Pt with PMH CHF OR Dialysis p/w acute SOB and hypoxemia. Respiratory distress ML 2/2 fluid overload. Unlikely PE, anaphylaxis, COPD. Potential concomitant PNA as patient febrile. Acute intervention:    BiPap to assist effort of breathing and decrease BP, patient AAOx3. Consider NTG drip to lower BP if continues to rise: 5 mcg/minute, increase by 5 mcg/minute every … More SOB Fluid Overload MDM

Anaphylaxis & Urticaria MDMLast reviewed: March 2026 Contents MDM Templates Anaphylaxis Allergic Reaction Clinical Education Anaphylaxis Diagnostic Criteria Epinephrine Dosing Observation Period & Biphasic Reactions Role of Steroids Contrast Allergy Premedication References MDM Templates Anaphylaxis Patient presents with acute multisystem allergic reaction involving cutaneous findings and respiratory compromise / cardiovascular instability / gastrointestinal symptoms consistent … More Anaphylaxis and Urticaria MDM

Nausea/Vomiting/Diarrhea PEDs MDMLast reviewed: March 2026 Contents MDM Templates Gastroenteritis — Mild Dehydration Gastroenteritis — Moderate-Severe Dehydration Vomiting — Surgical Concern Clinical Education Dehydration Assessment Oral Rehydration Therapy Ondansetron Red Flags Foodborne Illness Pearls Disposition References MDM Templates Gastroenteritis — Mild Dehydration Child presents with vomiting and/or diarrhea. Well appearing with moist mucous membranes, brisk … More Nausea/Vomiting/Diarrhea PEDs MDM

Pelvic Problems MDM Page Contents MDM Templates Procedure Notes Clinical Education References Last reviewed: March 2026 MDM Templates Ovarian Torsion Patient presents with acute onset unilateral pelvic pain with nausea. Presentation concerning for ovarian torsion given the acuity, severity, and adnexal tenderness on exam. Ultrasound shows *** cm ovarian cyst with *** Doppler flow. OBGYN … More Pelvic Problems MDM

Pulseless Arrest Last reviewed: March 2026 Quick Links: MDM Templates Clinical Education References MDM Templates Cardiac Arrest — ROSC Achieved Patient presented without pulse and respirations. Witnessed vs unwitnessed arrest; no-flow time estimated at ***. CPR initiated immediately with continuous high-quality compressions at 100-120/min, 100% oxygen delivered, capnography monitoring in place (EtCO2 ***, which predicts … More Pulseless Arrest MDM

Pt presents with severe dyspnea and crackles not due to CHF, most c/f ARDS 2/2 Transfusion/Trauma/PNA,sepsis. Symptomatic for less than one week with bilateral infiltrates. Unlikely PE, Diffuse Alveolar hemorrhage, high-altitude pulmonary edema, DIC, or cardiogenic etiology. Not PTX. Plan CXR, BUS, basic labs, ABG/VBG, blood cultures, influenza testing, BNP. Tx Intubation, ABX, tamiflu 75mg BID … More SOB ARDS MDM

You have been evaluated in the Olive View-UCLA Emergency Department today for ankle pain. The x-ray of your ankle XXX.   You can alternate Tylenol and Motrin every 4-6 hours to help control your pain. Please also rest, ice, and elevate your ankle to control your pain.  Please follow up with your primary care physician … More DC Ankle Pain

Congenital Heart PEDs MDMLast reviewed: March 2026 Contents MDM Templates Cyanotic Neonate — Duct-Dependent Lesion Tet Spell Acyanotic CHD — Heart Failure Clinical Education Cyanotic vs Acyanotic Lesions The Hyperoxia Test Prostaglandin E1 Tet Spell Management Heart Failure in Infants Disposition Decision Guide References MDM Templates Cyanotic Neonate — Duct-Dependent Lesion Neonate presents with cyanosis … More Congenital Heart PEDs MDM

You have been evaluated in the Emergency Department today for a period of altered mental status. Your symptoms have resolved at the time of your evaluation in the Emergency Department. At this time, no specific medical treatment appears to be indicated.  Your MRI results were unremarkable and did not show any evidence of an acute stroke. … More DC AMS

You have been evaluated in the Emergency Department today. You are refusing further testing, imaging, and further admission and choosing to leave against medical advice. You were advised of your risks of leaving and understand that permanent harm, or even death, can occur from failing to follow the recommendations of the physician.  Please follow up … More DC AMA