Emergency Medicine

E M E R G E N C Y M E D I C I N E

MDM Template

@NAME@ is a @AGE@ year-old @SEX@ presenting to the emergency department for "@CHIEFCOMPLAINT@." Vitals reviewed. Physical exam per above. Relevant labs/imaging ordered. Will treat patient symptomatically.

Differential diagnosis considered, but not limited to:

You were seen in the Emergency Department for ***. You were found to have ***.

Please see the attached documentation to follow-up with the proper providers to ensure continued care outside of the Emergency Department.

D I F F E R E N T I A L S D I A G N O S I S

Angina

Dyspnea

Abdominal Pain

Headache

Numbness/Parasthesia

Blurry Vision

Dizziness/Vertigo/Light Headedness

Back Pain

Pediatric Differentials

Inconsolable Crying: Intestinal Colic, Trauma, Infections, Incarcerated Hernia, Testicular Torison, Anal Fissure, Volvulus, Intussception

Tachypnea: Pneumonia, Bronchiolitis, Aspiration, Sepsis, CNS Infection, Metabolic Acidosis, Diaphragmatic Hernia, Tracheosophgeal Fistula/Stenosis/Web, CHF (aortic stenosis, coarctation, PDA), Cyanotic Heart Diseases (TOF), Botulism

Emesis: NAT, Infections, Hepatobiliary Disease (+jaundice), Inborn Errors of Metabolism (dec. BG + met acidosis), Malrotation, Pyloric Stenosis, Incarcerated Hernia

Diarrhea: Infections (rotavirus, salmonella, shigella), Overfeeding, Food Allergy, Intussception, partial obstruction, inflammatory disorders, immunodeficiencies, endocrinopathies, lactase deficiency (2/2 infections)

Hematochezia: Cow's milk or soy intolerance (allergic colitis), anal fissue, colitis, intusseception, salmonella, shigella

Neonatal Jaundice: Physiologic, Sepsis, Breast milk jaundice

Pneumonia: GBS (neonates), Strep Pneumonia, H. influenzae, Chlamidya

Pneumonia || Most common in neonates is caused by Group B Streptococcus. Other common pathogens are: Streptococcous Pneumonia, Hemophilus Influenzae, Chlamydia. Patients with Chlamydia are afebrile, tachypneic, staccato cough, conjunctivitis, and hyperinflation. Viral causes are RSV, Adenovirus, Parainfluenza Virus, and Pertussis.

Bronchiolitis || Large-droplet precautions. Caused by RSV. Mucous plugging from necrosis of respiratory epithelium and submucosal edema causes airway narrowing, which causes increased work of breathing and increased airway resistance. Patients present with wheezing, tachypnea, dyspnea, and a low-grade fever. Treatment with nebulized epinephrine

Page updated

Google Sites

Report abuse