Traumatic Arrest MDM Last reviewed: March 2026 Quick Links: MDM Templates Clinical Education References MDM Templates Traumatic Arrest — Blunt Mechanism Patient presented in cardiac arrest following blunt mechanism trauma (*** injury). No signs of life on EMS arrival; CPR initiated by bystanders/EMS. Transport time to ED *** minutes. On arrival, patient remains pulseless and … More Traumatic Arrest MDM

presents with pelvic pain. UA normal. Negative pregnancy test. The cause of the patient’s pelvic pain is unclear. However, based on history, exam, and testing, I do not suspect that there is an emergency cause of the pain, such as, but not limited to, ectopic pregnancy, tubo-ovarian abscess, ovarian torsion, severe hemorrhagic cyst, severe pelvic … More Pelvic Pain MDM

Nail Problems MDMLast reviewed: March 2026 Contents MDM Templates Ingrown Toenail Subungual Hematoma Nailbed Laceration Procedure Notes Partial Nail Removal Nail Trephination Nailbed Laceration Repair Clinical Education Ingrown Toenail Pearls Subungual Hematoma Pearls Nailbed Laceration Pearls References MDM Templates Ingrown Toenail Patient presents with pain and swelling around the nail fold consistent with ingrown toenail. … More Nail Problems MDM

Patient has history of previous seizures. Seizure frequency about ___. Last seizure ___ ago. Seizure was witnessed. No recent missed medication. No recent changes in medication. Denies eliciting factors such as drug use, sleep deprivation or recent illnesses. Character of the seizure is described as loss of consciousness with general tonic clonic movements. No recent … More Seizure HPI

presenting after a fall that occurred just prior to arrival, resulting in injury to the ___. The mechanism of injury was a mechanical ground level fall without syncope or near-syncope. The current level of pain is moderate. There was no loss of consciousness, confusion, seizure, or memory impairment. There ___ is not a laceration associated … More Fall-Mechanical-Ground Level HPI

OMFS and Ophtho Injuries MDMLast reviewed: March 2026 Contents MDM Templates Orbital Wall Fracture Globe Rupture Facial Fracture — General Clinical Education Orbital Fracture Pearls White-Eyed Blowout Globe Rupture Pearls When to Wake Up Ophthalmology Facial Laceration Nerve Blocks References MDM Templates Orbital Wall Fracture Patient presents with periorbital swelling and pain after blunt facial … More OMFS and Ophtho Injuries

HPI:   here for clearance for jail. Patient has no specific complaints ROS: Negative for vomiting; negative for significant head trauma. 10 point review of systems performed and is negative. Physical Exam: General: well developed patient in no distress HEENT: no icterus, oropharynx clear, extraocular muscles intact. Cardiovascular: regular rate and rhythm Respiratory: normal respiratory … More OK to Book Note

Presents with symptoms of sore throat x ___ days.   Pain viewed as moderate. No exacerbating or relieving factors. No fever, endorses cough. Denies neck stiffness or vomiting. No muffled voice. No IVDU or known HIV exposure. No new rash, abdominal pain, nausea, vomiting.

Transplant Heart Problems MDMLast reviewed: March 2026 Contents MDM Templates Cardiac Transplant — General Cardiac Transplant — Dysrhythmia Cardiac Transplant — Rejection Clinical Education The Denervated Heart Cardiac Allograft Vasculopathy Dysrhythmia Management Drug Interactions Acute Rejection References MDM Templates Cardiac Transplant — General Patient presents with *** in the setting of cardiac transplant (*** years … More Transplant Heart Problems MDM

Radial/Median/Ulnar The patient’s ___ upper extremity was addressed. A time out was undertaken to determine that this was the correct patient and the correct procedure for this patient. The volar distal forearm was prepped and cleansed in the usual sterile fashion. Bupivacaine 0.5% plain was injected around the nerve bundle under ultrasound guidance. A total … More Nerve Block Procedure