Kidney Stone Management Last reviewed: March 2026 MDM Templates Renal Colic — Discharge Patient presents with acute flank pain radiating to groin consistent with renal colic. Well appearing with pain controlled. No fever or pyuria to suggest infected stone. History and exam lower suspicion for AAA, appendicitis, ovarian torsion, cholecystitis, or other acute abdomen. Imaging … More Kidney Stone MDM

Red Eye MDMLast reviewed: March 2026 Contents MDM Templates Conjunctivitis Subconjunctival Hemorrhage Corneal Abrasion Corneal Foreign Body Clinical Education Approach to the Red Eye Conjunctivitis Pearls Contact Lens Wearer Red Flags HSV Keratitis Corneal Abrasion Pearls Slit Lamp Essentials Disposition References MDM Templates Conjunctivitis Patient presents with red eye, discharge, and conjunctival injection. No recent … More Red Eye MDM

Hyperglycemia Problems MDM Last reviewed: March 2026Contents MDM Templates Hyperglycemia (No DKA) Insulin Pump Hyperglycemia DKA Euglycemic DKA Clinical Education DKA vs HHS DKA Treatment Protocol Euglycemic DKA Pearls HHS Management Insulin Transition: IV to SC Airway Management in DKA Precipitant Workup Starting Insulin from the ED References MDM Templates Hyperglycemia (No DKA) Patient presents … More Hyperglycemia Problems MDM

DC super short Patient’s symptoms not typical for other emergent causes of abdominal pain such as, but not limited to, appendicitis, abdominal aortic aneurysm, surgical biliary disease, pancreatitis, SBO, mesenteric ischemia, serious intra-abdominal bacterial illness, atypical ACS. Pt tolerating PO and pain controlled. Patient will be discharged with strict return precautions and follow up with … More Abdominal Pain Low Risk (NOS Male) MDM

constellation of symptoms similar to prior flares. Low suspicion for acute cord compression or cauda equina at this time, given presentation and symptoms, including epidural abscess or hematoma. Patient has no history of malignancy, active or distant history.  Patient has no unexplained weight loss. No recent fevers, rigors, malaise, or recent infection.  No history of … More Back Pain MDM

Dizziness MDMLast reviewed: March 2026 Contents MDM Templates BPPV Vestibular Neuritis / Labyrinthitis Central Vertigo / Posterior Circulation Concern Clinical Education Approach to Dizziness The HINTS Exam Central vs Peripheral Vertigo BPPV and the Epley Peripheral Vestibular Causes Disposition References MDM Templates BPPV Patient presents with episodic positional vertigo lasting seconds, provoked by head movement. … More Dizziness MDM

Contents MDM Templates Chest Pain NOS (Low Risk) High Risk Chest Pain / NSTEMI Unstable Angina / NSTEMI Clinical Education HEART Score High-Sensitivity Troponin Pathways Hyperacute T Waves CT PE in Pregnancy Lead Misplacement LVH with Strain Pattern References MDM Templates Chest Pain NOS (Low Risk) Given History, Exam, and Workup I have low suspicion … More Chest Pain MDM

Atrial Fibrillation MDM Last reviewed: March 2026Contents MDM Templates Paroxysmal / New-Onset AFib AFib with RVR Procedure Notes Synchronized Cardioversion Clinical Education Rate Control Agents Cardioversion Pearls Anticoagulation & CHA₂DS₂-VASc AFib with Heart Failure AFib with WPW ED Workup References MDM Templates Paroxysmal / New-Onset AFib Patient with new-onset / paroxysmal atrial fibrillation presenting with … More Atrial Fibrilation

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), … More aFIB paroxysmal, reverted