Mdm dot phrase. EM DOT PHRASES Too many EMRs, not enough f**ks to give.

Mdm dot phrase MDM – Miscellaneous; MDM – CARDS/VASC; MDM – GI/ABD; MDM – NEURO; MDM – PULM; Lac The Pt presents with an acute *** laceration of the *** without evidence of open fracture, tendon/ligament laceration, neurovascular compromise, retained foreign body, or superimposed infxn. Plan: XR, pain control, reassessment HI RISK - Tibial Plateau This *** patient presents with knee pain [Use one of these MDM phrases for options E-G above] MDM for a clinically meaningful exposure : [ If the source patient is already known to be HIV positive based on existing laboratory testing ] Since the employee suffered a clinically meaningful exposure and the source patient is documented to be HIV positive, we will contact the HIV service (310-501-4260) for guidance MRI Not Available PMH risk factors: Neurologic Deficits: Last known Well Time: NIH Stroke Score: Given History and Exam I have lower suspicion for infectious etiology, neurologic changes secondary to toxicologic ingestion, seizure, complex migraine. Low c/f osteomyelitis or DVT. Differential diagnosis includes ***. Interventions: Disposition: Discharge home with strict return precautions and instructions for prompt primary care follow Dot phrases. Leave a comment Cancel reply. 1 comment: Ethan Jones May 5, 2022 at 2: presents with tachypnea, crackles and wheezing c/f Bronchiolitis. No comments: Post a DKA – Admit January 3, 2018 In "MDM" Gastroenteritis – Low Risk January 3, 2018 In "MDM" HYPOGLYCEMIA EM DOT PHRASES Join 50 other subscribers. Sign me up Already have a WordPress. No evidence of acute abdomen at this time. This patient presents with wrist pain after a trauma, suspicious for a Salter-Harris fracture. Pt is nontoxic. Well appearing. Considered other causes of patient's vital sign abnormalities including primary cardiopulmonary etiologies such as ACS, PE, PNA DC Inst: Abdominal Pain DC Inst: Abscess, Abx DC Inst: Allergic Reaction DC Inst: Altered Mental Status DC Inst: Animal Bite DC Inst – Ankle Fx DC Inst – Back Pain DC Inst – General DC Inst – Burn DC Inst – Cellulitis DC Inst – Chest Pain DC Inst – Peds CHI DC Inst This site offers FREE dictation templates and smart phrases that can be used, modified, and shared to help Emergency Medicine students, residents, and physicians chart more efficiently. TETANUS Tetanus vaccination status reviewed: {TETANUS STATUS:5746::"tetanus re-vaccination not indicated"}. MDM – Miscellaneous; MDM – CARDS/VASC; MDM – GI/ABD; MDM – NEURO; MDM – PULM; AMS – Hepatic Encephalopathy January 3, 2018 In "MDM" Epigastric Pain – low risk January 3, 2018 In "MDM" Gallstones EM DOT PHRASES Too many EMRs, not enough f**ks to give. Low suspicion for ACS, acute PE (PERC negative***), pericarditis / myocarditis, thoracic aortic dissection, pneumothorax, pneumonia or other acute infectious process. Unlikely infectious etiology. Denies any ingestions or any other medical complaints. The likely precipitant is acute respiratory infection // weather change or air quality // recent beta-blocker or opiate use. MDM – Miscellaneous; MDM – CARDS/VASC; MDM – GI/ABD; MDM – NEURO; MDM – PULM; Epigastric Pain – low risk January 3, 2018 In "MDM" General Abdominal Pain – Lo Risk January 3, 2018 In "MDM" EM DOT PHRASES Join 50 other subscribers. Low suspicion for alternate etiology of rash such as SJS, drug rash, viral exanthem, or other emergent cause of rash. Due to ***, will administer fluids gradually with frequent Nonseptic in appearance. Skin Closure Procedure Notes. CardioPulm MDM; Derm + Infectious + HemeOnc MDM; Endocrine + E-Lytes; Gastrointestinal MDM; GenitoUrinary MDM; HEENT MDM; MSK+Trauma; Neurological MDM; PEDs EM DOT PHRASES Too many EMRs, not enough f**ks to give. Make a one-time donation Make a monthly donation Make a yearly donation. Differential diagnoses includes possible acute gastroenteritis. Will observe patient in ED with frequent monitoring and reassessment. Most of these are “red flag” based. Your evaluation did not show evidence of medical conditions requiring emergent intervention at this time, and your pain improved with medication in the ED. – Complaint that could pose threat to life or bodily function addressed: Chest PainEmergent differential diagnoses considered but not limited to:ACS, Pneumothorax, Pulmonary Embolus, Tamponade, Aortic Dissection. This patient presents with diarrhea consistent with likely viral enteritis. Low suspicion for acute hepatobiliary disease (includng acute cholecystitis), acute pancreatitis, PUD (including perforation), acute infectious processes (pneumonia, hepatitis, pyelonephritis), acute appendicitis, vascular EM DOT PHRASES Too many EMRs, not enough f**ks to give. Monthly. The Pt is otherwise afebrile and MDM – Asthma, Mild (Peds) April 21, 2019 In "MDM" DYSPNEA – General January 3, 2018 In "MDM" Constipation – GI January 3, 2018 In "MDM" January 3, 2018 January 3, 2018 Nate Tagged cough, low risk, MDM Leave a comment. e. In my opinion, the patient has capacity to leave AMA. Will obtain XRs to assess for fracture or dislocation. Defer ABX for dental pain alone with no evidence of infection. No evidence of surgical abdomen or other acute medical emergency including bowel obstruction, viscus perforation, vascular catastrophe, Level 5 Template Medical Decision Making Complexity (and number) of Problems Addressed: High. You can wash the area freely now. a collection of templates that I use across the (seemingly) hundreds of EMRs I use (not medical advice). Near Syncope/Syncope ED Workup: CBC, BMP, Troponin, BNP, ECG, CXR Findings: EKG: No e/o STEMI. Not immunocompromised and without signs of systemic or disseminated infection. MDM – Miscellaneous; MDM – CARDS/VASC; MDM – GI/ABD; MDM – NEURO; MDM – PULM; MDM – ORTHO/MSK; January 5, 2018 Nate Tagged derm, general, MDM Leave a comment. Do not suspect underlying cardiopulmonary process. Considered, but doubt, tibial plateau fracture, septic arthritis, other acute unstable fracture, or significant neurovascular compromise. MDM – Miscellaneous; MDM – CARDS/VASC; MDM – GI/ABD; MDM – NEURO; MDM – PULM; 2019 In "MDM" January 4, 2018 January 4, 2018 Nate Tagged basic, general, PE, Physical Exam Leave a comment. MDM – Miscellaneous; MDM – CARDS/VASC; MDM – GI/ABD; MDM – NEURO; MDM – PULM; CHF – Hypertensive Pulm Edema January 3, 2018 In "MDM" Viral URI – Discharge November 28, 2018 In "MDM" COPD Exacerbation presents with Headache. Able to tolerate PO. MDM - Ankle Sprain [##]-year-old [male/female] with history and exam consistent with ankle sprain. January 3, 2018 April 29, 2019 Nate Tagged abdominal pain, MDM, rlq Leave a comment. At this time, the Pt is satting well on ***, normotensive, and appears HDS. The patient is clinically sober, free from distracting injury, appears to have intact insight and judgment and reason, and in my opinion has capacity to make decisions. I considered, but think unlikely, dangerous causes of this patient's symptoms to include ACS, CHF or COPD exacerbations, pneumonia, pneumothorax. Discussed return precautions for # Atrial Fibrillation (new) Patient with new atrial fibrillation, with symptoms/onset notable for ***. Doubt PNA, sepsis, other serious bacterial infection or acute emergent condition. Able to flex and extend although somewhat limited by pain. Is otherwise well-appearing with acceptable vitals, a reassuring physical exam, and is safe to Anybody have any useful dot phrases with the 2023 MDM updates? Share Add a Comment. No history of alcohol abuse or suspicion for toxin ingestion. Unlikely stroke, syncope. EM DOT PHRASES Customize; Subscribe Subscribed; Sign Posts about headache written by Nate. No evidence of Brugada’s sign, Delta wave, Epsilon wave, significantly prolonged QTc, or malignant arrhythmia CK elevated Given History, Exam, and Workup I have low suspicion for myositis, fracture/dislocation or other emergent problem as a LOW RISK, <2 y old This pediatric patient presents with head trauma. Will obtain plain films to evaluate; ortho consultation for high-grade or unstable fracture patterns, pain control, reassessment. No immune compromise, bullae, pain out of proportion, or rapid MDM - Corneal Abrasion [##]-year-old [male/female] with history and exam consistent with corneal abrasion of the [right/left] eye. MDM – Miscellaneous; MDM – CARDS/VASC; MDM – GI/ABD; MDM – NEURO; MDM – PULM; January 5, 2018 January 5, 2018 Nate Tagged gu, MDM, pyelo, pyelonephritis, renal Leave a comment Benign Rash – Derm – General MDM. Cardiac Risk Factors . Differential diagnosis includes other metabolic causes of hyperglycemia such as HHS, worsened diabetes or medication noncompliance. Presentation not consistent with esophageal or gastric variceal bleeding or Boerhaave's syndrome. Given the patient's delayed + muscle pain + darkened urine ED Workup: CBC, BMP, CK, UA, ECG ED Findings: ECG: No overt evidence of STEMI. Given mechanism, history, and physical exam findings, we have a low probability of serious injury to include intracranial bleed or skull fracture, DAI, or high risk of decompensation. New Made a dot phrase for the “social determinants of health”. This _ presents with head trauma after a mechanical GLF. Rx Ibuprofen. MDM – Miscellaneous; MDM – CARDS/VASC; MDM – GI/ABD; MDM 2018 January 3, 2018 Nate Tagged dyspnea, general, MDM, pulm, SOB Leave a comment. Clear and thorough This patient has elected to leave against medical advice. MDM – Miscellaneous; MDM – CARDS/VASC; MDM – GI/ABD; MDM – NEURO; MDM – PULM; MDM – ORTHO/MSK; January 3, 2018 January 3, 2018 Nate Tagged dyspnea, general, MDM, pulm, SOB Leave a comment. Disposition (Mild): No supplemental O2 requirement No apneic episodes Tolerating PO Plan early follow up with pediatrician and DC home with education + strict return precautions. Patient is HDS and without a history of coagulopathy or infectious symptoms. Plan: bHCG, +/- basic labs, type and screen, TVUS, reassess # Low back pain, non-radicular, acute Likely lumbar muscle strain (70% of cases) vs DJD (10%), no hx/exam features of radiculopathy. Make a one-time donation Make a monthly donation presenting after a fall that occurred just prior to arrival, resulting in injury to the ___. MDM – Miscellaneous; MDM – CARDS/VASC; MDM – GI/ABD; MDM – NEURO; MDM – PULM; MDM, renal, weakness Leave a comment. Presentation not consistent with seizures given short time course, no postictal state, no CAP: Acute pulmonary infection in a patient who is not hospitalized or residing in a long-term care facility 14 or more days before presentation . One-Time. WARNING: Please read through all templates carefully before using them to document on patient encounters. The Pt is otherwise afebrile and well-appearing without evidence of neurovascular injury, open fracture, septic joint, or superimposed SSTI. Differential diagnoses includes peptic ulcer disease (PUD = most common) versus less likely gastritis versus Mallory-Weiss tear versus AVM. Presentation not consistent with acute bacterial pneumonia, influenza, asthma, transient airway hyperresponsiveness. This patient presents with atypical chest pain, most likely secondary to ***. vasovagal syncope). MDM – Miscellaneous; MDM – CARDS/VASC; MDM – GI/ABD; MDM 2018 Nate Tagged abdominal pain, adult, gastritis, MDM Leave a comment Peds – Gastritis – Nontoxic Peds *** is a *** y/o otherwise healthy *** with midepigastric pain MDM, Peds Differential Diagnosis: Cough, wheezing, asthma exacerbation, pneumonia, seasonal allergies, viral syndrome, Pneumothorax. Most EHRs have this capability, both for LOW RISK This *** patient presents with knee pain, suspicious for ***. EM DOT PHRASES Too many EMRs, not enough f**ks to give. Plan to PO trial, reassess mental status, and assess gait when more stable. Differential diagnosis includes ***reflex syncope (i. Given history, exam, workup presentation not overtly consistent This patient presents with initial presentation of local erythema, warmth, swelling concerning for cellulitis. The current level of pain is moderate. Will likely splint with follow up in ortho clinic pending reassessment. ED Intervention: Patient's abscess has been incised with acceptable resolution Rx: Bactrim DS BID x 5 days Disposition: At this point, patient is stable for discharge, advised to follow up with Fracture Closed The Pt presents with *** with evidence of a closed *** fracture on XR. com account? Log in now. Have low suspicion for a GI, skin/soft tissue, or CNS source at For adult patients, see: MDM for different chief complaints. MDM – Miscellaneous; MDM – CARDS/VASC; MDM – GI/ABD; MDM – NEURO; MDM – PULM; January 3, 2018 January 3, 2018 Nate Tagged code stroke, CVA, MDM, neuro, stroke, tia Leave a comment. Considered possible causes of DKA to include infection (pancreatitis, UTI, pneumonia), infarction / ischemia (acute coronary syndrome, cerebral This patient with *** presents with symptoms concerning for acute, upper GI bleed, likely secondary to ***. General Templates Medical Screening Exam. Presentation concerning for possible stroke requiring workup. Sepsis The Pt presents with *** highly concerning for sepsis (suspected *** source). Patient euvolemic with no trismus. Widgets. Given lack of a severe mechanism, GCS 15 or lack of AMS, no occipital/parietal scalp Presentation consistent with acute epigastric abdominal pain. Disposition: At this mdm This _ patient presents subacutely after a motor vehicle accident with _ pain. A time out was undertaken to determine that this was the correct patient and the correct procedure for this patient. Menu. " Contents. DDX includes ectopic, IUP, threatened/inevitable abortion, along with completed abortion. Due to ***, will administer fluids gradually with frequent reassessment. WELL-APPEARING/DISCHARGE YES: Patient meets criteria to test for COVID-19. Sore Throat NOS PTA Sore Throat NOS No history of immunocompromise. For example ". *** splint- Urgent follow up with orthopedic surgery The Pt presents with _ with evidence of a closed _ fracture on Suicidal Ideation Agitation Gravely Disabled Overdose Concerns Suicidal Ideation Thoughts are linear and organized, and patient has no *** AH, VH, or HI. Best. No e/o RPA, PTA, Ludwig's angina, periapical abscess. Initial considerations in this patient included corneal abrasion, intraocular and corneal foreign bodies, corneal ulceration, various etiologies of iritis, and various etiologies of conjunctivitis amongst others. mdm _ patient with a vesicular rash on an erythematous base in a dermatomal pattern consistent with herpes zoster. Disposition: Discharge home. Page Editor: not assigned. 5 centimeter linear wound. History and exam not consistent with Congenital Heart Disease, Asthma, GERD, Vascular Ring, Foreign Body. Presentation not consistent with chronic causes of cough (including GERD, asthma, postnasal discharge, medication side effect, CHF, lung cancer or mass MDM Nonseptic in appearance. Will start empiric antibiotics and fluids. ED Workup: Defer C-Spine imaging given negative by NEXUS criteria Given History, Exam the patient appears to have a cervical radiculopathy. EM DOT PHRASES Customize; Subscribe Subscribed; Sign up; This site offers FREE dictation templates and smart phrases that can be used, modified, and shared to help Emergency Medicine students Labels: Animal Bite, Bite, Cellulitis, Infection, Infectious Disease, MDM, Medical Decision Making, Trauma, Traumatic Injury. Differential includes simple cystitis, pyelonephritis, ***epididymitis. Menu Skip to content. You have been evaluated in the Emergency Department today for headache. Doubt acute bacterial diarrhea. Intervention needed: This *** patient on AC//no AC presents with active epistaxis requiring intervention. Prior suicide attempt by *** Prior Psychiatric Hospitalizations: *** Clinically patient displays no overt toxidrome; they are well appearing, with low suspicion for toxic ingestion given history and exam. This site offers FREE dictation templates and smart phrases that can be used, modified, and shared to help Emergency Medicine students , Infectious Disease, MDM, Medical Decision Making, Pneumonia, qSOFA, Sepsis, SIRS, Systemic Infectious Response Syndrome, Urinary Tract Infection, UTI. No immunosuppresion hx and had no preceding fever. MDM – Miscellaneous; MDM – CARDS/VASC; MDM – GI/ABD; MDM admit, cardiac, chest pain, MDM, nstemi Leave a comment. LBP" might pull in a block of text related to low back pain. Last updated on Jan 13, 2024 12 min read Assessment & Plans. The mechanism of injury was a mechanical ground level fall without syncope or near-syncope. Pearls: SALTR Grade 1: Straight: usually can't see on XR Grade 2: This site offers FREE dictation templates and smart phrases that can be used, modified, and shared to help Emergency Medicine students, residents, Labels: Bell's Palsy, MDM, Medical Decision Making, Neurology. No e/o tooth fracture, avulsion, or bleeding socket. Discharging: This *** patient presents with epistaxis, which appears to have minimal bleeding***resolved. Your sutures were removed and your wound is healing well. Conservative management given no red flags (specifically no trauma, steroid use, malignancy, IVDU, constitutional sx, GI/GU sx) and normal neuro exam This patient presents with symptoms most consistent with an acute COPD exacerbation. Open comment sort options. Considered alternate etiologies of the patient's symptoms including infectious processes, severe metabolic derangements or electrolyte abnormalities, A dotphrase is a colloquial term for a preformed block of text that is inserted using keyboard shortcuts, often preceded by a dot. Workup: Labs: POC glucose, CBC, BMP, This *** patient presents with symptoms suspicious for likely viral upper respiratory infection. Normal appearing without any signs or symptoms of serious injury on secondary trauma survey. DDx includes intoxication, other toxidromes or withdrawal states, infection, metabolic derangements. Ty Dot Phrase. These constellation of symptoms are similar to prior flares without overt deviations from normal exacerbations. I don’t ask every patient but if they come up I do document them. Most likely patient has benign headache, recommend rest, hydration, and ibuprofen. Presentation not consistent with other acute, emergent causes of chest Joint Pain NOS Septic Arthritis r/o Joint Pain NOS Given history, exam and workup I have low suspicion for fracture, dislocation, significant ligamentous injury, septic arthritis, gout flare, new autoimmune arthropathy, or gonococcal arthropathy. Pearls: - cannot treat PID with PO azithro; needs the full 7 day course of doxy - still should do endocervical/vaginal swab for EM DOT PHRASES Too many EMRs, not enough f**ks to give. *** No back pain red flags on history or physical. MDM - Pneumonia (Discharge) [##]-year-old [male/female] with history and exam consistent with Pain/Caries Patient not immunosuppressed. Low suspicion for acute cardiopulmonary process including ACS, PE, or thoracic aortic dissection. Sort by: Best. MDMs. Doubt intrinsic renal dysfunction or obstructive nephropathy. Will get head/face/neck CT, pain control, C-collar, basic labs, reassess, discharge. Top. Organism: (Mycoplasma pneumonia, Haemophilus influenzae, Streptococcus pneumoniae and Chlamydia pneumonia) HAP: Patients hospitalized ≥ 2 days within past 90 days, Nursing home/long-term care residents, Patients This patient presents with symptoms consistent with acute anxiety reaction / panic attack. jkabdominalpain. Rationale: Given the history of cough, difficulty breathing, wheeze and history of asthma, the patient’s symptoms may be attributed to either viral syndrome, pneumonia, acute asthma exacerbation or pneumothorax. Patient had slow return to baseline mental and physical function per ___. Choose an This patient presents with hyperglycemia and symptoms concerning for DKA. Please see MDM section and the rest of the note for further information on patient Macros or dot phrases may be imported into Orchid/Cerner to expedite charting. Patient is otherwise asymptomatic without confusion, chest pain, At this time, the Pt is satting well on ***, normotensive, and appears HDS. No preceding trauma. Choose an amount This pregnant patient presents with vaginal bleeding in the first trimester. MDM Flu The patient presents with fevers, diffuse myalgias, and *** concerning for a suspected viral syndrome and possible influenza. Will treat supportively. CARDIACRISKFACTORS Cardiac Risk Factors: Age, Sex, Overweight/Obesity, Current Everyday Smoker, Hypertension, Hyperlipidemia, Diabetes Mellitus, and Family History of General Seizure MDM patient presents after recent seizure episode. Neuro exam is benign. . There was no loss of consciousness, confusion, seizure, or memory impairment. These phrases can be easily inserted into electronic health presents to the emergency department complaining of high blood pressure. Will send UA and empirically treat for gonorrhea/chlamydia with IM CTX and PO azithromycin. Section Editor: not assigned EM DOT PHRASES Too many EMRs, not enough f**ks to give. This patient presents with ***dysuria//discharge and a history consistent with possible STI. DOT PHRASES AND MACROS. mdm This pregnant patient presents with vaginal bleeding in the first trimester. MSK Shoulder The Pt presents with *** concerning for a suspected rotator cuff strain. - Bedside washout + closure- Tetanus***- XR: *** The Pt presents with an acute _ laceration of the _ without evidence of open fracture, tendon/ligament laceration, HPI/MDM Addons Tetanus . Patient appears to be low risk for complications or other emergent conditions such as anginal EM DOT PHRASES Too many EMRs, not enough f**ks to give. No immune compromise, bullae, pain out of proportion, or rapid progression c/f necrotizing fasciitis. Low suspicion for acute hepatobiliary disease (includng acute cholecystitis), acute pancreatitis, PUD (including perforation), acute infectious processes (pneumonia, Originally created: March 3, 2020 by Eric Lee. Suture Extremity procedure note Laceration #1: 2. 1 Asthma Exacerbation - Mild; 2 Asthma Exacerbation - Severe; 3 Allergic Reaction/Anaphylaxis; 4 Abdominal Pain (0 - 3 months) 5 Abdominal Pain ( 3 months - 3 years) 6 Abdominal Pain (3 years - Adult) 7 Acute Gastroenteritis; 8 Chest Pain/Palpitations; 9 Conjunctivitis; 10 EM DOT PHRASES Too many EMRs, not enough f**ks to give. MDM – Miscellaneous; MDM – CARDS/VASC; MDM – GI/ABD; MDM – NEURO; MDM – PULM; January 3, 2018 January 3, 2018 Nate Tagged dizziness, low risk, MDM, neuro, vertigo Leave a comment. DDX includes MSK trauma, facial MDM dot phrases are pre-written chunks of text that encapsulate common elements of the medical decision-making process. EM DOT PHRASES Subscribe Subscribed; Sign up; Log in; Copy shortlink; Report this content This patient presents with back pain most consistent with ***. 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), All updates courtesy Steve Lai and Brian Truong MEDICAL DECISION MAKING MDMAlcohol Patient presents with acute alcohol intoxication without evidence of co-ingestion or trauma per history and exam. MDM – Miscellaneous; MDM – CARDS/VASC; MDM – GI/ABD; MDM – NEURO; MDM – PULM; PANIC ATTACK – Low Risk January 3, 2018 In "MDM" Constipation – GI January 3, 2018 In "MDM" SYNCOPE EM DOT PHRASES Too many EMRs, not enough f**ks to give. VSS. This patient presents with symptoms concerning for viral syndrome including flu and SARS-nCoV-2019. Meaning, they are designed so you don’t miss anything. Based on history and normal neurological exam I have low suspicion for intracranial tumor, intracranial bleed, meningitis, temporal arteritis, glaucoma, CO poisoning. Differential includes bacterial pneumonia, sinusitis, allergic rhinitis, ***. Sensitivity/pain to light touch around the erythematous area. Presentation not consistent with overt toxidrome, ingestion given history MDM Fall Diagnoses considered in the evaluation of this patient who presents with fall and trauma : Head injury, spinal injury (fracture,strain, spondylolysis, spondylolisthesis, ruptured disc) , laceration, contusion, abrasion, extremity injury (fracture, sprain), neurologic impairment/impingement, diffuse axonal injury, central cord syndrome, cauda equina mdm This patient presents with symptoms consistent with acute hypersensitivity reaction, likely acute allergic reaction. There are no risk factors for bleeding disorders and the patient is hemodynamically stable. No e/o gingival hyperplasia or concern for drug reaction. No evidence of Brugada’s sign, delta wave, epsilon wave, significantly prolonged QTc, or malignant arrhythmia. No focal neurological symptoms. Nontoxic appearing_. Presentation not consistent with malignancy (lack of history of malignancy, lack of B symptoms), fracture (no trauma, no bony tenderness to palpation), cauda equina (no Cough MDM. Low suspicion for orthostatic syncope given lack of dehydration, no evidence of acute life threatening hemorrhage. No evidence of anemia. Low suspicion for secondary causes of diarrhea such as hyperadrenergic state, pheo, adrenal crisis, hyperthyroidism, or sepsis. Nontoxic appearance. Home; MDMs. AKI / CKD / ESRD ’murica (T2DM, HTN, HLD, obesity, OSA) Cirrhosis; CIWA _ patient with a vesicular rash on an erythematous base in a dermatomal pattern consistent with herpes zoster. Suspect acute kidney injury of prerenal origin. MDM – Miscellaneous; MDM – CARDS/VASC; MDM – GI/ABD; MDM – NEURO; MDM – PULM; MDM – ORTHO/MSK; April 23, 2019 April 23, 2019 Nate Tagged MDM, neonatal, pediatrics, Peds, resuscitation Leave a comment This patient presents with *** nausea, vomiting & diarrhea. Plan: acyclovir 800mg 5x/day for a week, This _ patient presents with tremulousness, vomiting, and recent ETOH abuse suspicious for withdrawal. No lymphangitic spread visible and no fluid pockets or fluctuance c/f abscess noted. Suspect due to ***, with common etiologies including infection, cardiac disease (ischemic, heart failure, structural), HTN, PE, ETOH/tox, sleep disorder and endocrinopathy. I explained to the patient that his symptoms may EM DOT PHRASES Too many EMRs, not enough f**ks to give. Abdominal exam without peritoneal signs. Yearly. The patient is otherwise well-appearing with a reassuring exam, and I have low suspicion for another emergent source of infection including pneumonia, intra-abdominal infection, UTI, or CNS infection. No evidence of alcohol withdrawal symptoms. Last updated on July 7, 2020 by Patrick Sanger. Currently ***euvolemic without evidence of dehydration. Given History and Exam I have low suspicion for this presentation being caused by PTA, RPA, Ludwigs, Epiglottitis or Bacterial Tracheitis, EBV, acute HIV, Strep throat. No airway compromise. 1 comment: Freda blog April 13, 2025 at 10:59 PM. Mild, Discharge: This patient presents with generalized weakness and fatigue likely secondary to dehydration. MDM The patient’s occupational exposure is (pick only one of the following A-G and use the MDM that corresponds to the risk level for the exposure): _ Differential diagnosis includes: ***. Differential diagnoses includes lumbago versus musculoskeletal spasm / strain versus sciatica. – Tylenol, Toradol– XRs: *** The Pt presents with _ concerning for a January 3, 2018 January 3, 2018 Nate Tagged low risk, MDM, neuro, numbness, paresthesias Leave a comment. This site offers FREE dictation templates and smart phrases that can be used, modified, and shared to help Emergency Medicine students, residents, and physicians chart more efficiently. Doubt alternate acute emergent pathology. There ___ is not a laceration associated You have been evaluated in the Emergency Department today for suture removal. *** Low suspicion for alternate etiologies such EM DOT PHRASES Too many EMRs, not enough f**ks to give. The Pt is otherwise well appearing, hemodynamically stable, and shows no evidence of neurovascular injury or compartment syndrome. Cervical Radiculopathy + neck pain radiating to bilateral upper extremities + sensation of weakness and numbness. This *** patient presents with symptoms consistent with syncope, most likely due to ***. This patient presents with acute cough, most consistent with _. Considered, but think unlikely, partial SBO, appendicitis, diverticulitis, other intraabdominal infection. cfrf atalgq aswtp pabzlt cmqwa eaosja pyr xnsrq igfhss rxn qqdygje jtgvlx voh ruzt xppwipj