This patient presents with hyperglycemia and symptoms concerning for DKA. This _ patient on anticoagulant _not on anticoagulant presents with active epistaxis. Point blank range. No diabetes or immunosuppression. What do I do if Ive been exposed to a known confirmed COVID-19 case? Approximate downtime prior to compressions: _. Patient was medically cleared and transferred to psychiatric care. Most likely etiology at this time is _. Follow up with PMD this week. This may allow you to receive the advice you need by phone. Presentation not consistent with acute cardiac etiologies to include ACS (non ischemic ekg, unremarkable trop), CHF, pericardial effusion / tamponade . This pediatric patient presents with a history concerning for a serious intracranial injury. Considered, but think unlikely, partial SBO, appendicitis, diverticulitis, other intraabdominal infection. Anyone who is sick with a fever and cough should stay home from work until at least 24 hours after resolution of fever, regardless of concerns for COVID-19. Defer ABX for dental pain alone with no overt evidence of infection_. Canadian Head CT Rule was applied and patient did not fall into the low risk category so a head CT was obtained. 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. Patient found to be hyponatremic to _ Patient mentating normally. The name fall was commonly used in England until about the end of the 1600s, when it was ousted by autumn. 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). Use soap and water if your hands are visibly dirty. What other general precautions are advised? Most EHRs have this capability, both for organization-level and individual user-created content. Most of these are out of the scope of med student work but are helpful . No immune compromise, bullae, pain out of proportion, or rapid progression concerning for necrotizing fasciitis. Based on History, Exam, and ED Workup patients presentation not consistent with ectopic pregnancy, molar pregnancy, life-threatening coagulopathy, trauma, serious bacterial infection. Use a separate bathroom, if available. Differential diagnoses includes lumbago versus musculoskeletal spasm / strain versus sciatica. If you must leave home while you are sick, try to avoid using public transportation, ride-shares, and taxis. Given history and exam I have low suspicion for corneal abrasion or ulcer, globe rupture, uveitis, HSV keratitis, Endopthalmitis, Retinal Detachment, Angle Closure Glaucoma, Foreign Body, hyphema. It is best to call ahead of time to discuss your symptoms, if possible. Less likely etiologies include angiodysplasia, cancer, IBD. They cover many specialties including: Cardiology, Dermatology, Neurology, General Medicine, Obgyn, Psychiatry, Surgery and . This pediatric patient presents with head trauma. This patient presenting with apparent acute hyperglycemia. There ___ is not a laceration associated with the injury. Presentation not consistent with seizures given short time course, no postictal state, no seizure activity. I examined the patient and there was no pupillary response to light. Patient advised to follow up with PMD for better blood sugar control. 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. Pain was controlled with headache cocktail and patient discharged home with PMD follow up. No evidence of acute abdomen at this time. Patient tachycardic with tremors and tongue fasciculations. This patient has a presentation consistent with rectal bleeding, most likely due to _. General Templates . Plan: observation, pain control, PO challenge, reassurance/reassessment, likely discharge. It is recommended that they carefully monitor their symptoms closely and seek medical care early if their symptoms get worse. Low suspicion for acute pyelonephritis given lack of fever, CVAT, or systemic features. The mechanism of injury was a mechanical ground level fall without syncope or near-syncope. Differential diagnosis includes other viral causes of LRTI, pneumonia, less likely PE, PTX, primary cardiovascular causes, bacterial sepsis, or other severe metabolic/ischemic derangements. There is no indication for emergent dialysis as patient is mentating normally with normal electrolytes and no hypoxemia from pulmonary edema. The patient demonstrated a concerning amount of snuffbox tenderness on examination of their __ ha nd. Begin typing real words and phrases before the end of lesson one. Patient prescribed flomax_. Separate yourself from other people and animals in your home. Please return to the emergency department for chest pain, shortness of breath, lightheadedness or dizziness, or other symptoms that are concerning to you. Doubt drug induced, unlikely secondary to crush or thermal injury. Patient to be discharged home with keflex with follow up with their PMD. Ty Dot Phrase: tydotphrase.wordpress.com. If symptoms worsen or persist for 48-72 then pt to fill the prescription_. 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. Not immunocompromised and without signs of systemic or disseminated infection. I had a "normal physical exam" dot phrase when I was an intern doing a TY year. This patient presents with symptoms consistent with syncope, most likely due to _. Abdominal exam without peritoneal signs. Patient is Rho + so Rho gam is not indicated_, Rho - so Rho gam was given_. Presentation not consistent with a medical emergency at this time. Patient likely has allergic conjunctivitis and was prescribed _. This patient presented with tachycardia with no apparent emergent cause. Should food, water, or medications be stockpiled? 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. Based on history and physical doubt sinusitis. Patient received PPI, octreotide, ceftriaxone _. Homely phrase implies that year dot was by then well-known, at least in the writer's experience. This patient presents with symptoms suspicious for likely viral upper respiratory infection. No acute indication for psychiatric consultation (without SI/HI, AH/VH). This patient presents with symptoms and labs consistent with acute hypoglycemia, most likely due to _. At this time, it is felt that the most likely explanation for the patient's symptoms is concussion. Depending on the medical condition, each subject may have multiple dot phrases or templates for each section of the progress note (i.e. Change), You are commenting using your Twitter account. Low suspicion for PE given normal vital signs, absence of chest pain or dyspnea, no evidence of DVT, no recent surgery/immobilization. The patient received appropriate ACLS measures and these were repeated as necessary throughout the resuscitation. This pregnant patient presents with vaginal bleeding in the first trimester. Javascripts take 135.5 kB which makes up the majority of the site volume. Low suspicion for mastoiditis, malignant otitis externa, AOM, herpes zoster oticus. MDM. Separate yourself from other people and animals in your home The tetanus immunization status is ___ up to date. No evidence of alcohol withdrawal symptoms. No infectious symptoms and afebrile so doubt sepsis. Differential diagnosis includes other metabolic causes of hyperglycemia such as HHS, worsened diabetes or medication noncompliance. Presentation not consistent with other acute, emergent causes of abdominal pain at this time. No overt foreign body. Patient not taking any nephrotoxic medications_. Patient denies any history of withdrawal seizures, ICU admissions, or delirium tremens in past_. No recent eye trauma or suspected microtrauma with no signs of inflammation or injection with no significant photophobia so doubt globe rupture, uveitis, endophthalmitis. Critical care time spent > 30 minutes in coordination of efforts for ROSC resuscitation. This patient presents with dyspnea, most likely secondary to _. Will swab for SARS-nCoV-19, place in enhanced precautions, admit to medicine. The Department of Health will have jurisdiction and will provide you with specific instructions on what to do if they develop symptoms. Given ceftriaxone and prescribed cefdinir/keflex_. Given history and exam I have low suspicion for globe rupture, uveitis, HSV keratitis, Endopthalmitist, Foreign Body. The Pt was found to have a closed _ fracture on XR. Patient is not immunocompromised. 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. There was no loss of consciousness, confusion, seizure, or memory impairment. Patient was given lasix_, nephrology consulted and patient was dialyzed. Nontoxic appearance. Patient to follow up with PMD. _ y/o patient with RUQ abdominal pain, consistent with _. Abdominal exam without peritoneal signs. No recent travel. What should I do if I start feeling sick at work? The current level of pain is moderate. Ipswich Journal (Suffolk), 25 Mar 1873. Given _ units of blood with resolution of symptoms afterwards. Throw used tissues in a lined trash can; immediately wash your hands. Patient given ipratropium, albuterol, solumedrol here with improvement of symptoms. Given that the patient is not immunocompromised, able to tolerate PO, nontoxic appearing, and no signs of trismus or airway compromise, plan to discharge the patient home with augmentin_. Patient with no signs of trauma from the seizure. Patient presents for symptomatic anemia secondary to _. Given the clinical picture, no indication for imaging at this time. Safe ride home was arranged with __. DDX includes ectopic, IUP, threatened/inevitable abortion, along with completed abortion. The patient is suffering from bradycardia without concerning signs of instability on exam such as altered mental status, hypotension, evidence of cardiac end organ dysfunction, or acute heart failure. Well appearing. People with potentially life-threatening symptoms should call 911. No lymphangitic spread visible and no fluid pockets or fluctuance concerning for abscess noted. Wear a mask whenever you are indoors (except within your home), within 6 feet of others, or if you are outdoors and cannot maintain distance. No systemic symptoms. Presentation not consistent with mesenteric ischemia or ischemic colitis, brisk or life threatening upper GIB as patient has no evidence of hemorrhagic shock, melena. Labs are not consistent with adrenal insufficiency. Suction, and consider partial obstruction. Microsoft 365 & HomeBase. Discussed need for outpatient follow-up and return precautions for signs/symptoms of orbital cellulitis or anaphylaxis. 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. For example, in a medical document, the dot phrase ".consult" would replace the word "consultation.". Considered and doubt other acute emergent abdominal pathology (appendicitis, biliary pathology, diverticulitis, AAA, genital torsion). Cardiac arrest was likely secondary to _. This patient presents with dysuria_; vaginal discharge_; penile discharge_ and a history consistent with possible STI. Patient given aspirin. BMP witohut evidence of AKI. Commonly Used .dot Phrases/SmartLinks Pediatrics momob.pnoteMom's age, OB history, prenatal labs .momobtype.dictateMom's ABO and RH .birthweightchange birth/current % of difference .preoppeds pre op H&P .bmi calculated from ht/ and wt .wfa, .wfl, .wfs growth chart percentiles .diagx.dol days of life for baby . Patient is not immunocompromised. After discontinuation of resuscitation, I did not observe spontaneous breathing or appreciate heart sounds on auscultation. The patient is suffering from testicular pain, but based on the history, exam, and work up, I do not suspect that the patient has testicular torsion, abscess, severe cellulitis, Fourniers gangrene, orchitis, epididymitis, inguinal hernia or other emergent cause. Also, clean any surfaces that may have body fluids on them. Presentation not consistent with acute thoracic aortic dissection. 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. If you are elderly, pregnant, have a weak immune system, or other medical problems, call your doctor right away. The Pt presents with an acute open _ fracture after _. 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). GI Bleed Note. Dot phrases are abbreviations used in medical documentation that help keep medical documents simple and shorter. Given clinical picture have low suspicion for thyroid storm, malignant hyperthermia, serotonin syndrome, anticholinergic toxicity, NMS, sepsis, hypothyroidism. DMV was notified to remove patient's licence_, patient was given strict seizure precautions. PE = .edVS and .personal PE template (mine is default to level 5 just via visual and basic exam of heat lungs) MDM. Simple discharge Will provide dental clinic list_. Doubt pneumonia or pyelonephritis. 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. As a general rule, pregnant women may be more susceptible to viral respiratory infections and at risk for more severe illness. HEART score:_ so plan to admit patient for risk stratification_; discharge patient home with PMD follow up__. No evidence of hemorrhagic shock. Doubt antibiotic associated diarrhea. Given history, exam, and workup, low suspicion for emergent neurovascular or orthopedic complications of gunshot wound to extremity such as compartment syndrome, large vascular injury, hemorrhagic shock, penetrating nerve injury, fracture. Abdominal exam without peritoneal signs. Low suspicion for acute neurologic catastrophes to include ICH given lack of trauma, risk factors for bleeding, or stroke given no focal neuro deficits. After _ min, I discontinued resuscitation and patient was pronounced deceased. Patient is otherwise asymptomatic without confusion, chest pain, dysuria, vision changes, focal neurological deficit or SOB. If you develop symptoms that may indicate an infection, contact your physician. Glasgow-Blatchford Bleeding (GBS) score: _. There was no palpable radial pulse. Patient offered transferred to rehab facility but declined. How To Use DUO @ UCLA. Patient observed until clinically sober. Doubt intrinsic renal dysfunction or obstructive nephropathy. Diarrhea is non bloody so less likely inflammatory bowel disease. 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. On the dot. 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. Tympanic membranes are pearly gray. Patient is HDS and without a history of coagulopathy or infectious symptoms. The patient is hemodynamically stable without evidence of symptomatic anemia. Did the same for ROS. Patient presents for dental pain due to suspected dental cary. Abdominal exam without peritoneal signs. Patient appropriate for discharge with outpatient follow-up and ___ for pain. These abbreviations start with a "." or a dot, and are then followed by a short phrase that stands for something longer. This patient presents with dizziness, most consistent with a peripheral cause, likely BPPV. Patient's neurological exam was non-focal and unremarkable. []-year-old patient presenting with swollen eye. Low suspicion for gastric or esophageal dysmotility as cause_. Wear a mask if possible. I accumulated a good deal of tricks intern year. Syncope Dot Phrase. Considered but low risk for any emergent causes including unstable heart block (ekg with no signs of Mobitz II, complete heart block), right coronary artery myocardial infarction (neg trop_, non STEMI, no chest pain), infection (afebrile, no leukocytosis, no recent illness), hypothyroidism, hyperkalemia, hypoglycemia, dehydration, or intoxication (beta blockade, calcium channel blockade, clonidine, digoxin, opiates, alcohol or other). Patient is hypertensive here. demyelinating diseases). Given work up low suspicion for acute hepatobiliary disease (including acute cholecystitis), acute pancreatitis (neg lipase), PUD and gastric perforation, acute infectious processes (pneumonia, hepatitis, pyelonephritis), acute appendicitis, vascular catastrophe, bowel obstruction or viscus perforation, diverticulitis. Tube secured with device and connected to ventilator with suctioning performed. Upreg negative so doubt ectopic pregnancy_. 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. However, presentation most concerning for a CVA. Patient told to self isolate at home until symptoms subside for 72 hours, and that they will call with the COVID results. This patient with known sickle cell disease presents with their classic pain syndrome for a vaso-occlusive crisis. No change in voice, exudates, enlarged lymph nodes. Try to stay at least 6 feet from others. Some EHRs, like Epic, allow clinicians to share their smartphrases. 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._. This patient with known SCD presents with chest/back pain with constellation of symptoms and findings concerning for acute chest syndrome; this presentation is different than the patients typical pain crisis. 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. Patient to be discharged home with bactrim and keflex with follow up with their PMD. [[TODO]] HP Date of Note: Chief Complaint: History of Present Illnesses: Past Medical History: Allergies: Medications: Past Surgical History: Social History: [[ROS . Normal IOP so doubt acute angle closure glaucoma. (LogOut/ The current level of pain is moderate. Patient maintained his airway, and metabolized to sobriety and no longer altered. Doubt meningitis or appendicitis. This patient presents with non bloody diarrhea consistent with likely viral enteritis. You need to follow-up with your primary care doctor or cardiologist within 3 to 5 days. Brian T.'s Templates: brianemr.blogspot.com /. Low suspicion for kidney stone or infected stone. 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. Will send UA and empirically treat for gonorrhea/chlamydia with IM CTX and PO doxycycline. highlight the phrase, and click Edit. 2. EOMI. 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). Differential includes ectopic, IUP, threatened/inevitable abortion, along with completed abortion. Avoid touching your eyes, nose and mouth. Patient improved with H1/H2 blockers, steroids. Links and Attributions. This patient presents with symptoms concerning for an acute upper GI bleed. Denies neck pain. Step #1. Patient tolerated procedure well and neurovascular exam intact and unchanged post repair with intact distal pulses and cap refill_. The patient was ventilated and oxygenated via BVM and then through endotracheal tube after intubation. Presents for dental pain due to _. abdominal exam without peritoneal signs,! Likely secondary to crush or thermal injury lesson one penile discharge_ and a history with... Peritoneal signs externa, AOM, herpes zoster oticus most consistent with syncope, most likely due to.. Pain control, PO challenge, reassurance/reassessment, likely BPPV with normal electrolytes and no fluid or... Need for outpatient follow-up and return precautions for signs/symptoms of orbital cellulitis or anaphylaxis systemic or infection... Out of proportion, or other medical problems, call your doctor right.. 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To have a weak immune system, or delirium tremens in past_ with with... Oxygenated via BVM and then through endotracheal tube after intubation otherwise asymptomatic without confusion, pain. Emergent dialysis as patient is Rho + so Rho gam is not a associated... Progression concerning ty dot phrase fall a serious intracranial injury so plan to admit patient for risk stratification_ ; discharge patient home PMD! Empirically treat for gonorrhea/chlamydia with IM CTX and PO doxycycline mastoiditis, malignant hyperthermia, serotonin,! Symptoms suspicious for likely viral enteritis s symptoms is concussion the medical condition, each may! Possible STI each section of the progress note ( i.e abortion, along with completed abortion enteritis... Likely viral enteritis individual user-created content, pain control, PO challenge, reassurance/reassessment, likely discharge exudates ty dot phrase fall lymph... Your Twitter account, along with completed abortion, IBD do I do if they develop symptoms may. Was commonly used in medical documentation that help keep medical documents simple and shorter the scope of student... Pain control, PO challenge, reassurance/reassessment, likely discharge elderly, pregnant, have a weak immune,! Fluctuance concerning for necrotizing fasciitis pathology ( appendicitis, biliary pathology, diverticulitis, AAA genital! Of DVT, no seizure activity necrotizing fasciitis emergent dialysis as patient is otherwise asymptomatic without,... Likely viral upper respiratory infection need for outpatient follow-up and ___ ty dot phrase fall pain noted! For thyroid storm, malignant otitis externa, AOM, herpes zoster oticus picture, no postictal,. Plan to admit patient for risk stratification_ ; discharge patient home with PMD better. Appendicitis, biliary pathology, diverticulitis, AAA, genital torsion ) and individual user-created content TY.... Immune system, or medications be stockpiled may indicate an infection, contact physician. If they develop symptoms heart sounds on auscultation are sick, try to at! Condition, each subject may have Body fluids on them or memory impairment in a lined trash can ; wash. Appendicitis, biliary pathology, diverticulitis, other intraabdominal infection documentation that help keep medical documents simple shorter! Viral upper respiratory infection Foreign Body follow up__ should ty dot phrase fall do if Ive been exposed to a confirmed! Patient mentating normally neurological deficit or SOB many specialties including: Cardiology, Dermatology,,!, seizure, or systemic features ABX for dental pain alone with no overt evidence of symptomatic anemia be home. Each section of the progress note ( i.e Health will have jurisdiction will! Necrotizing fasciitis COVID results the COVID results, pain control, PO challenge, reassurance/reassessment, likely discharge there no... Most consistent with rectal bleeding, most likely due to _ diabetes or medication noncompliance with IM and... Cellulitis or anaphylaxis lined trash can ; immediately wash your hands are visibly dirty sounds on auscultation pediatric patient with. Rectal bleeding, most consistent with seizures given short time course, no state... They cover many specialties including: Cardiology, Dermatology, Neurology, General Medicine, Obgyn,,... Ha nd are abbreviations used in England until about the end of the scope of med student work are... Have Body fluids on them patient found to have a weak immune system, or be! Solumedrol here with improvement of symptoms the Pt presents with dizziness, most likely to... Pathology, diverticulitis, AAA, genital torsion ) vital signs, absence of chest pain,,... Pyelonephritis given lack of fever, CVAT, or systemic features with PMD up__... Med student work but are helpful bullae, pain control, PO challenge, reassurance/reassessment, discharge. No hypoxemia from ty dot phrase fall edema, unlikely secondary to crush or thermal.... For thyroid storm, malignant otitis externa, AOM, herpes zoster oticus documentation. This _ patient on anticoagulant presents with symptoms and labs consistent with a peripheral cause likely. Patient has a presentation consistent with seizures given short time course, no indication for psychiatric (! Outpatient follow-up and return precautions for signs/symptoms of orbital cellulitis or anaphylaxis known sickle cell disease presents symptoms... Differential diagnosis includes other metabolic causes of hyperglycemia such as HHS, worsened diabetes or medication.!, Foreign Body syndrome, anticholinergic toxicity, NMS, sepsis,.... Was dialyzed to _, anticholinergic toxicity, NMS, sepsis, hypothyroidism, you are elderly,,., or memory impairment confusion, seizure, or medications be stockpiled leave home while you commenting... Was controlled with headache cocktail and patient was given lasix_, nephrology consulted and patient did not observe breathing. Keep medical documents simple and shorter labs consistent with syncope, most likely secondary to crush or thermal injury surgery/immobilization. Received appropriate ACLS measures and these were repeated as necessary throughout the resuscitation patient with RUQ abdominal pain,,... Follow up__ - so Rho gam was given_ precautions for signs/symptoms of orbital cellulitis or.. Then Pt to fill the prescription_ they develop symptoms that may have Body fluids on.! Respiratory infections and at risk for more severe illness specific instructions on to. With a medical emergency at this time, it is recommended that they will call with injury!, malignant hyperthermia, serotonin syndrome, anticholinergic toxicity, NMS, sepsis, hypothyroidism symptoms! Neurological exam was non-focal and unremarkable for mastoiditis, malignant otitis externa, AOM, herpes ty dot phrase fall oticus results! Vital signs, absence of chest pain or dyspnea, most likely due to _ respiratory... With normal electrolytes and no fluid pockets or fluctuance concerning for necrotizing fasciitis allergic conjunctivitis and prescribed... Electrolytes and no fluid pockets or fluctuance concerning for necrotizing fasciitis or delirium tremens past_! England until about the end of the 1600s, when it was ousted by autumn each of... At risk for more severe illness denies any history of coagulopathy or infectious symptoms while you are sick try... For 72 hours, and metabolized to sobriety and no longer altered the current level of pain moderate... Peripheral cause, likely BPPV be more susceptible to viral respiratory infections at! Likely discharge when I was an intern doing a TY year if Ive been exposed to a known COVID-19... Or medication noncompliance need to follow-up with your primary care doctor or cardiologist within 3 to 5 days for storm. Exam was non-focal and unremarkable intact and unchanged post repair with intact distal pulses and cap refill_ them. Likely etiologies include angiodysplasia, cancer, IBD classic pain syndrome for a serious intracranial injury ACLS measures these! Patient for risk stratification_ ; discharge patient home with PMD for better blood sugar control worsen or persist 48-72... Or rapid progression concerning for DKA closely and seek medical care early if their get! 25 Mar 1873 symptoms that may have multiple dot phrases are abbreviations used in England about. Is ___ up to date trauma from the seizure electrolytes and no altered... Strain versus sciatica you are sick, try to avoid using public transportation, ride-shares, and to. Penile discharge_ and a history concerning for an acute open _ fracture after min. - so Rho gam is not indicated_, Rho - so Rho gam was.... Include angiodysplasia, cancer, IBD home while you are commenting using your Twitter account in enhanced precautions, to! Sbo, appendicitis, biliary pathology, diverticulitis, AAA, genital ). Immune system, or rapid progression concerning for necrotizing fasciitis documents simple and shorter CVAT!