Abdominal Pain MDMLast reviewed: March 2026 Contents MDM Templates Low Risk / NOS (Male) Low Risk / NOS (Female) Surgical / Acute Abdomen Clinical Education Red Flags & Don’t-Miss Diagnoses Cross-Sectional Imaging Considerations Appendicitis Pearls Biliary Disease Pearls Pancreatitis Pearls SBO Pearls Mesenteric Ischemia AAA Pearls Special Populations Pregnancy Elderly / Atypical Presentations References MDM … More Abdominal Pain General MDM

Anal Fissure Pt p/w tearing pain at rectum during defecation, rectal bleeding, and a linear tear noted at the posterior midline of the rectum. Bleeding is bright red and small in quantity. Symptoms have lasted less than 6 weeks. Pt is immunocompetent. Unlikely NAT, autoimmune, or malignant causes of the fissure. Plan WASH regimen: warm water- sitz … More Anal Fissure MDM

AnoRectal Problems MDMLast reviewed: March 2026 Contents MDM Templates Hemorrhoids Thrombosed External Hemorrhoid Perianal Abscess Anal Fissure Rectal Foreign Body Procedure Notes Perianal Abscess I&D Hemorrhoid Thrombectomy Clinical Education Hemorrhoid Pearls Perianal Abscess Pearls Anal Fissure Pearls Pilonidal Abscess Rectal Prolapse Rectal Foreign Body Pearls Red Flags References MDM Templates Hemorrhoids Patient presents with rectal … More AnoRectal Problems MDM

Painful Traumatic Vision Loss MDMLast reviewed: March 2026 Contents MDM Templates Traumatic Hyphema Traumatic Iritis Chemical / Caustic Ocular Injury Clinical Education Approach to Traumatic Eye Pain Hyphema Pearls Traumatic Iritis Pearls Chemical Injury Pearls Globe Rupture Red Flags Disposition References MDM Templates Traumatic Hyphema Patient presents with eye pain and decreased visual acuity after … More Painful Traumatic Vision Loss MDM

General Low Risk Chest Pain: Location: Central chest Duration: Intermittent for 1 day Quality: Pressure-like Severity: Moderate Timing: Constant; intermittently worsens Modifying factors: None, appears to have no overt relationship to exertion, food intake, or other Associated signs and symptoms: Denies palpitations, diaphoresis, radiation of pain to arm, tearing to back. Denies F/N/V/D. Denies shortness … More Chest Pain Low Risk HPI

patient presents to ED with complaint of epigastric pain. Pain described as burning, gradual, and episodic. Patient is not diaphoretic during pain. No radiation to arm. Denies exertional component. Pt denies personal history of cardiac disease and family history of cardiac disease under the age of 50yo. Reports no specific relationship with fatty meals. No … More GERD HPI

Pt presents with sudden, painless loss of vision in ___ eye. Denies recent trauma, headache, slurred speech, motor and sensory deficits. Denies eye pain. Does not wear contact lenses or glasses. Denies h/o stroke. Afferent pupillary defect and significantly reduced visual acuity in affected eye (> 20/200). No carotid bruits. Workup: ECG, CBC, coag panel, echocardiogram (for emboli), … More EYE CRAO MDM

Pt presents with BRBPR.   PEARLS: “Factors associated with a high morbidity rate are hemodynamic instability, repeated hematochezia, gross blood on initial rectal examination, initial hematocrit <35%, syncope, nontender abdomen (predictive of severe bleeding), aspirin or non- steroidal anti-inflammatory drug use (predictive of diverticular hemorrhage), and more than two comorbid conditions.” Discharge Bleeding from hemorhhoids, … More Lower GI Bleed MDM

patient presents with red eye and unilateral vision loss to the ___ eye. Not diabetic, immunosuppressed, or IVDU. Patient is not a contact lens wearer. Visual Acuity: markedly decrease in the affected eye. Uveitis and hypopyon visualized on exam. No evidence of globe rupture. IOP: elevated. ED Workup: CBC, ESR Consult: Ophthalmology for Cx and … More EYE Endophthalmitis MDM

Sympathomimetic Toxicity MDMLast reviewed: March 2026 Contents MDM Templates Sympathomimetic Toxicity — Mild Sympathomimetic Toxicity — Severe Cocaine-Associated Chest Pain Body Packer / Body Stuffer Clinical Education Sympathomimetic Toxidrome Cocaine Pearls Methamphetamine Pearls Agitation Management Cocaine Cardiac Complications Disposition References MDM Templates Sympathomimetic Toxicity — Mild Patient presents with agitation, diaphoresis, mydriasis, and tachycardia consistent … More Sympathomimetic Toxicity MDM