PARESTHESIAS – Lo Risk

MDM

This *** patient presents with paresthesias, most likely due to ***. Differential diagnoses includes ***. Presentation not consistent with emergent neurologic etiologies to include brain / spinal cord nerve root or nerve problem given history & physical. Presentation not consistent with immune phenomenon to include GBS or vasculitis. Presentation not consistent with toxins to include botulism, diptheria, tick-borne illnesses, heavy metal poisoning. Presentation not consistent with acute drug toxicity or metabolic issues.

Plan: labs***, CT brain***, supportive care, reassessment

HEADACHE – Low Risk, Pregnancy

MDM

This patient presents with a headache most consistent with ***. Differential diagnosis includes migraine versus tension type headache. No headache red flags. Neurologic exam without evidence of meningismus, focal neurologic findings. Presentation not consistent with acute intracranial bleed to include SAH (lack of risk factors, headache history). Presentation not consistent with acute CNS infection to include meningitis or brain abscess, Temporal arteritis unlikely, as is acute angle closure glaucoma given history and physical findings. Presentation not consistent with other acute, emergent causes of headache at this time. Plan to treat symptomatically with pain medication. No indication for imaging/LP at this time.***

Plan: pain medication, CT brain***, serial reassessment

HEADACHE IN PREGNANCY

This pregnant patient presents with headache of rapid onset. Etiology is unclear but includes possible preeclampsia, HELLP, SAH or other ICH. Considered, but think unlikely, CVT, Waterman’s syndrome, carotid dissection. Plan to work up with basic labs, UA to screen for proteinuria, consider head CT, pain control, reassess.

HYPOGLYCEMIA – General

MDM

This patient presents with symptoms and labs consistent with acute hypoglycemia, most likely due to ***. Differential diagnosis includes ***. Considered other etiologies of acute hypoglycemia to include drugs (anti-hyperglycemics, alcohol, beta blockers, ACE-I, APAP) or drug related error (missed meal, incorrect dosing, intentional overdose), systemic illness (sepsis, acute coronary syndrome, renal / hepatic failure, adrenal insufficiency), malignancy, or post-op complications (i.e. Gastric bypass). Presentation not consistent with other acute, emergencies related to hypoglycemia.

Plan: serial POC glucose, hypoglycemia protocol treatment per routine, labs***, consider observation/admission, serial reassessment

HYPERGLYCEMIA – Lo Risk

MDM

This patient is a @AGE@ @SEX@, presenting with apparent acute hyperglycemia. Differential diagnosis includes ***. Considered DKA versus HHS, sepsis as possible etiologies of the patient’s current presentation. However, given the current history & physical, including current glucose level, the current presentation is consistent with acute, asymptomatic hyperglycemia. Plan to treatment supportively. No indication for further workup at this time.

Plan: supportive care, serial POC glucose monitoring, labs***, serial reassessment

DKA – Admit

MDM

This patient presents with hyperglycemia and symptoms concerning for DKA. Differential diagnosis includes other metabolic causes of hyperglycemia such as HHS, worsened diabetes or medication noncompliance. Considered possible causes of DKA to include infection (pancreatitis, UTI, pneumonia), infarction / ischemia (acute coronary syndrome, cerebral vascular accident), medication non-compliance with insulin therapy, illicit substance abuse, iatrogenic (including prescription medications and drug-drug interactions), idiopathic causes. Most likely etiology at this time is ***. Plan to treat the hyperglycemia as below while simultaneously evaluating and treating potential underlying etiologies.

Plan: POC glucose monitoring (Q1H), BMP (Q2H), blood gas, UA, serum ketones, CBC, LFTs / lipase, infectious workup (lactate/blood cultures, CHEST X-RAY)***, IVF, IV Insulin therapy, serial reassessment, admission for treatment of hyperglycemia

Links and Attributions

Uncategorized

Ty Dot Phrase: tydotphrase.wordpress.com
An excellent, and more complete, list of dot phrases by a fellow co-resident. Also includes a large amount of educational pearls and high-risk diagnoses to consider.

Brian T.’s Templates: brianemr.blogspot.com/
A lengthy list of discharge instructions, albeit a little disorganized.

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All images obtained via FlatIcon with attributions below:

Intestine: Icons made by Kirill Kazachek from www.flaticon.com is licensed by CC 3.0 BY

Heart: Icons made by Freepik from www.flaticon.com is licensed by CC 3.0 BY

Baby: Icons made by Smashicons from www.flaticon.com is licensed by CC 3.0 BY

Uterus: Icons made by Roundicons from www.flaticon.com is licensed by CC 3.0 BY

Muscle: Icons made by Vectors Market from www.flaticon.com is licensed by CC 3.0 BY

Poison: Icons made by Freepik from www.flaticon.com is licensed by CC 3.0 BY

Psych: Icons made by Those Icons from www.flaticon.com is licensed by CC 3.0 BY

Kidneys: Icons made by Smashicons from www.flaticon.com is licensed by CC 3.0 BY

House: <Icons made by Vectors Market from www.flaticon.com is licensed by CC 3.0 BY

Upper GI Bleed – General

MDM

This patient with *** presents with symptoms concerning for acute, upper GI bleed, likely secondary to ***.

Differential diagnoses includes peptic ulcer disease (PUD = most common) versus less likely gastritis versus Mallory-Weiss tear versus AVM. Presentation not consistent with esophageal or gastric variceal bleeding or Boerhaave’s syndrome. Presentation not consistent with other etiologies upper GI bleeding at this time. No red flag features or high risk bleeding. No evidence of hemorrhagic shock. Glasgow-Blatchford Bleeding (GBS) score: ***. Based on this well validated study, the patient can safely be discharged for outpatient therapy // is “high risk” for needing a medical intervention to include transfusion, endoscopy or surgery. Plan to check labs to evaluate the extent of bleeding, including H/H. Will initiate treatment with PPI. No indication for octreotide or antibiotics given low likelihood of variceal bleeding from portal hypertension and cirrhosis.*** No indication for abdominal imaging at this time.

Plan: labs, LFTs, close hemodynamic monitoring, serial reassessment, PPI therapy, Octrotide/CTX***

Rectal Bleed – Low Risk

MDM

This patient has a presentation consistent with rectal bleeding, most likely due to ***. Differential diagnosis includes ***. Low suspicion for hemorrhoids (external or internal, including thrombosed hemorrhoids), rectal ulcer (HIV, syphilis, STI) or rectal foreign body. Presentation not consistent with other acute, emergent causes of upper or lower GI bleeding. No evidence of hemorrhagic shock.

Plan to check labs to evaluate the extent of bleeding, including H/H. No indication for abdominal imaging at this time.***

Plan: CBC, serial reassessment, PMD / GI referral

Lower GIB – General

MDM

This patient presents with symptoms concerning for a lower GI bleed. Differential diagnoses include diverticulitis (most common cause) versus hemorrhoids. Less likely etiologies include angiodysplasia, cancer, IBD. Presentation not consistent with mesenteric ischemia or ischemic colitis, brisk or life threatening upper GIB as patient has no evidence of hemorrhagic shock. Plan to check labs to evaluate the extent of bleeding, including H/H. Will consent patient for blood and transfuse to goal Hb of >7 if necessary. No indication for abdominal imaging at this time.***

Plan: labs, LFTs, close hemodynamic monitoring, serial reassessment, CT AP***

Gastroenteritis – Low Risk

MDM

This patient presents with *** nausea, vomiting & diarrhea. Differential diagnoses includes possible acute gastroenteritis. Abdominal exam without peritoneal signs. Currently ***euvolemic without evidence of dehydration. No evidence of surgical abdomen or other acute medical emergency including bowel obstruction, viscus perforation, vascular catastrophe, atypical appendicitis, acute cholecystitis at this time. Presentation not consistent with other acute, emergent causes of vomiting / diarrhea at this time. No indication for abdominal imaging.

Plan: supportive care, oral // IV rehydration ***, serial abdominal exam, reassess