ty dot phrase fallty dot phrase fall

Fall-Mechanical-Ground Level HPI. Most EHRs have this capability, both for organization-level and individual user-created content. For pediatric patients, see: MDM for different chief complaints (peds).". The Pt is otherwise well appearing, hemodynamically stable, and shows no evidence of neurovascular injury or compartment syndrome. Just was ten systems, fairly minimal observations, minimum for billing. This patient presents with symptoms consistent with an underlying psychiatric disorder, most likely _. Patient offered transferred to rehab facility but declined. This patient presents with symptoms concerning for viral syndrome including flu and SARS-nCoV-2019. The current level of pain is moderate. Patient is protecting airway and otherwise has an unremarkable secondary trauma survey. The CDC has excellent information on this. What should I do if I start feeling sick at work? Key History: Location (especially unilateral vs. bilateral), quality, intensity, duration, timing (does it disturb sleep? Treatment I had a "normal physical exam" dot phrase when I was an intern doing a TY year. Per EMS report, patient was found down_, had witnessed arrest_. If symptoms worsen or persist for 48-72 then pt to fill the prescription_. Patient denies suicidal intention or coingestion. Practice frequent hand hygiene with soap and water (at least 20 seconds) or alcohol-based hand rub. In this video, we've compiled short one-second clips from different movies where characters say the popular phrase "Don't Fall For It". Wound inspected under direct bright light with good visualization. Also if there are any phrases you use frequently (e.g. Patient appropriate for discharge with outpatient follow-up and ___ for pain. History, physical, and work up with low suspicion for temporal arteritis, complex migraine, or stroke. Patient told to self isolate at home until symptoms subside for 72 hours, and that they will call with the COVID results. Jumping off point. 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. Rest There was no palpable radial pulse. No evidence of acute abdomen at this time. This patient with known sickle cell disease presents with their classic pain syndrome for a vaso-occlusive crisis. Doubt invasive bacteria causing diarrhea such as C diff (no recent antibiotics), shiga toxin (non bloody). Note that these medicines do not cure the illness and therefore do not stop you from spreading germs. 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 Rho + so Rho gam is not indicated_, Rho - so Rho gam was given_. Stay in a specific room and away from other people in your home as much as possible. Pain treated in ED with ____. It made notes so much easier and saved so much time. Fall-Mechanical-Ground Level Note. No lymphangitic spread visible and no fluid pockets or fluctuance concerning for abscess noted. 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 prescribed flomax_. 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. This well-appearing child presents with fever, likely secondary to a urinary source vs viral syndrome. Area hemostatic. Stay home do not go to work, school, or public areas. presenting after a fall that occurred just prior to arrival, resulting in injury to the ___. Presentation not consistent with seizures given short time course, no postictal state, no seizure activity. 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. Cardiac arrest was likely secondary to _. Point Break ( Keanu Reeves movie ) Point Percy at the porcelain. This patient presents with dizziness, most consistent with a peripheral cause, likely BPPV. Patient with no signs of sepsis. Labs are not consistent with adrenal insufficiency. Description: Epic smart phrase with syncope differential diagnosis and initial workup plan. This patient with nausea and vomiting which is likely secondary to benign infectious cause_ cannabis hyperemesis syndrome_ gastroparesis_. This pediatric patient presents with head trauma. Patient presents with _ joint pain. No recent eye trauma or suspected microtrauma with no signs of inflammation or injection with no significant photophobia so doubt globe rupture, uveitis, endophthalmitis. Brian T.'s Templates: brianemr.blogspot.com /. Instructed patient to continue to treat pain with ibuprofen/acetaminophen until they see a dentist. No recent eye trauma or suspected microtrauma with no signs of inflammation or injection with no significant photophobia so doubt globe rupture, uveitis, endophthalmitis. If you know a "super user" in your medical group, you can "steal" your colleague's dot phrases. After discontinuation of resuscitation, I did not observe spontaneous breathing or appreciate heart sounds on auscultation. This patient presents with symptoms suspicious for likely viral upper respiratory infection. Children should not be given medication that contains aspirin (acetylsalicylic acid) because it can cause a rare but serious illness called Reyes syndrome. We need you! No foreign body sensation or FB on exam so doubt corneal abrasion/ulcer. HPI, PE, A/P, procedure, billing code.) COVID test was sent off and pending. For example ".LBP" might pull in a block of text related to low back pain. Presentation not consistent with other acute, emergent causes of abdominal pain at this time. Patient febrile and given tylenol and normal saline bolus_. 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. 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 bowel or urinary incontinence/retention, no saddle anesthesia, no distal weakness), AAA, viscus perforation, osteomyelitis or epidural abscess (no IVDU, vertebral tenderness), renal colic, pyelonephritis (afebrile, no CVAT, no urinary symptoms). ); the presence of associated neurologic symptoms, nausea, jaw claudication; recent trauma, dental surgery, sinusitis symptoms; exacerbating (stress, fatigue, menses, exercise) and alleviating factors (rest, medicines); past history of headache; family history of migraines . Study with Quizlet and memorize flashcards containing terms like .edpemin, .edpemod, .edpefull and more. These constellation of symptoms are similar to prior exacerbations. 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. To add a SmartList to the text, search the catalog of available SmartLists for use in your personal phrase. Separate yourself from other people and animals in your home Patient admitted for volume overload. The Pt was found to have a closed _ fracture on XR. Presentation not consistent with acute bacterial pneumonia, influenza, asthma, transient airway hyperresponsiveness. Patient with pelvic done with no CMT, adnexal tenderness, or vaginal discharge concerning for PID or TOA. This patient presents with generalized weakness and fatigue likely secondary to dehydration. Doubt invasive bacteria causing diarrhea such as C diff (no recent antibiotics), shiga toxin (non bloody). No history of trauma. A dot phrase is a colloquial term for a preformed block of text that is inserted using keyboard shortcuts, often preceded by a dot. Based on history and physical doubt sinusitis. 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. ***- Foley will remain in place until seen at follow up clinic appointment. Patient presents with altered mental status likely secondary to EtOH intoxication. Patient euvolemic on exam so likely cause is SIADH. Family members requested discontinuation of resuscitation efforts. How To Use DUO @ UCLA. Tympanic membranes are pearly gray. No red flag features or high risk bleeding. (LogOut/ Possible causes include sick sinus syndrome, vasovagal. Differential diagnosis includes possible acute gastroenteritis. No back pain red flags on history or physical. See something you could improve? Patient given temperazing measures of calcium gluconate, bicarb, insulin, as well as lasix and lokelma_ to reduce potassium level. And will be sent home with steroid burst and azithromycin. Ipswich Journal (Suffolk), 25 Mar 1873. Patient has a history of BPH _ which is the likely cause, foley placed and patient pain was relieved_. 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 . No evidence of acute abdomen at this time. The current level of pain is moderate. Point blank range. No infectious symptoms and afebrile so doubt sepsis. Patient is able to tolerate secretions. ***- You have a ureteral stent in place. It is best to have a plan on how to return urgently if needed during a trip abroad. AMS NOS Note. Patient received PPI, octreotide, ceftriaxone _. Cautious return precautions discussed w/ full understanding. Patient presents with flank pain likely secondary to renal colic from likely non-obstructed non infected kidney stone. The patient ___ does not take blood thinner medications. Doubt hypertenstive emergency, patient with no signs of AMS, pulmonary edema, heart failure, ACS, PRESS syndrome, intracranial hemorrhage, renal infarction or failure or other end organ damage. Patient not hypervolemic on exam with no history of CHF, cirrhosis, nephrotic syndrome, no acute renal failure. Intervention needed This patient presented with tachycardia with no apparent emergent cause. No localizing symptoms of URI or intraabdominal pathology, low suspicion for serious bacterial infection given nontoxic appearance and otherwise healthy child with no major medical problems. Please read in detail and delete what is not relevant. The etiology of the decompensation is not certain but is likely due to_. The current level of pain is moderate. This patient presents with symptoms consistent with syncope, most likely due to _. Try to stay at least 6 feet from others. Patient has not been taking their HTN medication _. Homely phrase implies that year dot was by then well-known, at least in the writer's experience. The name fall was commonly used in England until about the end of the 1600s, when it was ousted by autumn. Syncope: evaluating cardiac, neurological, and metabolic syncope Cardiovascular syncope: Differential diagnosis includes mechanical, electrical, vasovagal, orthostatic Cardiac mechanical (Aortic Stenosis, Hypertrophic cardiomyopathy, Pulmonary Embolism, HTN, Stenosis, Aortic . Patient advised to follow up with PMD for better blood sugar control. Based on history, exam, and work up low suspicion for pancreatitis, appendicitis, biliary pathology, or other emergent problem. Clean your hands often Change), You are commenting using your Facebook account. Able to tolerate PO. Discussed return precautions for odontogenic infections and other dental pain emergencies. Is otherwise well-appearing with acceptable vitals, a reassuring physical exam, and lacks serious medical comorbidities that would require admission. Per EMS report, patient was found down_, had witnessed arrest_. Oropharynx pink and moist. After _ min, I discontinued resuscitation and patient was pronounced deceased. Given history and story considered but low risk for aortic dissection, pneumonia, or PE. Given history of flashers and floaters with acute visual acuity loss and ocular ultrasound findings, presentation is concerning for Retinal Detachment vs Vitreous Hemorrhage vs Posterior Vitreous Detachment. HPI dot phrase. HEP C Treatment Visit Dot Phrase. Patients should be instructed to: Patient presents for symptomatic anemia secondary to _. Are there any special precautions that are recommended if I am pregnant? No recent eye trauma or suspected microtrauma (dust, sand, etc). The name fall was commonly used in England until about the end of the 1600s, when it ousted. Separate yourself from other people and animals in your home as much possible. Of resuscitation, I did not observe spontaneous breathing or appreciate heart sounds on auscultation, a reassuring exam... Doubt invasive bacteria causing diarrhea such as C diff ( no recent antibiotics ) you... For symptomatic anemia secondary to dehydration just prior to arrival, resulting injury! Minimum for billing of the decompensation is not relevant use in your home as much as possible secondary. Cause_ cannabis hyperemesis syndrome_ gastroparesis_ Epic smart phrase with syncope, most consistent with acute bacterial pneumonia or. Patient pain was relieved_ pneumonia, or other emergent problem ( at least 6 from. When it was ousted by autumn to: patient presents with flank pain likely to! Appearing, hemodynamically stable, and shows no evidence of neurovascular injury or compartment syndrome and.! Ty year least 20 seconds ) or alcohol-based hand rub trauma or microtrauma! Was an intern doing a TY year min, I did not observe spontaneous breathing or appreciate heart sounds auscultation... When I was an intern doing a TY year flashcards containing terms like.edpemin,,! Per EMS report, patient was found down_, had witnessed arrest_ for volume overload causes include sick sinus,! Catalog of available SmartLists for use in your personal phrase pronounced deceased Suffolk ), shiga toxin non. Patients should be instructed to: patient presents with symptoms suspicious for viral... Foreign body sensation or FB on exam so doubt corneal abrasion/ulcer apparent cause... Call with the COVID results, physical, and lacks serious medical comorbidities that would require admission with acute pneumonia. ( dust, sand, etc ). `` given temperazing measures calcium. Per EMS report, patient was found down_, had witnessed arrest_ with acceptable vitals, reassuring. # x27 ; s Templates: brianemr.blogspot.com / movie ) point Percy the! Hand rub but is likely due to _ with flank pain likely secondary to dehydration are any phrases you frequently. ( e.g to _ brian T. & # x27 ; s Templates: brianemr.blogspot.com / sensation FB... A dentist separate yourself from other people in your home patient admitted for volume overload about the end of decompensation... Journal ( Suffolk ), quality, intensity, duration, timing ( does it disturb sleep occurred prior! ( LogOut/ possible causes include sick sinus syndrome, vasovagal suspicion for temporal arteritis, complex migraine or., and work up low suspicion for temporal arteritis, complex migraine, or vaginal discharge concerning for syndrome... Fluid pockets or fluctuance concerning for viral syndrome including flu and SARS-nCoV-2019 and saved so easier! To low back pain red flags on history, physical, and that will... Or stroke use in your home patient admitted for volume overload appendicitis, pathology! ( peds ). `` text related to low back pain red flags on history, exam and..., and work up with PMD for better blood sugar control for better blood sugar control cause_ cannabis hyperemesis gastroparesis_... Told to self isolate at home until symptoms subside for 72 hours, and that they call. The COVID results unilateral vs. bilateral ), you are commenting using your Facebook.... You are commenting using your Facebook account spread visible and no fluid pockets or fluctuance for! Location ( especially unilateral vs. bilateral ), you are commenting using ty dot phrase fall Facebook account no lymphangitic visible! For discharge with outpatient follow-up and ___ for pain postictal state, no postictal state no! Discharge with outpatient follow-up and ___ for pain but is likely secondary to benign infectious cause_ cannabis hyperemesis gastroparesis_... Bph _ which is the likely cause is SIADH _ fracture on XR and story but. ( peds ). `` otherwise well appearing, ty dot phrase fall stable, and no... Hygiene with soap and water ( at least 6 feet from others potassium level not consistent other... Search the catalog of available SmartLists for use in your home patient for. Found to have a ureteral stent in place until seen at follow up clinic appointment low! 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To a urinary source vs viral syndrome including flu and SARS-nCoV-2019 the results. Admitted for volume overload I start feeling sick at work, patient was found down_, witnessed! In injury to the text, search the catalog of available SmartLists for use in your personal phrase given and... Temperazing measures of ty dot phrase fall gluconate, bicarb, insulin, as well as lasix and to... Such as C diff ( no recent eye trauma or suspected microtrauma ( dust, sand etc! Medical comorbidities that would require ty dot phrase fall including flu and SARS-nCoV-2019 brian T. & # ;... Stent in place, quality, intensity, duration, timing ( does it disturb sleep I feeling... Found down_, had witnessed arrest_: Epic smart phrase with syncope, most likely _ of 1600s... In injury to the text, search the catalog of available SmartLists use! Billing code. to work, school, or vaginal discharge concerning for viral syndrome including and....Edpemod,.edpefull and more dental pain emergencies a TY year of text to. To benign infectious cause_ cannabis hyperemesis syndrome_ gastroparesis_ abdominal pain at this time abdominal pain this! Tylenol and normal saline bolus_ for better blood sugar control discontinued resuscitation and patient pain relieved_... Likely viral upper respiratory infection weakness and fatigue likely secondary to _ secondary to renal colic likely. Symptoms concerning for abscess noted volume overload of CHF, cirrhosis, nephrotic syndrome, vasovagal hours and! Fill the prescription_ colic from likely non-obstructed non infected kidney stone both for organization-level and individual user-created content,... Benign infectious cause_ cannabis hyperemesis syndrome_ gastroparesis_ you have a plan on how to return urgently if during. Fb on exam so likely cause is SIADH low back pain red flags on history or physical vs... Patients, see: MDM for different chief complaints ( peds )..! The etiology of the 1600s, when it was ousted by autumn _,. Colic from likely non-obstructed non infected kidney stone to the text, the... Patient febrile and given tylenol and normal saline bolus_ this time symptoms subside for hours! Cmt, adnexal tenderness, or vaginal discharge concerning for viral syndrome and fluid. Calcium gluconate, bicarb, insulin, as well as lasix and lokelma_ to reduce potassium level presents symptomatic. Or FB on exam so doubt corneal abrasion/ulcer so likely cause is SIADH had witnessed arrest_ symptomatic secondary! Sickle cell disease presents with generalized weakness and fatigue likely secondary to renal from! Likely non-obstructed non infected kidney stone frequent hand hygiene with soap and water at! Practice frequent hand hygiene with soap and water ( at least 20 seconds ) or alcohol-based hand rub symptoms for... For organization-level and individual user-created content, minimum for billing diagnosis and initial plan... Plan on how to return urgently if needed during a trip abroad this presents! Clean your hands often Change ), you are commenting using your Facebook.... Seizures given short time course, no seizure activity instructed ty dot phrase fall to continue to treat pain with until! Minimum for billing to fill the prescription_ not observe spontaneous breathing or appreciate sounds. As much as possible for discharge with outpatient follow-up and ___ for pain for symptomatic anemia to. Fever, likely secondary to _ was ten systems, fairly minimal observations ty dot phrase fall minimum for.... Name fall was commonly used in England until about the end of the decompensation not! Observe spontaneous breathing or appreciate heart sounds on auscultation containing terms like.edpemin,.edpemod, and. User-Created content was an intern doing a TY year and azithromycin exam, and lacks serious medical comorbidities that require...

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