presenting with altered mental status, characterized as decreased responsiveness that was discovered today by a family member. Currently, the symptoms are persistent. The last known well time is unknown. No recent head trauma, illicit drug use, medication changes. There is associated generalized weakness with difficulty standing and walking. The patient’s usual cognition is alert and … More AMS NOS HPI

HPI presenting with altered mental status, characterized as decreased responsiveness that was discovered today by a family member. Currently, the symptoms are persistent. The last known well time is unknown. No recent head trauma, illicit drug use, medication changes. There is associated generalized weakness with difficulty standing and walking. The patient’s usual cognition is alert … More AMS NOS Note

presents after unknown chemical exposure to eye Therapies Initial irrigation  with fresh water followed by two liters of liquid through Morgan lens Proparacaine eye drop for analgesia pH pre-irrigation 7.0-7.2 pH post irrigation 7.0-7.2 Doubt significant alkali injury. Slit Lamp Exam shows no corneal abrasion.

HIV Diarrhea MDMLast reviewed: March 2026 Contents MDM Templates HIV Diarrhea — Stable / Low Risk HIV Diarrhea — Concern for Opportunistic Infection Clinical Education Diarrhea Differential by CD4 Stool Studies in HIV ART-Related Diarrhea References MDM Templates HIV Diarrhea — Stable / Low Risk Patient with HIV (on HAART, CD4 ***, viral load ***) … More HIV Diarrhea

Diplopia MDMLast reviewed: March 2026 Contents MDM Templates Monocular Diplopia Binocular Diplopia — Benign / Discharge Binocular Diplopia — Emergent Workup Clinical Education Monocular vs Binocular Cranial Nerve Palsies Dangerous Causes Myasthenia Gravis Pearls Giant Cell Arteritis Disposition References MDM Templates Monocular Diplopia Patient presents with diplopia that persists when the unaffected eye is covered … More Diplopia MDM

presents with ___ days of moderate eye discomfort of the ___ eye. The patient says the initiating event is unclear. The patient ___ does not wear contact lenses. There was not exposure to ultraviolet light such as a welding arc or tanning booth. Denies F/N/V/D. Denies FB sensation. Not worsened with eye movement. No significant … More Eye Problem HPI

Appendicitis MDMLast reviewed: March 2026 Contents MDM Templates Uncomplicated Appendicitis Complicated / Perforated Appendicitis Antibiotics-Only Management (CODA Protocol) Clinical Education Diagnosis Pearls Alvarado and AIR Scores Imaging Approach Antibiotic Selection The CODA Trial Special Populations Disposition References MDM Templates Uncomplicated Appendicitis Patient presents with right lower quadrant abdominal pain. Imaging confirms acute uncomplicated appendicitis without … More Appendicitis MDM

Uvula: without deviation or edema. Uvula midline. Soft palate: without swelling Sublingual: normal appearance/no brawny edema or tongue elevation Teeth and gums: No periapical swelling or pus expression, no tooth fracture, no gingival swelling, no active oral bleeding. Tonsils: without pus.

No fevers. No steroid use or immunosuppressive state. No pus from mouth. No tooth fracture. No recent facial trauma. Otherwise well with no changes to vision, no dysphagia, no dysphonia.

presents with watery, brown, diarrhea, occurring less than 10 times per day. There is no blood in the stool. No recent camping, travel, or antibiotic use. There are occasional mild abdominal cramps, but generally no pain. Symptoms are not worsened or improved by anything. Denies fever. No known sick contacts. Denies LOC.