Eyelid Problems MDMLast reviewed: March 2026 Contents MDM Templates Hordeolum (Stye) Chalazion Preseptal (Periorbital) Cellulitis Orbital Cellulitis Concern Dacryocystitis Dacryoadenitis Clinical Education Preseptal vs Orbital Cellulitis Hordeolum and Chalazion Pearls Dacryocystitis and Dacryoadenitis Blepharitis Disposition References MDM Templates Hordeolum (Stye) Patient presents with a tender, localized swelling of the eyelid consistent with a hordeolum. Vision … More Eyelid Problems MDM

Blast Injury MDMLast reviewed: March 2026 Contents MDM Templates Blast Exposure — Observation and Discharge Blast Injury — Significant / Admit Clinical Education Blast Injury Classification Tympanic Membrane Rupture Blast Lung Deadly Complications Burns and Lacerations Pregnant Patients References MDM Templates Blast Exposure — Observation and Discharge Patient presents after proximity to an explosion. Airway … More Blast Injury MDM

Thrombocytopenia and Petechiae MDMLast reviewed: March 2026 Contents MDM Templates ITP Vasculitis Clinical Education Approach to Thrombocytopenia ITP Management TTP Recognition Vasculitis Pearls Drug-Induced Thrombocytopenia References MDM Templates ITP Patient presents with bleeding/bruising/petechiae. Well appearing, no signs of hemodynamic compromise. History and exam lower suspicion for TTP (no fever, no neuro changes, no renal dysfunction), … More Thrombocytopenia and Petechiae MDM

Hernia MDMLast reviewed: March 2026 Contents MDM Templates Reducible Hernia Incarcerated Hernia Strangulated Hernia Clinical Education Hernia Types Reduction Technique Incarcerated Hernia Pearls Signs of Strangulation Special Hernias Disposition References MDM Templates Reducible Hernia Patient presents with pain and swelling at a known hernia site. Hernia sac is soft and nontender. No signs of intestinal … More Hernia MDM

Hand and Finger Problems MDMLast reviewed: March 2026 Contents MDM Templates Finger Dislocation Distal Finger Amputation Thumb Fracture Finger Tendon Injury Finger Nerve Injury Paronychia Felon Herpetic Whitlow Procedure Notes Finger Reduction Clinical Education Flexor Tendon Zones Nerve Repair Timing Amputation Pearls Thumb Fracture Classification Hand Infection Pearls Flexor Tenosynovitis References MDM Templates Finger Dislocation … More Hand and Finger Problems MDM

Knee arthrocentesis The patient’s ___ knee was addressed. A time out was undertaken to determine that this was the correct patient and the correct procedure for this patient. Written consent was obtained with appropriate read back of understanding. The knee was placed and approximately 15° of flexion. The ___ medial aspect of the knee was … More Arthrocentesis and Bursal Aspiration Procedures

MDM Nonseptic in appearance. Low c/f osteomyelitis or DVT. No immune compromise, bullae, pain out of proportion, or rapid progression c/f necrotizing fasciitis. ED Intervention: Patient’s abscess has been incised with acceptable resolution Rx: Bactrim DS BID x 5 days Disposition: At this point, patient is stable for discharge, advised to follow up with primary care … More Abscess MDM

Thoracentesis THORACENTESIS PROCEDURE NOTE INDICATION: Diagnostic evaluation and therapeutic treatment of a pleural effusion. INFORMED CONSENT: The risks of the procedure including bleeding, pneumothorax, and infection were explained to the patient. The patient verbalized their understanding of the procedure, the risks, benefits and alternatives and wished to proceed. PROCEDURE: With the patient in a sitting … More Thoracentesis Procedure

Hip and Pelvis Problems MDMLast reviewed: March 2026 Contents MDM Templates Hip Fracture Hip Dislocation Pelvic Fracture — Stable Pelvic Fracture — Unstable Procedure Notes Fascia Iliaca Block Hip Reduction Clinical Education Hip Fracture Pearls Occult Hip Fracture Hip Dislocation Pearls Pelvic Fracture Classification Fascia Iliaca Block Pearls Elderly Falls — The Bigger Picture References … More Hip and Pelvis Problems MDM

Acute Motor Weakness MDMLast reviewed: March 2026 Contents MDM Templates Guillain-Barré Syndrome Transverse Myelitis Myasthenia Gravis / Myasthenic Crisis Central Cord Syndrome Clinical Education Approach to Acute Weakness Localization Table GBS Pearls Myasthenia Gravis Pearls Spinal Cord Syndromes Disposition References MDM Templates Guillain-Barré Syndrome Patient presents with ascending symmetric weakness and areflexia developing over days. … More Acute Motor Weakness MDM