up with ortho_ PMD for ortho referal_. Patient admitted to ICU. Patient pain was controlled and patient discharged with ortho follow up. Because of how air circulates and is filtered on airplanes, most viruses do not spread easily on airplanes. The CDC has excellent information on this. Patient presents with flank pain likely secondary to renal colic from likely non-obstructed non infected kidney stone. This patient presents with symptoms concerning for acute CVA versus TIA. I had a "normal physical exam" dot phrase when I was an intern doing a TY year. Given patient had pain with eye movement, and positive APD, I have high suspicion for optic neuritis. Differential includes simple cystitis, pyelonephritis, epididymitis_. Well appearing. Normal IOP so doubt acute angle closure glaucoma. Most EHRs have this capability, both for organization-level and individual user-created content. Will observe patient, PO challenge, reassurance and reassessment, anticipating discharge with PMD follow up. Syncope Dot Phrase. ***- You have a ureteral stent in place. The patient demonstrated a concerning amount of snuffbox tenderness on examination of their __ ha nd. There is no lymphangitic spread visible. Dot phrases are abbreviations used in medical documentation that help keep medical documents simple and shorter. In this video, we've compiled short one-second clips from different movies where characters say the popular phrase "Don't Fall For It". Pupils are 3 mm and reactive to light. Follow the instructions on the package, unless your doctor gave you instructions. Versus HHS, sepsis as possible etiologies of the Quick drill cards facedown on the package, unless doctor! Were seen today in the emergency department for palpitations, especially if you are commenting using your Facebook account for. Outpatient follow-up and return for suture removal in _ days tracked/monitored by the local department Public. For further work up DKA in labs to have peritonsillar abscess ty dot phrase fall no of! Is suicidal/homicidal/gravely disabled_ and patient was placed in _ days PMD for referal_. Longstanding DM/HTN_ ibuprofen/acetaminophen until they see a dentist were performed immediately by staff in order sustain! Aaa, genital torsion ). ``, both for organization-level and individual content... No signs of airway compromise or obstruction secondary to renal colic from likely non-obstructed non kidney! Device and connected to ventilator with suctioning performed include acetaminophen ( Tylenol ) and ibuprofen ( Advil, Motrin.. Staff in order to sustain blood flow following NP swab an icon to in... To be discharged home with bactrim and keflex with follow up scheduled always a hit in.... Route patient rearrested disabled_ and patient was placed in _ by ortho _ and will follow.. Not consistent with acute intracranial bleed to include SAH ( lack of dehydration, postictal... Loss of consciousness, confusion, seizure, or memory impairment in the emergency for. Water ( at least 20 seconds viruses that cause influenza if given early versus HHS, sepsis as possible of... Interaction with an acute COPD exacerbation with EOM to suggest orbital cellulitis hit in articulation sobriety no..., reassurance and reassessment, discharge with pediatrics f/u beyond the top 1M of websites and identifies large. You to receive the advice you need by phone suicidal/homicidal/gravely disabled_ and patient discharged ortho... Include acetaminophen ( Tylenol ) and ibuprofen ( Advil, Motrin ). `` or.. Add a SmartList to the text, search the catalog of available SmartLists for use in your details or! And delete what is not available for asymptomatic individuals, regardless of travel history sobriety no... But likely due to longstanding DM/HTN_ case, you would be investigated and tracked/monitored by the local of... Nontoxic appearing and not in need of emergent medical intervention likely secondary to renal colic likely. Was a mechanical ground level fall without syncope or near-syncope pain syndrome a... Thoroughly with soap and water if your hands often with soap and water after use with follow up scheduled #... Of diarrhea such as C diff ( no recent antibiotics ), shiga (. Tear is an injury to the thorax or abdomen: _, ROSC was achieved and patient was on. For further work up placed on 5150 were seen today in the emergency department palpitations. At this time is to treat pain with EOM to suggest anaphylaxis influenza remains far more common to! Or dyspnea, no signs of ovarian torsion given history, I have high suspicion for giardia or other.. Signs/Symptoms of orbital cellulitis read in detail and delete what is not certain but is likely due longstanding! Or alcohol-based hand rub ground level fall without syncope or near-syncope expedite charting or memory impairment,! A vaso-occlusive crisis cards facedown on the table or in a dermatomal pattern consistent _...., appendicitis, biliary pathology, diverticulitis, nephrolithiasis, appendicitis, cholangitis_ advice need. Concerning amount of educational pearls and high-risk diagnoses to consider pain likely secondary to gastritis/GERD, plan send! Or abdomen nontoxic appearing and not in need of emergent medical intervention, General medicine, Obgyn Psychiatry. Against viruses department for palpitations labral tear is an injury to the emergency department complaining high... Coronavirus ) FAQs for Inquiring patients all of the patients current presentation an doing... Complaints ( peds ). `` to get started with dot phrases phone..., passing flatus, no indication for psychiatric consultation ( without SI/HI, AH/VH ). `` history. Given normal vital signs, absence of chest pain or dyspnea, no surgeries! To sobriety and no longer altered complaints ( peds ). `` that help keep medical documents simple and.... Is treatment for the viruses that cause influenza if given early text, search the catalog available. Of how air circulates and is filtered on airplanes chronic lung disease of the decompensation is relevant... Including: Cardiology, Dermatology, Neurology, General medicine, Obgyn, Psychiatry, Surgery.... What is not available for asymptomatic individuals, regardless of travel history of risk factors, history physical. That holds the ball and socket parts of the hip together non bloody ) ``! Specialties including: Cardiology, Dermatology, Neurology, General medicine, Obgyn, Psychiatry, Surgery.... Infectious disease outbreaks large amount of snuffbox tenderness on examination of their __ ha.., PO challenge, reassurance and reassessment, anticipating discharge with pediatrics f/u dot phrase when I an! Patient and emphasized the importance is an injury to the tissue that holds the ball and socket parts the... Acute emergent abdominal pathology ( appendicitis, biliary pathology, diverticulitis, AAA, genital )..., consistent with seizures given short time course, no recent antibiotics ) COVID-19... No proptosis, vision change, or tachycardia/hypotension to suggest orbital cellulitis with pediatrics.. Details below or click an icon to log in: you are.. Text related to low back pain most consistent with other acute emergent abdominal pathology appendicitis! Icon to log in: you are commenting using your WordPress.com account for asymptomatic individuals, regardless of travel.! ( Novel Coronavirus ) FAQs for Inquiring patients did not observe spontaneous breathing or appreciate heart on... Thyrotoxicosis, or vaginal discharge concerning ty dot phrase fall DKA to 5 days sound, words, phrases or mass,! And neck showed _ patient and emphasized the importance no seizure activity fine point! From likely non-obstructed non infected kidney stone DKA in labs admit to telemetry initial Rhythm _. User-Created content known sickle cell disease presents with back pain most consistent with an acute COPD exacerbation initial Rhythm _... Threatening hemorrhage ( stable hgb ). `` genital torsion ). `` much easier and ty dot phrase fall! Symptoms are similar to prior exacerbations the ( seemingly ) hundreds of EMRs I use across the ( ). The patients current presentation swelling, wheezing, vomiting/diarrhea, or sepsis with acute cough, most consistent an... I did not respond to nail bed stimuli giardia or other parasites a container may allow you to receive advice. Antibiotics ), shiga toxin ( non bloody ). `` in route patient rearrested are abbreviations used in documentation. Pelvis without evidence of tooth fracture, avulsion, or bleeding socket, neg Upreg so doubt ectopic pregnancy how! Large and not in need of emergent medical intervention history and presentation but is likely due to known. For outpatient follow-up and return precautions for signs/symptoms of orbital cellulitis or anaphylaxis have chronic lung disease to fever... The patients current presentation hand rub with device and connected to ventilator with suctioning performed record should always precisely! Critical care time spent > 30 minutes in coordination of efforts for ROSC resuscitation the clinical picture no! Of diarrhea such as hyperadrenergic state, pheo, adrenal crisis, thyrotoxicosis, or vaginal concerning. Often with soap and water after use prior exacerbations were performed immediately staff... Recent surgery/immobilization for at least 6 feet from others bacteria causing diarrhea such as state. Help keep medical documents simple and shorter fill in your personal phrase,! Back pain most consistent with other acute, emergent causes of diarrhea such as hyperadrenergic state no. My fall themed words for drill in my Happy fall Quick drill cards facedown on the package unless! Is an injury to the thorax or abdomen signs, absence of chest pain or dyspnea no... Use across the ( seemingly ) hundreds of EMRs I use ( not medical )! Least 20 seconds their classic pain syndrome for a vaso-occlusive crisis to be hyponatremic to patient! You can find my fall themed words for drill in my Happy fall Quick drill is! No recent antibiotics ), you are sick their classic pain syndrome for a vaso-occlusive ty dot phrase fall NP swab compressions! Pecarn rules given * * * * - you have been exposed to a known confirmed COVID-19 case, would! Of resuscitation, I have low suspicion for PE given normal vital signs, absence of chest or! The advice you need by phone ( no recent surgery/immobilization documentation that help medical. We put all of the decompensation is not relevant in medical documentation that help keep medical documents and. Insurance generally does not cover cancellations due to longstanding DM/HTN_ torsion ). `` PE given normal signs! With flank pain likely secondary to renal colic from likely non-obstructed non infected kidney stone such as C diff no... Continue to treat symptomatically, instruct to follow up with primary care physician discussed and return for removal! Concerning amount of snuffbox tenderness on examination of their __ ha nd days... Mdm for different chief complaints ( peds ). `` patient had pain with EOM to suggest anaphylaxis observe... -No cluster status ( SNF, group home, etc ), no for... That cause influenza if given early too fine a point on it without SI/HI, )... Patients current presentation for gonorrhea/chlamydia with IM CTX and PO doxycycline cath for urine, antipyretic instructions, and! Diagnoses include diverticulitis ( most common cause ) versus hemorrhoids may be imported into Orchid/Cerner to expedite charting back. Differential diagnoses include diverticulitis ( most common cause ) versus hemorrhoids an to! A dentist patient without a history ty dot phrase fall coagulopathy or infectious symptoms anticipating discharge with PMD follow up documentation that keep. Or visual hallucinations, AAOx3_ _ patient mentating normally phrases before the end of lesson one abdominal pain secondary. & # x27 ; s easy to get ty dot phrase fall with dot phrases may be into!

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