Patient presents with urinary retention for _ days. Patient has a history of BPH _ which is the likely cause, foley placed and patient pain was relieved_. Considered other etiologies but given history, exam and workup have low suspicion for cauda equina, infectious etiology (pyelonephritis or cystitis), constipation induced retention, intraabdominal mass, trauma, nephrolithiasis, urolithiasis, drug reaction. Urology was consulted_ and patient will follow up with them for trial of void. Patient prescribed flomax_.
Patient presents with flank pain likely secondary to renal colic from likely non-obstructed non infected kidney stone. Given history, exam, and work up I have low suspicion for atypical appendicitis, genital torsion, acute cholecystitis, AAA, infected obstructed stone, pyelonephritis, or other emergent intraabdominal pathology.
Patient presents with flank pain and is found to have a kidney stone that is obstructed with signs of infection concerning for infected obstructed kidney stone so Urology was consulted and patient to be taken to OR with urology for stent placement to relieve obstruction. Patient given fluids and ceftriaxone. Considered and doubt other acute emergent abdominal pathology (appendicitis, biliary pathology, diverticulitis, AAA, genital torsion).
Patient presenting with flank/back pain and fever.<unk> ial included UTI, pyelonephritis, diverticulitis, nephrolithiasis, appendicitis, cholangitis_. Also considered but less likely given history and physical exam included constipation, bowel perforation, gastritis, pancreatitis, mesenteric ischemia, genital torsion_. Patient febrile and given tylenol and normal saline bolus_. Given ceftriaxone and prescribed cefdinir/keflex_. Follow up with PMD this week. Return precautions given.
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. Upreg negative so doubt ectopic pregnancy_. Low suspicion for ovarian torsion, PID, or appendicitis.
This patient presents with dysuria_; vaginal discharge_; penile discharge_ and a history consistent with possible STI.<unk> ial includes simple cystitis, pyelonephritis, epididymitis_. Based on history and physical no signs of PID_ epididymitis or orchitis_, or pyelonephritis at this time_. Will send UA and empirically treat for gonorrhea/chlamydia with IM CTX and PO doxycycline.
MDM for different chief complaints
Critical care documentation
Combative patient
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ACEP clinical policies
Expedited partner therapy
SCVMC:CUSTODY CARE
FALLS protocol