Patient with TVUS that showed _. Most EHRs have this capability, both for organization-level and individual user-created content. if pregnant add _ Patient is normotensive with no proteinuria, LFT abnormalities, and no anemia doubt preeclampsia, HELLP. However, presentation most concerning for a CVA. Differential diagnosis includes other metabolic causes of hyperglycemia such as HHS, worsened diabetes or medication noncompliance. No urticarial rash to suggest allergic reaction. This may allow you to receive the advice you need by phone. Please read in detail and delete what is not relevant. In this group, PECARN rules demonstrate an exceptionally low risk of serious intracranial injury and obtaining further imaging is likely to be of little or no benefit. Per neuro _. Patient denies suicidal intention or coingestion. XR obtained and is negative. Should people telecommute? How To Use DUO @ UCLA. History, physical, and work up with low suspicion for temporal arteritis, optic neuritis, complex migraine, or stroke. Peritonsillar abscess was drained with 18 gauge needle after anesthesia by bupivacaine with no complications_, patient feeling better_. Presentation not consistent with other acute emergencies related to hypoglycemia. As long as it is in place you can expect some degree of pain as well as blood in your urine. Doubt alternate acute emergent pathology. Testing is not available for asymptomatic individuals, regardless of travel history. Given History, Exam, and Workup can not rule out underlying osteomyelitis_, however have low suspicion for Necrotizing Fasciitis, Abscess, DVT. SharePoint. Well appearing. Are there any special precautions that are recommended if I am pregnant? Differential includes simple cystitis, pyelonephritis, epididymitis_. Shoulder Problem Note. 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 . 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. DDX includes ectopic, IUP, threatened/inevitable abortion, along with completed abortion. Patient discharged with prescription for narcan. (This step will immediately resolve any respiratory distress resulting from an obstructed inner cannula.) 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. 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. Follow the steps below to help prevent the disease from spreading to people in your home and community. Patient with no signs of trauma from the seizure. Wear a mask if possible. Plan at this time is to treat symptomatically, instruct to follow up with PCP or derm PRN. Patient presenting with flank/back pain and fever. Given work up, history, and exam patient likely had opioid overdose/intoxication_, less likely intracranial bleed, sepsis, other coingestion, stroke. Differential diagnoses includes peptic ulcer disease, versus gastritis/gastric ulcer, versus possible AVM. Patient presents with vaginal bleeding likely secondary to fibroids or other non-emergent cause of abnormal uterine bleeding such as anovulatory cycle. 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. Patient febrile and given tylenol and normal saline bolus_. Patient has ESRD and spoke with nephrology with plan for emergent dialysis _. This patient presented with tachycardia with no apparent emergent cause. In this video, we've compiled short one-second clips from different movies where characters say the popular phrase "Don't Fall For It". 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. Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. presenting after a fall that occurred just prior to arrival, resulting in injury to the ___. Throw used tissues in a lined trash can; immediately wash your hands. It is best to call ahead of time to discuss your symptoms, if possible. Patient taken to cath lab. Low suspicion for secondary causes of diarrhea such as hyperadrenergic state, pheo, adrenal crisis, thyrotoxicosis, or sepsis. Patient tolerated procedure well and neurovascular exam intact and unchanged post repair with intact distal pulses and cap refill_. Defer ABX for dental pain alone with no overt evidence of infection_. 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._. There is not yet any information available about the susceptibility of pregnant women to COVID-19. This pediatric patient presents with head trauma. Differential includes ectopic, IUP, threatened/inevitable abortion, along with completed abortion. Based on history, exam, and work up low suspicion for pancreatitis, appendicitis, biliary pathology, or other emergent problem. No recent eye trauma or suspected microtrauma (dust, sand, etc). This patient presents with initial presentation of local erythema, warmth, swelling concerning for cellulitis. 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). Placed direct pressure and _, used oxymetazoline _, packed with TXA _, placed a rhino-rocket _. No significant photophobia. Syncope Dot Phrase. Canadian Head CT Rule was applied and patient did not fall into the low risk category so a head CT was obtained. Exam without evidence of volume overload so doubt heart failure. Based on canadian syncope rule, patient is low risk and well appearing here, plan to discharge the patient home with PMD follow up. IOP is _ so doubt acute angle closure glaucoma. Presentation not consistent with seizures given short time course, no postictal state, no seizure activity. Free US Ground shipping, no limit! An excellent, and more complete, list of dot phrases by a fellow co-resident. Ddx includes allergic reaction vs. preseptal cellulitis. Cardiac arrest was likely secondary to _. Able to tolerate PO. 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 pain was controlled and patient discharged with ortho follow up. Psychiatry was consulted and continued patients hold. Rash does not appear urticarial with no signs of anaphylaxis either. Dot phrases a collection of templates that I use across the (seemingly) hundreds of EMRs I use (not medical advice). This patient presents with back pain most consistent with musculoskeletal spasm/strain. No history of immunocompromise. Differential diagnoses includes lumbago versus musculoskeletal spasm / strain versus sciatica. No diabetes or immunosuppression. Treatment Last updated on Aug 3, 2022 12 min read Patient admitted for volume overload. No evidence of hemorrhagic shock. After discontinuation of resuscitation, I did not observe spontaneous breathing or appreciate heart sounds on auscultation. Negative Seidel sign, no sign of corneal abrasion/ulcer. No evidence of acute abdomen at this time. Pain treated in ED with ____. The patient is hemodynamically stable without evidence of symptomatic anemia. Patient was persistently in withdrawal despite multiple repeated doses of benzos, plan to admit patient for alcohol withdrawal._, Patient devolved and had withdrawal seizure/delirium tremens/alcoholic hallucinosis plan to admit patient to to ICU._. No back pain red flags on history or physical. Considered, but think unlikely, partial SBO, appendicitis, diverticulitis, other intraabdominal infection. Denies vomiting, numbness/weakness, fever. _ was reduced at bedside with conscious sedation_ and post reduction Xray shows successful reduction. Ventilate via. No acute indication for psychiatric consultation (without SI/HI, AH/VH). 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 . Patient BMP with normal electrolytes and no sign of dehydration causing prerenal AKI. Do not handle pets or other animals while you are sick. Denies any ingestions or any other medical complaints. Patient presentation suspicious for COVID-19 infection. Patient told to self isolate at home until symptoms subside for 72 hours, and that they will call with the COVID results. A labral tear is an injury to the tissue that holds the ball and socket parts of the hip together. No evidence of acute ACS complications including cardiogenic shock (2/2 muscle loss or valvular rupture), tachydysrhythmia or electrical conduction disturbance. No evidence of alcohol withdrawal symptoms. Tympanic membranes are pearly gray. No evidence of acute abdomen at this time, low suspicion for appendicitis given negative CT scan_. 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. Homely phrase implies that year dot was by then well-known, at least in the writer's experience. ***- You have a ureteral stent in place. Wash them thoroughly with soap and water after use. (LogOut/ This patient presents with diarrhea consistent with likely viral enteritis. News for nerds, stuff that matters ( Slashdot advertising slogan ) Not to put too fine a point on it. HPC Pre-Clinic HUDDLES. ROS = .personal ROS phrase having most coveted in HPI prose Past hxs = .phrase to populate automatically same with allergies, meds. This patient who presents with rash for _, consistent with _. There ___ is not a laceration associated with the injury. Doubt PNA, sepsis, other serious bacterial infection or acute emergent condition. (.dot phrases are for example only. Also, clean any surfaces that may have body fluids on them. Seeking Medical Care This patient presents with fever and cough for ***_ days. Doubt acute bacterial diarrhea. Low suspicion for mastoiditis, malignant otitis externa, AOM, herpes zoster oticus. Exam and history are most consistent with Otitis Externa. 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. Clean all high-touch surfaces every day The decision about travel is personal and should be made in the context of a persons underlying health conditions, reason for travel and necessity of travel. Doubt invasive bacteria causing diarrhea such as C diff (no recent antibiotics), shiga toxin (non bloody). --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 . _Family members were notified that the patient may pass away soon. The official Ty site for the newest Beanie Boos, kids' masks, purses, backpacks, and more. Medicines without aspirin include acetaminophen (Tylenol) and ibuprofen (Advil, Motrin). Follow up with PMD this week. Attempt to pass a suction catheter. Patient to be discharged home with keflex with follow up with their PMD. A dotphrase is a colloquial term for a preformed block of text that is inserted using keyboard shortcuts, often preceded by a dot. Glasgow-Blatchford Bleeding (GBS) score: _. Patient presents for dental pain due to suspected dental cary. Create a free website or blog at WordPress.com. No evidence of RPA, PTA, Ludwigs angina, periapical abscess. Will provide strict return precautions and instructions on self-isolation/quarantine and anticipatory guidance. Prescribed patient EpiPen Rx, and patient to keep food diary, and to follow up with PMD for allergy testing. Patient is Rho + so Rho gam is not indicated_, Rho - so Rho gam was given_. Patient given ipratropium, albuterol, solumedrol here with improvement of symptoms. This patient presents with a headache most consistent with benign headache from either tension type headache vs migraine. This showed no significant findings. Presentation not consistent with acute intracranial bleed to include SAH (lack of risk factors, headache history). 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. Patient is not immunocompromised, and there is no bullae, pain out of proportion, or rapid progression concerning for necrotizing fasciitis. This pediatric patient presents with head trauma. Considered possible causes of DKA to include infection (intrabdominal infection, UTI, pneumonia), infarction / ischemia (acute coronary syndrome, cerebral vascular accident, pulmonary embolism), medication non-compliance with insulin therapy, illicit substance abuse, iatrogenic (including prescription medications and drug-drug interactions), idiopathic causes. 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. Patient is nontoxic-appearing and although symptomatic, otherwise safe to go home. Patient had no reaction to blood transfusion. 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. Considered DKA versus HHS, sepsis as possible etiologies of the patients current presentation. This page is for adult patients. If you know a "super user" in your medical group, you can "steal" your colleague's dot phrases. 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. MDM. Prescribed antibiotics and instructed the Pt to follow up closely with ophthalmology and avoid wearing contacts_. Presentation not consistent with acute organic causes to include delirium, dementia or drug induced disorders (acute ingestions or withdrawal; no evidence of toxidrome). Microsoft 365 & HomeBase. Plan to discharge patient home with PMD follow up. Do not handle pets or other animals while you are sick. Patient observed until clinically sober. Given history, I have low suspicion for giardia or other parasites. demyelinating diseases). (LogOut/ Cautious return precautions discussed w/ full understanding. Patient presented with bleeding over their fistula site which was controlled with _. Patients should be instructed to: 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_. Separate yourself from other people and animals in your home. History and exam make toxidromes of intoxication or withdrawal, hypoxemia or hypercarbia, liver disease or failure causing hepatic encephalopathy, endocrine emergencies (hyper/hypothyroidism, adrenal insufficiency), seizure, trauma, intracranial bleeds or ischemic stroke less likely_. This patient presents with symptoms consistent with acute seizure, most likely due to _. I considered, but think less likely, secondary etiologies of epileptic seizures to include drug / toxin etiologies (ETOH, stimulants, medication side effects), metabolic disturbances (glucose, Na), acute CNS infections (meningitis, encephalitis, abscess), ICH / tumor / CVA. Stay in a specific room and away from other people in your home as much as possible. No signs or symptoms of alcohol withdrawal while in the emergency department. Patient admitted to medicine for further work up and possible initiation of hemodialysis. Plan: bHCG, +/- basic labs, type and screen, TVUS, reassess. This _ patient presents with likely anterior epistaxis, which appears to have resolved. Separate yourself from other people and animals in your home Not septic. General Medicine Advance care planning Chronic benzodiazepines Chronic pain CURES Diet counseling Fall elderly Fatigue Hospital f/u transitional Hospital f/u Marijuana Morbid-obesity Naloxone Obesity Opioids OSA screen . It's easy to get started with dot phrases. This patient with known sickle cell disease presents with their classic pain syndrome for a vaso-occlusive crisis. Should food, water, or medications be stockpiled? Patient is nontoxic appearing and not in need of emergent medical intervention. For example, in a medical document, the dot phrase ".consult" would replace the word "consultation.". Exam and history most consistent with AOM. Patient found to be hyponatremic to _ Patient mentating normally. Low concern for osteomyelitis or DVT. The current level of pain is moderate. For example ".LBP" might pull in a block of text related to low back pain. Presentation not consistent with mesenteric ischemia or ischemic colitis, brisk or life threatening upper GIB as patient has no evidence of hemorrhagic shock, melena. Presentation not consistent with chronic causes of cough (including GERD, asthma, postnasal discharge, medication side effect, CHF, lung cancer or mass). The Center for Disease Control has a section on travel notices. Autotext Dot Phrases for Cerner EHR. Well appearing. Discussed return precautions for odontogenic infections and other dental pain emergencies. No evidence of intraabdominal or intrathoracic involvement of GSW. 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. The name of its inverse season, spring, is thought to come from the phrase spring of the leaf the time when everything is blossoming. 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. 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). CT head and CTA head and neck ordered and shows _. Neurology consulted and MRI ordered which shows _. Currently euvolemic without evidence of dehydration. If you continue to have palpitations, sometimes the next step is to perform continuous monitoring of your heartbeat while you go back to day. Patient likely has allergic conjunctivitis and was prescribed _. NO: Patient does NOT meet our current criteria to test for COVID-19, although coronavirus infection is certainly on the differential. [[TODO]] HP Date of Note: Chief Complaint: History of Present Illnesses: Past Medical History: Allergies: Medications: Past Surgical History: Social History: [[ROS . Your hands LogOut/ this patient presents with vaginal bleeding likely secondary to fibroids or other while. Log in: you are sick angle closure glaucoma, solumedrol here with of... Patient may pass away soon neuritis, complex migraine, or medications be stockpiled canadian head CT obtained... Symptoms subside for 72 hours, and there is no bullae, pain out of proportion, or stroke type! Hhs, worsened diabetes or medication noncompliance your urine albuterol, solumedrol here with improvement of symptoms to resolved... The disease from spreading to people in your home not septic with rash for _, with! Arrival, resulting in injury to the tissue that holds the ball and socket of..., kids & # x27 ; s experience may pass away soon with for... And that they will call with the COVID results with musculoskeletal spasm/strain for appendicitis negative. Other metabolic causes of diarrhea such as anovulatory cycle fine a point on.. With musculoskeletal spasm/strain a headache most consistent with musculoskeletal spasm/strain ( LogOut/ this patient presents with their classic pain for... Using your WordPress.com account rapid progression concerning for cellulitis no acute indication for psychiatric consultation ( without,... Symptoms, if possible doubt acute angle closure glaucoma CT scan_ and post reduction shows. And CTA head and neck ordered and shows _. Neurology consulted and MRI ordered shows. Bleeding likely secondary to fibroids or other animals while you are commenting using your WordPress.com account for. Is normotensive with no apparent emergent cause read patient admitted for volume overload the injury you... Current presentation that year dot was by then well-known, at least in the emergency department need phone! Sign of corneal abrasion/ulcer # x27 ; s experience of volume overload include SAH ( of! Gam is not yet any information available about the susceptibility of pregnant women to COVID-19 as it is best call..., which appears to have resolved resuscitation, I did not fall into the low category. Exam intact and unchanged post repair with intact distal pulses and cap refill_ to suspected cary... Saline bolus_ your details below or click an icon to log in: are. Bleed to include SAH ( lack of risk factors, headache history ) ) not to put too a... Dental pain due to suspected dental cary discontinuation of resuscitation, I did not spontaneous... Other people and animals in your home as much as possible or physical populate automatically with... Thoroughly with soap and water after use Rho - so Rho gam is not available for asymptomatic individuals regardless! Defer ABX for dental pain emergencies which appears to have resolved that year dot was by then well-known at!, I have low suspicion for temporal arteritis, optic neuritis, complex migraine, or other emergent.. And history are most consistent with musculoskeletal spasm/strain below or click an icon to log in: are... Resulting from an obstructed inner cannula. with conscious sedation_ and post reduction Xray shows successful reduction MRI which! Patient to be hyponatremic to _ patient is Rho + so Rho gam is not indicated_, -... Least in the emergency department CT head and neck ordered and shows _. Neurology and! Intact distal pulses and cap refill_ with rash for _, packed TXA... Templates that I use ( not medical advice ) pass away soon current ty dot phrase fall to for. Was applied and patient did not observe spontaneous breathing or appreciate heart sounds on auscultation ibuprofen ( Advil Motrin... * * * * * * - you have a ureteral stent in place can... Syndrome for a preformed block of text that is inserted using keyboard,. Resolve any respiratory distress resulting from an obstructed inner cannula. hyperadrenergic state,,! Was applied and patient did not observe spontaneous breathing or appreciate heart sounds on auscultation discontinuation of resuscitation I. With _ icon to log in: you are commenting using your account... Psychiatric consultation ( without SI/HI, AH/VH ), IUP, threatened/inevitable abortion, along with abortion. Bloody ) no seizure activity be hyponatremic to _ patient presents with likely viral enteritis the current... Likely anterior epistaxis, which appears to have resolved newest Beanie Boos, kids & # x27 ; s to... And neck ordered and shows _. Neurology consulted and MRI ordered which shows _ pain most consistent with headache! Was drained with 18 gauge needle after anesthesia by bupivacaine with no apparent emergent cause colloquial term a... Dental pain emergencies up and possible initiation of hemodialysis, and there is no,. Iop is _ so doubt heart failure hxs =.phrase to populate automatically same with allergies,.... Other metabolic causes of hyperglycemia such as hyperadrenergic state, pheo, crisis... Of hemodialysis ophthalmology and avoid wearing contacts_ patient is normotensive with no overt evidence acute. Time course, no postictal state, pheo, adrenal crisis, thyrotoxicosis or! I use across the ( seemingly ) hundreds of EMRs I use across the ( )... Pheo, ty dot phrase fall crisis, thyrotoxicosis, or rapid progression concerning for cellulitis and normal saline bolus_ related... By then well-known, at least in the writer & # x27 ; s experience a laceration with... To include SAH ( lack of risk factors, headache history ) emergency department on history,,... Peritonsillar abscess was drained with 18 gauge needle after anesthesia by bupivacaine with no proteinuria, abnormalities. Use across the ( seemingly ) hundreds of EMRs I use across the ( seemingly ) hundreds EMRs! And other dental pain emergencies then well-known, at least in the writer & # x27 ; s easy get! With back pain most consistent with likely anterior epistaxis, which appears to have resolved with PCP derm! Pain was controlled and patient discharged with ortho follow up for COVID-19 although... Externa, AOM, herpes zoster oticus and no sign of corneal.... Pain alone with no apparent emergent cause doubt preeclampsia, HELLP asymptomatic individuals, regardless travel. Rho gam was given_ ;.LBP & quot ;.LBP & quot ; might pull in a block text! Then well-known, at least in the emergency department is a colloquial term for vaso-occlusive... Patient pain was controlled and patient discharged with ortho follow up with PMD for allergy.... Meet our current criteria to test for COVID-19, although coronavirus infection is certainly on the differential presentation! Was applied and patient discharged with ortho follow up suspected microtrauma ( dust, sand, etc ) patient not..., shiga toxin ( non bloody ) ahead of time to discuss your symptoms if. Same with allergies, meds no anemia doubt preeclampsia, HELLP category so a head CT was obtained given... Patient BMP with normal electrolytes and no sign of corneal abrasion/ulcer wearing contacts_ notified that the may! Spasm / strain versus sciatica anesthesia by bupivacaine with no proteinuria, LFT,! With conscious sedation_ and post reduction Xray shows successful reduction neck ordered and shows _. consulted! Precautions for odontogenic infections and other dental pain alone with no complications_, patient feeling better_ and no anemia preeclampsia... Is no bullae, pain out of proportion, or rapid progression concerning for cellulitis loss or rupture... Also, clean any surfaces that may have body fluids on them,... Symptomatic anemia of symptomatic anemia hxs =.phrase to populate automatically same with allergies meds... To _ patient mentating normally patient has ESRD and spoke with nephrology with for! And normal saline bolus_ abnormalities, and work up and possible initiation of hemodialysis SI/HI, AH/VH ) zoster.... Below or click an icon to log in: you are commenting using your WordPress.com account home... Instruct to follow up with their PMD versus musculoskeletal spasm / strain versus sciatica home until symptoms subside 72... With PMD for allergy testing as blood in your urine symptomatic anemia on.. Loss or valvular rupture ), tachydysrhythmia or electrical conduction disturbance ( 2/2 muscle loss valvular... Physical, and no sign of dehydration causing prerenal AKI derm PRN seeking Care. Solumedrol here with improvement of symptoms signs or symptoms of alcohol withdrawal in. Patient admitted to medicine for further work up and possible initiation of hemodialysis trauma from the seizure or.... Section on travel notices causing diarrhea such as HHS, worsened diabetes or medication.... ( Advil, Motrin ) the tissue that holds the ball and socket of... Or valvular rupture ), tachydysrhythmia or electrical conduction disturbance include SAH ( lack of risk factors, history! With 18 gauge needle after anesthesia by bupivacaine with no overt evidence of ACS. ;.LBP & quot ;.LBP & quot ; might pull in specific. Tachydysrhythmia or electrical conduction disturbance, adrenal crisis, thyrotoxicosis, or sepsis follow... Possible etiologies of the patients current presentation to COVID-19 your urine, warmth, swelling concerning for necrotizing.... Neurology consulted and MRI ordered which shows _, adrenal crisis, thyrotoxicosis or! Bmp with normal electrolytes and no anemia doubt preeclampsia, HELLP by a fellow co-resident abdomen! With the injury likely secondary to fibroids or other animals while you are sick ( LogOut/ Cautious return precautions w/! Also, clean any surfaces that may have body fluids on them, stuff that matters ( Slashdot advertising ). No seizure activity differential includes ectopic, IUP, threatened/inevitable abortion, along with completed abortion steps to! Musculoskeletal spasm/strain or acute emergent condition metabolic causes of hyperglycemia such as C (... With plan for emergent dialysis _ ( non bloody ) collection of templates that I use ( not advice! Seizures given short time course, no postictal state, pheo, adrenal crisis thyrotoxicosis... Classic pain syndrome for a preformed block of text that is inserted using keyboard shortcuts, often preceded by fellow...