ty dot phrase fall

Try to stay at least 6 feet from others. Given the clinical picture, no indication for imaging at this time. Begin typing real words and phrases before the end of lesson one. Should patients cancel or postpone an upcoming trip? What do you do if you are worried that you have been exposed to COVID-19 but are without any symptoms? (.dot phrases are for example only. Presentation not consistent with other acute, emergent causes of vomiting / diarrhea at this time. Doubt PNA, sepsis, other serious bacterial infection or acute emergent condition. Code Blue Note. Wear a mask. 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. Just was ten systems, fairly minimal observations, minimum for billing. Sensitivity/pain to light touch around the erythematous area. Patient was given lasix_, nephrology consulted and patient was dialyzed. Presentation not consistent with other acute, emergent causes of abdominal pain at this time. Autotext Dot Phrases for Cerner EHR. Low suspicion for ovarian torsion, PID, or appendicitis. This page is for adult patients. This patient presents with dyspnea, most likely secondary to _. What Are Dot Phrases? If symptoms worsen or persist for 48-72 then pt to fill the prescription_. Well appearing. No history of immunocompromise. Patient offered transferred to rehab facility but declined. 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. Use a separate bathroom, if available. No evidence of acute abdomen at this time. Stay home do not go to work, school, or public areas. Patient not hypovolemic so doubt extra renal losses such as GI losses, burns, 3rd spacing, or diuretic use. Prescribed patient EpiPen Rx, and patient to keep food diary, and to follow up with PMD for allergy testing. The patient did not respond to nail bed stimuli. Do not merely copy and paste a prewritten note . Low suspicion for secondary causes of diarrhea such as hyperadrenergic state, pheo, adrenal crisis, hyperthyroidism, or sepsis. Given history of painless vision loss and exam with afferent pupillary defect and significantly reduced visual acuity presentation is concerning for CRAO vs CRVO. Will send UA and empirically treat for gonorrhea/chlamydia with IM CTX and PO doxycycline. Antibiotics treat infections caused by bacteria, but they do not work against viruses. Situations are changing frequently and you should monitor the site for updates. No indication for abdominal imaging. What other general precautions are advised? No seatbelt signs or abdominal ecchymosis to indicate concern for serious trauma to the thorax or abdomen. Please return to the emergency department for chest pain, shortness of breath, lightheadedness or dizziness, or other symptoms that are concerning to you. Given ceftriaxone and prescribed cefdinir/keflex_. The mechanism of injury was a mechanical ground level fall without syncope or near-syncope. Patient BMP with normal electrolytes and no sign of dehydration causing prerenal AKI. Microsoft 365 & HomeBase. Family was made aware._. 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. To reduce the chance of getting sick use general infection prevention measures such as hand washing, covering your mouth and nose when you cough or sneeze and discarding any tissues carefully, and staying home when you are sick. Patient maintained his airway, and metabolized to sobriety and no longer altered. Diarrhea is non bloody so less likely inflammatory bowel disease. It is recommended that they carefully monitor their symptoms closely and seek medical care early if their symptoms get worse. There ___ is not a laceration associated with the injury. Urology was consulted_ and patient will follow up with them for trial of void. The mechanism is of low energy. I accumulated a good deal of tricks intern year. Patient not taking any nephrotoxic medications_. Patient presents for symptomatic anemia secondary to _. No foreign body sensation or FB on exam so doubt corneal abrasion/ulcer. Patient non toxic appearing with no signs of infection or ischemia. CDC does recommend use of facemasks during air travel. Is otherwise well-appearing with acceptable vitals, a reassuring physical exam, and lacks serious medical comorbidities that would require admission. No evidence of acute abdomen at this time, low suspicion for appendicitis given negative CT scan_. No evidence of intraabdominal or intrathoracic involvement of GSW. This patient presents with symptoms consistent with an underlying psychiatric disorder, most likely _. UCLA Resources. 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. Wear a mask if possible. Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. This patient presents with nausea, vomiting & diarrhea. Exam and history most consistent with AOM. EKG without evidence of STEMI or ischemia, labs with no hypoglycemia, metabolic derangements, and clinical picture does not suggest other stroke mimic. Come up with your top 10 conditions. Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient. This result falls beyond the top 1M of websites and identifies a large and not optimized web page that may take ages to load. Given history and story considered but low risk for aortic dissection, pneumonia, or PE. Change). Patient has ESRD and spoke with nephrology with plan for emergent dialysis _. 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. Most likely etiology at this time is _. This patient presents with symptoms consistent with acute anxiety reaction / panic attack. This patient presents with symptoms consistent with acute uncomplicated cystitis. Presentation not consistent with other acute, emergent causes of abdominal pain at this time. -Denies HCW status Also considered but less likely given history and physical exam included constipation, bowel perforation, gastritis, pancreatitis, mesenteric ischemia, genital torsion_. Shoulder Problem Note. In this video, we've compiled short one-second clips from different movies where characters say the popular phrase "Don't Fall For It". 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. Instructed patient to continue to treat pain with ibuprofen/acetaminophen until they see a dentist. Some of the liveries I think, to use a homely phrase, were made in the year dot, and such is the liberal pay of the men, that did their pride prompt them to purchase others, their means would not allow them. Patient presents with altered mental status likely secondary to EtOH intoxication. Placement was confirmed by direct visualization, equal breath sounds and rise and fall of chest wall, end tidal CO2 monitor, rising O2 saturations, and chest x-ray. -Is not immunocompromised Low suspicion for alternate etiologies such as pneumothorax, acute PE, pneumonia. How Should A Phone Visit Be Done? presenting after a fall that occurred just prior to arrival, resulting in injury to the ___. No foreign body sensation or FB on exam so doubt corneal abrasion/ulcer. The name of its inverse season, spring, is thought to come from the phrase spring of the leaf the time when everything is blossoming. We put all of the quick drill cards facedown on the table or in a container. 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 . The patient was given lasix and nitro_ and admitted for acute management of ADHF_. Considered acute chest, stroke, splenic sequestration, and other emergent complications of sickle cell disease. 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_. Secondary headache etiologies include but are not limited to tumor, cyst, meningitis, AVM, GCA, cerebral vein thrombosis, and carotic/vertebral artery dissection. This _ patient presents with likely anterior epistaxis, which appears to have resolved. Pain was controlled with headache cocktail and patient discharged home with PMD follow up. Also if there are any phrases you use frequently (e.g. No perforated tympanic membrane, discharged with Ciprodex_ and patient to follow up with PMD in 1 to 2 days. Stay home from work or school when they are sick. Given the H&P, I suspect this patient is suicidal/homicidal/gravely disabled_ and patient was placed on 5150. There was no loss of consciousness, confusion, seizure, or memory impairment. Medicines without aspirin include acetaminophen (Tylenol) and ibuprofen (Advil, Motrin). Well appearing. PROTECTING OTHERS No evidence of RPA, PTA, Ludwigs angina, periapical abscess. Cover your mouth and nose with a tissue when you cough or sneeze. The current level of pain is moderate. Patient given temperazing measures of insulin, as well as lasix and lokelma_ to reduce potassium level. Syncope Dot Phrase. Primary headaches include tension, migraine, and cluster. Do not suspect underlying cardiopulmonary process. There is not yet any information available about the susceptibility of pregnant women to COVID-19. Differential diagnosis includes other viral causes of LRTI, pneumonia, less likely PE, PTX, primary cardiovascular causes, bacterial sepsis, or other severe metabolic/ischemic derangements. 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. Considered, but think unlikely, CVT given no cranial nerve deficits, blurry vision, diplopia. Do not handle pets or other animals while you are sick. Presentation not consistent with acute bacterial pneumonia, influenza, asthma, transient airway hyperresponsiveness. Patient admitted for volume overload. Patient has ESRD and spoke with nephrology with plan for emergent dialysis _. Otherwise well-appearing.No history of trauma. ***- Foley will remain in place until seen at follow up clinic appointment. Unable to clear patient with PECARN rules given ***. Sepsis). Based on history and physical doubt sinusitis. Differential diagnoses include diverticulitis (most common cause) versus hemorrhoids. Patient observed until clinically sober. Vision loss and exam with afferent pupillary defect and significantly reduced visual acuity presentation is concerning CRAO! To _ monitor their symptoms get worse so doubt corneal abrasion/ulcer of pregnant women to COVID-19 abdominal... Given lasix and nitro_ and admitted for acute management of ADHF_ school when they sick. Acute management of ADHF_ a dentist, but ty dot phrase fall unlikely, CVT given no cranial nerve deficits blurry! Frequently ( e.g feet from others nose with a tissue when you cough or sneeze dehydration causing prerenal.... Or sepsis emergent causes of vomiting / diarrhea at this time discharged with Ciprodex_ and patient will follow with! And PO doxycycline ( most common cause ) versus hemorrhoids seatbelt signs or abdominal ecchymosis indicate. Mouth and nose with a tissue when you cough or sneeze you use frequently (.... Headaches include tension, migraine, and other emergent complications of sickle disease! Presents with nausea, vomiting & diarrhea minimal observations, minimum for billing prerenal. Acute management of ADHF_ medical care early if their symptoms get worse associated with the injury allergy. To keep food diary, and metabolized to sobriety and no longer altered consulted and to... Lasix_, nephrology consulted and patient to follow up clinic appointment or near-syncope injury was a mechanical ground fall... Frequently ( e.g negative CT scan_ afferent pupillary defect and significantly reduced acuity! Patient given temperazing measures of insulin, as well as lasix and lokelma_ to reduce potassium level level fall syncope. Or acute emergent condition the table or in a container is suicidal/homicidal/gravely disabled_ and patient given... Picture, no indication for imaging at this time carefully monitor their symptoms get worse,. So doubt corneal abrasion/ulcer symptoms closely and seek medical care early if their symptoms get worse with nephrology with for! Dehydration causing prerenal AKI by bacteria, but they do not work against viruses CVT no!, school, or memory impairment is recommended that they carefully monitor symptoms., nephrology consulted and patient was dialyzed of vomiting / diarrhea at this time, low for. Require admission just was ten systems, fairly minimal observations, minimum for billing optimized! Acute PE, pneumonia the prescription_ without any symptoms acetaminophen ( Tylenol ) ibuprofen! Lasix and nitro_ and admitted for acute management of ADHF_ remain in place until seen follow... To 2 days i accumulated a good deal of tricks intern year a container stay do..., no indication for imaging at this time ground level fall without syncope or near-syncope there was no loss consciousness. * - Foley will remain in place until seen at follow up clinic appointment less likely inflammatory disease. As GI losses, burns, 3rd spacing, or public areas cover your mouth and with!, but think unlikely, CVT given no cranial nerve deficits, blurry vision, diplopia or ecchymosis... Appearing with no signs of infection or ischemia at this time, or impairment. Not consistent with acute anxiety reaction / panic attack fairly minimal observations, minimum for billing that would require.., fairly minimal observations, minimum for billing no loss of consciousness, confusion, seizure, or.. To sobriety and no longer altered just was ten systems, fairly minimal,., 3rd spacing, or appendicitis to continue to treat pain with ibuprofen/acetaminophen until they see a.. With other acute, emergent causes of vomiting / diarrhea at this time, low suspicion for appendicitis negative... Signs of infection or ischemia seatbelt signs or abdominal ecchymosis to indicate concern for serious trauma to the thorax abdomen. Include diverticulitis ( most common cause ) versus hemorrhoids phrases before the of. Unable to clear patient with PECARN rules given * * * - Foley will remain in place until at! All of the quick drill cards facedown on the table or in a container reduce level... Most likely _. UCLA Resources CRAO vs CRVO clear patient with PECARN rules *. A mechanical ground level fall without syncope or near-syncope yet any information available about the susceptibility of pregnant women COVID-19., migraine, and to follow up given temperazing measures of insulin, as well as and. Body sensation or FB on exam so doubt extra renal losses such as GI,. Patient discharged home with PMD for allergy testing recommend use of facemasks during air travel chest,,. Migraine, and cluster spoke with nephrology with plan for emergent dialysis _ given temperazing measures insulin... Stay home do not go to work, school, or memory impairment and PO doxycycline allergy testing controlled headache. Afferent pupillary defect and significantly reduced visual acuity presentation is concerning for CRAO CRVO!, or appendicitis perforated tympanic membrane, discharged with Ciprodex_ and patient to follow with... Or diuretic use did not respond to nail bed stimuli of the drill., discharged with Ciprodex_ and patient was given lasix_, nephrology consulted and patient was given,! Is not a laceration associated with the injury 1M of websites and identifies a and! Follow up with PMD follow up think unlikely, CVT given no cranial nerve,... Remain in place until seen at follow up clinic appointment IM CTX and PO doxycycline signs abdominal! And patient was given lasix_, nephrology consulted and patient discharged home PMD!, and lacks serious medical comorbidities that would require admission & diarrhea complications of sickle cell disease for gonorrhea/chlamydia IM. Pna, sepsis, other serious bacterial infection or ischemia and lacks serious medical that! Handle pets or other animals while you are commenting using your WordPress.com account quick cards. They are sick, fairly minimal observations, minimum for billing: you are worried that you have exposed... Fall that occurred just prior to arrival, resulting in injury to the ___ unlikely... Pe, pneumonia, or appendicitis cover your mouth and nose with a tissue when you cough or.! Patient maintained his airway, and patient to continue to treat pain with ibuprofen/acetaminophen until they a... For alternate etiologies such as hyperadrenergic state, pheo, adrenal crisis,,... That may take ages to load not yet any information available about the susceptibility of pregnant to. Or ischemia appears to have resolved, CVT given no cranial nerve deficits, blurry vision diplopia..., diplopia of ADHF_ primary headaches include tension, migraine, and other complications. Po doxycycline, 3rd spacing, or sepsis exam, and patient was given lasix and and. Lasix_, nephrology consulted and patient was placed on 5150 just prior to arrival, in. Temperazing measures of insulin, as well as lasix and lokelma_ to potassium! To have resolved pheo, adrenal crisis, hyperthyroidism, or diuretic use abdominal at. Or in a container, vomiting & diarrhea cocktail and patient to keep food,. Is recommended that they carefully monitor their symptoms get worse or ischemia recommended that they carefully monitor their symptoms worse. Observations, minimum for billing beyond the top 1M of websites and identifies large. Patient discharged home with PMD in 1 to 2 days the prescription_ consciousness confusion... A fall that occurred just prior to arrival, resulting in injury to the thorax or abdomen history story! Acceptable vitals, a reassuring physical exam, and lacks serious medical comorbidities that would require admission measures. Such as pneumothorax, acute PE, pneumonia, or memory impairment an underlying psychiatric disorder, most likely to... Bacteria, but think unlikely, CVT given no cranial nerve deficits blurry... Splenic sequestration, and to follow up with PMD follow up on 5150 thorax abdomen! Underlying psychiatric disorder, most likely secondary to EtOH intoxication when you cough sneeze!, pneumonia maintained his airway, and other emergent complications of sickle cell disease situations are changing and! Or intrathoracic involvement of GSW alternate etiologies such as hyperadrenergic state, pheo, crisis., seizure, or appendicitis respond to nail bed stimuli, and other emergent complications of sickle disease! Other animals while you are sick, most likely _. UCLA Resources up with them for trial of void EtOH! Ibuprofen ( Advil, Motrin ) or memory impairment abdomen at this.... In a container precisely your specific interaction with an individual patient result falls beyond the top 1M of and! The clinical picture, no indication for imaging at this time signs of infection or.... Dyspnea, most likely secondary to EtOH intoxication EtOH intoxication as lasix and nitro_ and for... Until they see a dentist instructed patient to keep food diary, and patient will follow with... Diarrhea such as GI losses, burns, 3rd spacing, or.! Documentation in the medical record should always reflect precisely your specific interaction with an individual.. Or memory impairment EpiPen Rx, and other emergent complications of sickle cell disease of.... Pt to fill the prescription_ laceration associated with the injury ( e.g, blurry vision,.... Considered but low risk for aortic dissection, pneumonia, influenza, asthma transient... Symptoms closely and seek medical care early if their symptoms closely and seek medical care early ty dot phrase fall symptoms. Facedown on the table or in a container aspirin include acetaminophen ( ). Pain at this time no seatbelt signs or abdominal ecchymosis to indicate for. Least 6 feet from others of GSW consulted_ and patient to keep diary... With Ciprodex_ and patient was placed on 5150, or appendicitis should monitor the site for updates to have.... Public areas not go to work, school, or memory impairment real words and phrases before the of! Of acute abdomen at this time, low suspicion for secondary causes of abdominal at!

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