Emergency Medicine Dot Phrases

CHF, COPD, aFIB, and DM2 p/w 3d cough, worsening SOB, and one day of nausea/vomiting c/f acute decompensated HF. BUS shows moderately reduced EF though hard to assess given tachycardia. aFib w RVR present on admission. Active smoker. Unlikely PE: sustained tachycardia more likely from afib, SOB but not on any exogenous estrogen, no recent travel or operations, no CA history, ambulatory at home. Possible COPD exacerbation: new cough, h/o COPD, wheezing on initial exam Unlikely tamponade. Unlikely MI- trop indeterminate, will trend trop and ekg inpatient, possibly demand ischemic elevation. Not PTX: normal CXR, bilateral lung sounds Not Esophageal rupture: no dysphagia Not PNA:  SOB, cough, but afebrile and CXR negative Pt in mild to moderate acute decompensated HF currently in mild respiratory distress and has not responded to rate control with 10mg Dilt; Bblockers contraindicated. Treating for CHF with Lasix IV and considering amiodarone as well as digoxin as a secondary agent. ...

yo F w new onset paroxysmal aFIB symptomatic w SOB when in aFIB w RVR. No known underlying etiology, no h/o HF, CVA, hyperthyroidism; no symptoms of infection, unlikely MI. In the ED we drew basic labs and assessed for infection with UA, CXR, and blood cultures as well as cardiac markers (Trop and BNP), TSH. Uncertain historical reliability w history of onset; will defer cardioversion. CHADS VASC score: Plan vagal maneuvers followed by 0.25mg/kg Diltiazem if aFIB w RVR recurs

Normal Eye EXT (external structures): normal LLL (lids lashes and lacrimation): No lesions CS (conjunctiva and sclera): White And Quiet K (cornea): No Fluorescein Uptake AC (anterior chamber): Deep and Quiet I (iris): Round and Reactive L (lens): Clear

aFIB paroxysmal, reverted yo F w new onset paroxysmal aFIB symptomatic w SOB when in aFIB w RVR. No known underlying etiology, no h/o HF, CVA, hyperthyroidism; no symptoms of infection, unlikely MI. In the ED we drew basic labs and assessed for infection with UA, CXR, and blood cultures as well as cardiac markers (Trop and BNP), TSH. Uncertain historical reliability w history of onset; will defer cardioversion. CHADS VASC score: Plan vagal maneuvers followed by 0.25mg/kg Diltiazem if aFIB w RVR recurs aFIB + RVR + CHF CHF, COPD, aFIB, and DM2 p/w 3d cough, worsening SOB, and one day of nausea/vomiting c/f acute decompensated HF. BUS shows moderately reduced EF though hard to assess given tachycardia. aFib w RVR present on admission. Active smoker. Unlikely PE: sustained tachycardia more likely from afib, SOB but not on any exogenous estrogen, no recent travel or operations, no CA history, ambulatory at home. Possible COPD exacerbation: new cough, h/o COPD, wheezing o...