Patient has a tendon injury to the [right hand] that does not require inpatient admission or emergent orthopedic consultation and therefore will be discharged home.  Patient has currently been stabilized in the emergency department. Patient’s current symptoms not typical complications of the tendon injury such as additional arterial or nerve injury, overt infection, FTS.   … More Finger Tendon Injury MDM

Neck Problems MDMLast reviewed: March 2026 Contents MDM Templates Cervical Radiculopathy Cervical Strain Central Cord Syndrome Clinical Education NEXUS and Canadian C-Spine Rules Cervical Radiculopathy Pearls Cervical Myelopathy Red Flags Cervical Artery Dissection ED Treatment References MDM Templates Cervical Radiculopathy Patient presents with neck pain radiating to the upper extremity in a dermatomal distribution consistent … More Neck Problems MDM

The patient at this point required the intervention of a chest tube thoracostomy. The patient gave written and verbal consent for this procedure knowing full well all risks benefits and alternatives. An appropriate time out was taken documenting proper side and proper patient. The patient’s ____ right upper extremity was abducted and held in place. … More Chest Tube Procedure

Endotracheal intubation The patient required endotracheal intubation. The patient was given Etomidate approx. 0.3 mg per kilogram Rocuronium approx. 1 mg per kilogram Once the patient was adequately sedated and paralyzed, a Mac 4 laryngoscope was used to directly visualize the cords. Using this direct visualization, a 7.5 endotracheal tube was then passed easily through the … More Intubation Procedure Note

Bite Wound MDMLast reviewed: March 2026 Contents MDM Templates Bite Wound — Simple Bite Wound — Hand (Fight Bite) Bite Wound — Complex / Deep Clinical Education Antibiotic Indications Microbiology by Bite Type Wound Management Rabies Prophylaxis Cat Bite Pearls Human Bite / Fight Bite Pearls References MDM Templates Bite Wound — Simple Patient presents … More Bite Wound MDM

Paresthesia MDMLast reviewed: March 2026 Contents MDM Templates Paresthesia — Benign / Peripheral Paresthesia — Stroke Concern Clinical Education Approach to Paresthesia in the ED Localization by Pattern Dangerous Causes Not to Miss Disposition References MDM Templates Paresthesia — Benign / Peripheral Patient presents with tingling/numbness in a peripheral distribution. No motor deficits, no facial … More Paresthesia MDM

AMS NOS MDMLast reviewed: March 2026 Contents MDM Templates AMS — Transient / Resolved AMS — Persistent / Undifferentiated Hepatic Encephalopathy Clinical Education Approach to Undifferentiated AMS Rapidly Reversible Causes Delirium vs Dementia Hepatic Encephalopathy Pearls When to LP Disposition References MDM Templates AMS — Transient / Resolved Patient presents after an episode of altered … More AMS NOS MDM

Blood Cultures Positive / Bacteremia MDMLast reviewed: March 2026 Contents MDM Templates True Bacteremia (Staph aureus) Likely Contaminant Clinical Education True Pathogen vs Contaminant Staph Aureus Bacteremia Common Contaminant Organisms Disposition Guidance References MDM Templates True Bacteremia (Staph aureus) Patient presents for evaluation of positive blood cultures growing ***. They are not septic appearing, are … More Blood Cultures Positive/Bacteremia MDM

Burn MDMLast reviewed: March 2026 Contents MDM Templates Minor Burn — Discharge Major Burn — Burn Center Transfer Clinical Education Burn Center Transfer Criteria Fluid Resuscitation Wound Care & Dressings Inhalation Injury Burn Centers (Los Angeles Area) References MDM Templates Minor Burn — Discharge Patient presents with a burn sustained from ***. Airway is intact … More Burn MDM

Rash NOS MDMLast reviewed: March 2026 Contents MDM Templates Viral Exanthem / Benign Rash Contact Dermatitis Erythema Multiforme Erythema Nodosum Eczema / Dyshidrotic Eczema Clinical Education Dangerous Rashes Not to Miss Topical Steroid Selection Rash History Framework References MDM Templates Viral Exanthem / Benign Rash Patient presents with diffuse rash without systemic toxicity. They deny … More Rash NOS MDM