Gallbladder Problems MDMLast reviewed: March 2026 Contents MDM Templates Biliary Colic Acute Cholecystitis Choledocholithiasis Ascending Cholangitis Clinical Education Diagnosis Pearls Imaging Approach Antibiotic Selection Cholangitis Pearls Acalculous Cholecystitis Special Populations Disposition References MDM Templates Biliary Colic Patient presents with episodic RUQ/epigastric pain that is postprandial in nature, consistent with biliary colic. Well appearing, afebrile. No … More Gallbladder Problems MDM

Pancreatitis MDMLast reviewed: March 2026 Contents MDM Templates Mild Acute Pancreatitis Severe / Necrotizing Pancreatitis Gallstone Pancreatitis Chronic Pancreatitis Flare Clinical Education Diagnosis Pearls Severity Assessment Etiology Workup Treatment Pearls Complications Disposition References MDM Templates Mild Acute Pancreatitis Patient presents with epigastric pain radiating to the back with nausea and vomiting. Labs confirm acute pancreatitis … More Pancreatitis MDM

Pain described as sharp and episodic. Pain is often postprandial with an association with fatty foods. Denies exertional component. No recent binge drinking episodes. No history of alcohol abuse or smoking. Denies any recent abdominal trauma. Patient denies SOB and cough. Patient denies personal history of cardiac disease and family history of cardiac disease under … More Biliary Colic HPI

COPD Exacerbation MDMLast reviewed: March 2026 Contents MDM Templates COPD Exacerbation — Moderate COPD Exacerbation — Severe/ICU Clinical Education Severity Assessment and GOLD Guidelines Bronchodilator Therapy Systemic Corticosteroids Antibiotics in COPD Exacerbation NIPPV (BiPAP) and Respiratory Failure Intubation and Mechanical Ventilation Disposition Criteria References MDM Templates COPD Exacerbation — Moderate Patient with known COPD (FEV1 … More COPD Exacerbation MDM

Patient unable to safely ambulate and care for self at home. Does not have regular care at home to assist through personal deficits. Unsafe to disposition home; at minimum plan admission for home safety evaluation, social and physical therapy evaluations, possible placement

Hemophilia Bleeding MDMLast reviewed: March 2026 Contents MDM Templates Hemarthrosis Major / Life-Threatening Bleed Clinical Education Factor Replacement Dosing Hemophilia A vs B Patients with Inhibitors Adjunctive Therapies References MDM Templates Hemarthrosis Patient with known hemophilia presents with acute joint pain, swelling, and decreased range of motion consistent with hemarthrosis. They deny head trauma, GI … More Hemophilia Bleeding MDM

Neutropenic Fever MDMLast reviewed: March 2026 Contents MDM Templates Neutropenic Fever Febrile Oncology Patient — Not Neutropenic Clinical Education Antibiotic Selection Risk Stratification (MASCC Score) Blasts on CBC Special Situations References MDM Templates Neutropenic Fever Patient with history of *** and recent chemotherapy presents with fever. Given the underlying oncological process and recent cytotoxic therapy, … More Neutropenic Fever MDM

DVT MDMLast reviewed: March 2026 Contents MDM Templates DVT — Discharge on Anticoagulation DVT — Admit Negative Workup Clinical Education Anticoagulation Selection Age-Adjusted D-dimer Isolated Calf Vein DVT Superficial Thrombophlebitis Phlegmasia References MDM Templates DVT — Discharge on Anticoagulation Patient presents with unilateral lower extremity swelling and pain. They are well appearing and hemodynamically stable. … More DVT MDM

HSP (IgA Vasculitis) PEDs MDMLast reviewed: March 2026 Contents MDM Templates HSP — Uncomplicated HSP — Complicated (GI or Renal) Clinical Education Diagnosis Renal Involvement GI Complications Scrotal Involvement Treatment Disposition References MDM Templates HSP — Uncomplicated Child presents with palpable purpura on lower extremities and buttocks with joint pain and mild abdominal discomfort. Well … More Henoch Schonlein Purpura PEDs MDM

Metabolic Emergency PEDs MDMLast reviewed: March 2026 Contents MDM Templates Acute Metabolic Crisis Suspected IEM — Stable Presentation Clinical Education When to Suspect IEM The Metabolic Emergency Workup Glucose Management Hyperammonemia Acidosis Management Getting Help Disposition References MDM Templates Acute Metabolic Crisis Neonate/infant presents acutely ill with poor feeding, lethargy, and respiratory distress. Labs reveal … More Metabolic Disorder PEDs MDM