DC Back Pain

You were evaluated in the Emergency Department today for back pain. Your evaluation suggests no acute abnormalities which require further intervention at this time.  – Move around as tolerated but avoiding heavy lifting. “Bed rest” is not recommended nor is it the best treatment for low back pain. – Medications will help control your discomfort: … More DC Back Pain

MSK Exams

Shoulder Appearance of Glenohumeral joint normal Nontender Clavicle and Humerus Sensation over deltoid in tact Neurovascular exam distally in tact per routine Compartments surrounding are soft Elbow Distal humerus nontender Olecranon nontender Medial and Lateral epicondyles nontender Full Range of Motion with full strength Neurovascular exam distally in tact per routine Compartments surrounding are soft Knee … More MSK Exams

Hand Exam images

Isolation of each digit Index F: FDS, FDP, extension intact with PROM against resistance. No pain on movement. RDN/UDN intact. 2 pt discrimination intact. CR < 2s. Soft compartment. No gross deformity. Middle F: FDS, FDP, extension intact with PROM against resistance. No pain on movement. RDN/UDN intact. 2 pt discrimination intact. CR < 2s. … More Hand Exam images

Shoulder Problems MDM

Shoulder Problems MDMLast reviewed: March 2026 Contents MDM Templates Shoulder Dislocation Clavicle Fracture Proximal Humerus Fracture AC Separation Rotator Cuff Injury Procedure Notes Shoulder Reduction Subacromial Injection Clinical Education Shoulder Dislocation Pearls Clavicle Fracture Pearls Proximal Humerus Fracture Pearls AC Separation Grading Rotator Cuff Pearls Scapular Fracture Pearls References MDM Templates Shoulder Dislocation Patient presents … More Shoulder Problems MDM

PNA PEDs MDM

Pneumonia PEDs MDMLast reviewed: March 2026 Contents MDM Templates PNA — Outpatient PNA — Admit PNA — Complicated / Empyema Concern Clinical Education Diagnosis Age-Based Pathogens and Antibiotics Viral vs Bacterial Parapneumonic Effusion and Empyema Disposition References MDM Templates PNA — Outpatient Child presents with cough, fever, and focal findings on auscultation. Well appearing, no … More PNA PEDs MDM

Vomiting PEDs MDM

BENIGN Pt is fully immunized, presenting with ___ days of NBNB emesis. Afebrile, nontoxic appearing, no abdominal pain or peritoneal signs on exam. Given well appearing status and history, low suspicion for frank obstruction/voluvulus/malrotation, intussusception, torsion, UTI, or significant intra-abdominal infection including atypical appendicitis.  No e/o head trauma or abuse; doubt ICH. Euvolemic on exam. … More Vomiting PEDs MDM

Ear Problems MDM

Ear Problems MDM Last reviewed: March 2026Contents MDM Templates Acute Otitis Media (AOM) Otitis Externa Mastoiditis Perichondritis Clinical Education AOM Pearls Otitis Externa Pearls Malignant Otitis Externa Otomycosis Mastoiditis Pearls Perichondritis Pearls Tympanic Membrane Perforation Ear Foreign Body References MDM Templates Acute Otitis Media (AOM) Exam and history most consistent with AOM. I do not … More Ear Problems MDM

Wrist Pain MDM

RHD pt with right wrist pain after ____. Neurovascularly intact with intact active full range of motion of wrist. Mild pain with passive motion over UCL. Will x-ray to rule out fracture. If negative, discussed RICE, early mobilization, brace for comfort and follow up with hand as needed.

UTI (male) MDM

___yo Male patient with no significant medical history who presents with UTI without overt e/o infected stone or prostatitis. BUS w/o overt e/o hydronephrosis. Rectal w/o e/o abscess formation, deep space infection or prostatitis. No e/o epididymo-orchitis on exam. Abdomen benign with minimal suprapubic TTP. Febrile, but otherwise well appearing and reliable. –  Given dose … More UTI (male) MDM