Sxs concerning for re-expression of prior stroke sxs, and notably pt has had more urinary frequency concerning for infection from urinary source though UA neg***. Other infectious sources neg (CXR showed no evidence of PNA, and pt afebrile, no evidence of leukocytosis or other SIRS physiology). No e/o metabolic derangements. However would also consider TIA … More TIA MDM

Scrotal/Testicular Problems MDM Last reviewed: March 2026 Contents: Templates | Education | References MDM Templates Testicular Pain — Benign (Epididymitis/Orchitis) Discharge Patient presents with scrotal pain. Ultrasound shows normal testicular blood flow with epididymal enlargement and hyperemia consistent with epididymitis. No torsion, abscess, or Fournier gangrene on exam or imaging. History and exam lower suspicion … More Scrotal/Testicular Problems MDM

Throat Problems MDM Last reviewed: March 2026Contents MDM Templates Sore Throat NOS Peritonsillar Abscess (PTA) Retropharyngeal Abscess (RPA) Epiglottitis Clinical Education The Dangerous Sore Throat PTA Pearls RPA Pearls Ludwig’s Angina Epiglottitis Pearls Lemierre Syndrome Strep Pharyngitis & Centor References MDM Templates Sore Throat NOS No history of immunocompromised state. Nontoxic appearance. No trismus. No … More Throat Problems MDM

Seizure MDMLast reviewed: March 2026 Contents MDM Templates First-Time Seizure Known Epilepsy — Breakthrough Seizure Status Epilepticus Clinical Education Approach to Seizure in the ED Provoked vs Unprovoked Status Epilepticus Management Recurrence Risk When to LP Disposition References MDM Templates First-Time Seizure Patient presents after a witnessed generalized tonic-clonic seizure with appropriate postictal period and … More Seizure MDM

Trauma (MVA, other) MDMLast reviewed: March 2026 Contents MDM Templates Mild / Moderate MVA — Discharge Trauma Activation Clinical Education Reassuring Exam Factors C-Spine Injury Pearls Spinal Cord Syndromes Splenic Laceration Pearls Hemorrhagic Shock Classification Neurogenic vs Spinal Shock Delayed Injury Presentations References MDM Templates Mild / Moderate MVA — Discharge Patient presents after motor … More Trauma (MVA, other) MDM

Pt is a  yo M who presents after causing a linear laceration to his  ,  hours ago. XR shows no fracture, dislocation, or foreign body. Laceration unlikely contaminated requiring ABX. Clean bottom of a bloodless field was witnessed on exam. Neurosensory exams and circulation appropriate distal to the wound. FROM. Wound closed with nonabsorbable sutures … More Laceration MDM

Headache MDM Last reviewed: March 2026 Contents MDM Templates Benign Headache Clinical Education Migraine Treatment Red Flags – SNNOOP10 Ottawa SAH Rule CT Timing and LP Decision CTA vs LP – Shifting Practice ED Migraine Treatment (2025 AHS Update) References MDM Templates Benign Headache Based on history and normal neurological exam I have low suspicion … More Headache MDM

UGIB LGIB UGIB + abdominal pain + mixed coffee ground and bright red hematemesis + black stool per rectum Has been admitted to ICU previously for similar presentation. Given history and exam patient’s presentation most consistent with upper GI bleed possibly secondary to peptic ulcer disease or variceal bleeding. I have low suspicion for aortoenteric … More GI Bleed MDM

No history of tobacco or alcohol abuse, otherwise healthy, p/w atypical chest pain, subacute worsening of chronic pain. No overt risk factors for ACS and EKG and troponinwithout overt e/o NSTEMI. Low Wells score with low risk for PE and no significant hypoxia. Unlikely PNA or PTX. Given chronicity, low s/f dissection. No RUQ pain … More GERD MDM