Intestinal Problems MDMLast reviewed: March 2026 Contents MDM Templates Small Bowel Obstruction Large Bowel Obstruction / Volvulus IBD Flare Ischemic Colitis Acute Mesenteric Ischemia Clinical Education SBO Pearls LBO and Volvulus Pearls IBD Pearls Mesenteric Ischemia Pearls Ogilvie Syndrome Disposition References MDM Templates Small Bowel Obstruction Patient presents with abdominal pain, vomiting, and distension. Imaging … More Intestinal Problems MDM

Drowning MDMLast reviewed: March 2026 Contents MDM Templates Submersion Injury — Discharge Submersion Injury — Admit Submersion — Cardiac Arrest Clinical Education Pathophysiology Secondary Causes Cold Water Submersion Resuscitation Pearls Disposition References MDM Templates Submersion Injury — Discharge Patient presents after submersion event with no loss of consciousness, no respiratory distress, and no altered mental … More Drowning MDM

Seizure PEDs MDMLast reviewed: March 2026 Contents MDM Templates Seizure — Simple Febrile Seizure — Complex Febrile Seizure — Afebrile / First-Time Seizure — Status Epilepticus Clinical Education Simple vs Complex Febrile Seizure When to LP and When to Image Status Epilepticus Management Neonatal Seizures Infantile Spasms Disposition References MDM Templates Seizure — Simple Febrile … More Seizure PEDs MDM

VP Shunt MDM Last reviewed: March 2026Contents MDM Templates VP Shunt Malfunction VP Shunt Infection Clinical Education Approach to VP Shunt Problems Imaging Pitfalls Overshunting vs Undershunting Shunt Infection Pearls The Shunt Tap Disposition References MDM Templates VP Shunt Malfunction Patient with VP shunt presents with headache, nausea, and vomiting — symptoms consistent with shunt … More VP Shunt Problems

Patient was in city___. No known sick contacts. No new sexual contacts. No abdominal pain. No dysuria. No diarrhea. No genitourinary discharge. No arthralgias. No autoimmune hx in family. No recent hiking or witnessed ticks. No specific chest pain. No cough. No SOB.

Fever in Traveler MDMLast reviewed: March 2026 Contents MDM Templates Viral Illness / Non-Endemic Region Malaria-Endemic Region Clinical Education Travel Differential by Region Malaria Pearls Malaria Treatment Dengue Recognition Disposition Framework References MDM Templates Viral Illness / Non-Endemic Region Patient with recent travel to *** presents with fever, myalgias, and malaise. They are fully vaccinated … More Fever in Traveler MDM

+ tachycardia + tachypnea + fever Patient has above evidence of SIRS but is not septic appearing on exam. Clinical presentation not consistent with serious bacterial illness. Presentation more consistent with ___ Patient is tolerating PO without difficulty. Patient is ambulatory and maintaining appropriate O2 saturation. Discussed abnormal vital signs with patient and plan for … More SIRS not Septic MDM

Occupational Exposure MDMLast reviewed: March 2026 Contents MDM Templates Near-Zero Risk Exposure Clinically Meaningful Exposure Clinical Education Risk Assessment Framework PEP Regimen Source Patient Testing Hepatitis B Considerations Hepatitis C Considerations References MDM Templates Near-Zero Risk Exposure Patient presents for evaluation of occupational exposure. The mechanism involved *** with exposure to ***. Exposure was limited … More Occupational Exposure MDM

Lyme Disease MDMLast reviewed: March 2026 Contents MDM Templates Localized Infection — Erythema Migrans Early Disseminated Disease Late Lyme / Lyme Carditis Clinical Education Diagnosis Pearls Treatment by Stage Lyme Carditis Post-Tick Bite Prophylaxis Jarisch-Herxheimer Reaction References MDM Templates Localized Infection — Erythema Migrans Patient presents with an expanding annular erythematous lesion consistent with erythema … More Lyme Disease MDM

Pneumonia MDMLast reviewed: March 2026 Contents MDM Templates Community-Acquired Pneumonia — Discharge Community-Acquired Pneumonia — Admit Hospital-Acquired and Aspiration Pneumonia CAP with Influenza Clinical Education CAP Antibiotic Regimens (IDSA 2019) Disposition Tools: CURB-65 and PSI/PORT HAP, VAP, and Aspiration Pneumonia HIV-Associated Pneumonia by CD4 Count PCP Pneumonia: Recognition and Treatment CAP and Influenza Coinfection ARDS … More Pneumonia MDM