You have been evaluated in the Emergency Department today for your psychiatric complaint. You were evaluated by both Emergency Medicine and Psychiatry staff and have been cleared to go home.
Please follow up with your psychiatrist within 2-3 days. Please use the resources given to you in the Emergency Department.
Return to the Emergency Department if you experience thoughts of hurting yourself or others, audio or visual hallucinations, or for any other concerning symptoms.
This patient presents with symptoms consistent with acute anxiety reaction / panic attack. Low suspicion for acute cardiopulmonary process including ACS, PE, or thoracic aortic dissection. Denies any ingestions or any other medical complaints. No evidence of alcohol withdrawal symptoms. Presentation not consistent with overt toxidrome, ingestion given history & physical. Presentation not consistent with organic or medical emergency at this time. No acute indication for psychiatric consultation (without SI/HI, AH/VH). Cautious return precautions discussed with full understanding.
Plan: Rx ***, Psych follow up PRN
This patient presents with symptoms consistent with an underlying psychiatric disorder, most likely ***. Differential diagnosis includes ***. Presentation not consistent with acute organic causes to include delirium, dementia or drug induced disorders (acute ingestions or withdrawal; no evidence of toxidrome). Given the H&P, I suspect this patient is ***suicidal/homicidal/gravely disabled and will require psychiatric care. Will consult psychiatry to evaluate the patient for potential hold for ***. Will also obtain labs for medical clearance.
Plan: labs***, EKG***, ASA/APAP levels***, ETOH level***, UDS***, ICON***, Psych consult, medical detainment, reassess
EM DOT PHRASES 