Torsades de Pointes MDMLast reviewed: March 2026 Contents MDM Templates Acquired Torsades de Pointes (Stable) Torsades de Pointes (Unstable/Arrest) Congenital Long QT Syndrome Clinical Education QT Prolongation: Causes and Risk Factors Acquired vs Congenital Torsades de Pointes Magnesium Dosing and Monitoring Potassium Repletion and Electrolyte Management Overdrive Pacing and Rate Control Isoproterenol and Catecholamine Therapy … More Torsades de Pointes MDM

Pertinent Positives: + pain with eye movement, + decreased visual acuity, + APD Pertinent Negatives: No recent fever, sinus pressure, rhinorrhea, neck trauma or rapid neck rotational force, floaters, field cut. No neurologic deficits consistent with stroke.   Given History and Exam I have a low suspicion for Uveitis, complicated sinusitis, stroke, carotid dissection, retinal detachment, … More Optic Neuritis (MS) MDM

Urinary Retention MDM Last reviewed: March 2026 Contents: Templates | Education | References MDM Templates Acute Urinary Retention — Discharge with Catheter Patient presents with acute urinary retention. Well appearing without signs of sepsis. No history or exam findings suggestive of cauda equina, spinal cord compression, or intra-abdominal mass. Foley catheter placed with *** mL … More Urinary Retention MDM

AMA I have reviewed the relevant issues with the patient. They are aware of the suspected diagnosis suggested by limited medical exam : *** Capacity Assessment: Patient demonstrating all four key elements of capacity. The patient demonstrates understanding and appreciation of the relevant information of the nature of their medical condition, as well as the … More AMA – Capacity – Malingering

Normal Constitutional: Pt is oriented to person, place, and time. Pt appears well-developed and well-nourished. HENT: Head: Normocephalic and atraumatic. Mouth/Throat: Oropharynx is clear and moist. No hematomas or lacerations or abrasions to face or scalp OP clear, no blood, no malocclusion, dentition intact Nares clear, no nasal septal hematoma TMs clear, no hemotympanum Midface stable … More Trauma Physical Exam

Hematuria Management Last reviewed: March 2026 MDM Templates Gross Hematuria — Stable Discharge Patient presents with gross hematuria. Well appearing, hemodynamically stable. No flank pain to suggest obstructing stone or mass. No suprapubic tenderness or urinary retention. History and exam lower suspicion for renal mass, infected stone, trauma, coagulopathy, or other emergent cause. UA obtained. … More Hematuria MDM

Hyperthyroidism / Thyroid Storm: Management Decision Model Hyperthyroidism / Thyroid Storm MDM Last reviewed: March 2026 Contents Clinical Templates Burch-Wartofsky Point Scale Treatment Cascade: The Critical Order Precipitant Search Amiodarone-Induced Thyrotoxicosis Myxedema Coma: The Opposite Emergency Disposition References Clinical Templates Hyperthyroidism — Asymptomatic or Mild The patient is tachycardic but hemodynamically stable with no end-organ … More Hyperthyroidism/Thyroid Storm MDM

    Post-reduction Note Hematoma block, hanged with finger traps, and manipulated with axial traction-countertraction, with manipulation including initial dorsal angulation then volar angulation, with continued traction. S/p reduction, alignment grossly improved, no stepoffs, and distal fragment reinserted back to normal length. Neurovascular exam same as prior to reduction

HIV Chest Pain MDMLast reviewed: March 2026 Contents MDM Templates Low-Risk Chest Pain in HIV Chest Pain with Concern for ACS or Opportunistic Process Clinical Education HIV and Cardiovascular Risk Pulmonary Differential in HIV CD4 Count Framework References MDM Templates Low-Risk Chest Pain in HIV Patient with HIV (on HAART, CD4 ***, viral load ***) … More HIV Chest Pain MDM

Hypoglycemia: Management Decision Models Emergency Medicine Clinical Education Hypoglycemia MDM Last reviewed: March 2026 Contents Clinical Templates Dextrose Formulations Sulfonylurea Pearls Pediatric Hypoglycemia Non-Diabetic Hypoglycemia Disposition Insulin Pump Pearls References Clinical Templates Hypoglycemia — Insulin User This is the most common presentation of hypoglycemia in the ED. The typical scenario involves a patient on insulin—either … More Hypoglycemia MDM