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DC Inst – STI

DC

You have been evaluated in the Emergency Department today for your ***. You were tested today for gonorrhea and chlamydia and the results are still pending; you have been given treatment for these infections presumptively anyway. You will receive a phone call in~3 days if the results are positive. You should follow up with your primary care provider for further STI testing.

***Please take your prescribed antibiotics for the full course of the medication as directed.

Please follow up with your primary care physician within two days.

Return to the Emergency Department if you experience fevers 100.4° or greater, worsening or uncontrolled pain, rashes, sores, vomiting, or for any other concerning symptoms.

Thank you for choosing us for your care.

DC Inst – Penile Pain

DC

You were examined in the UCLA Emergency Department today for penile pain. Your physical exam suggests that XXXX.

Please follow up with your primary care physician within two days.

Return to the Emergency Department immediately if you experience worsening penile pain, increasing discharge or redness from the penis, fevers or any other concerning symptoms.

Thank you for choosing us for your care.

Pyelonephritis – General

MDM

Patient presenting with flank pain and fever. Differential included UTI, pyelonephritis, diverticulitis, nephrolithiasis, appendicitis. Also considered but less likely given history and physical exam included constipation, bowel perforation, gastritis, pancreatitis, mesenteric ischemia. Patient febrile and provided with tylenol.

Plan: labs, UA/cx, bedside ultrasound for hydro/stone, ***CT A/P, pain control, reassessment, antibiotics, anticipate admission/discharge

UTI – Low Risk

MDM

This *** patient presents with symptoms consistent with acute uncomplicated cystitis. No systemic symptoms. Not septic. Well appearing. Low suspicion for acute pyelonephritis given lack of fever, CVAT, or systemic features. Low suspicion for kidney stone or infected stone. ***ICON negative; not consistent with pregnancy, including ectopic. No indication for labs or imaging at this time.

Plan: UA, UCx, antibiotics***