with no history of immunocompromise presenting with worsening of sore throat with exam consistent with possible early RPA. No trismus, euvolemic, no airway compromise. Able to tolerate PO. Unlikely PTA, ludwigs, epiglottitis. C/f RPA, tonsillitis. Plan to CT neck w contrast and treat pain. Discussed plan of care with patient and given size, mutual decision … More Sore Throat RPA MDM

___ sided peritonsillar abscess. Normal vitals, well appearing, normal neck ROM, tolerating secretions, and protecting airway. Unlikely PTA, RPA, Ludwigs, epiglottitis, acute HIV, strep, or EBV. ED Tx: Aspirate abscess + Steroids Rx: Clindamycin 300mg PO Q6hrs x10d Disposition: Discharge with instructions for prompt ENT and primary care follow-up PTA Aspiration The patient’s ___ peritonsillar region … More PTA MDM

Psych MDMsLast reviewed: March 2026 Contents MDM Templates Suicidal Ideation Suicidal Ideation — Discharge Acute Agitation Gravely Disabled Clinical Education Suicide Risk Assessment Agitation Management Medical Clearance Involuntary Holds Decision-Making Capacity Disposition References MDM Templates Suicidal Ideation Patient presents with suicidal ideation. Thought process is linear and organized. Denies auditory hallucinations, visual hallucinations, and homicidal … More Psych MDMs

Mild Fever/Viral/improved in ED (no labs) Patient well appearing, nontoxic. Given history and exam, low suspicion for serious bacterial infection including but not limited to meningitis, pneumonia, UTI or bacteremia. Likely viral etiology. Discussed low risk but possible UTI and offered urine sampling, but mutual decision to defer urine testing as asymptomatic to best of … More Fever PEDs MDM

Based on history and exam, presentation not consistent with PNA, Pertussis, Sinusitis, foreign body, PTA, RPA, Ludwig’s, Strep throat, Mono. Workup: Defer imaging at this time as patient particularly low risk for PNA given: HR <100, RR <24, Temperature <38C, Exam findings not consistent with focal consolidation, Age <64yr. Rx: Conservative care Disposition: Discharge home w … More Cough (URI, etc.) MDM

Hemoptysis Last reviewed: March 2026 Quick Links: MDM Templates Clinical Education References MDM Templates Hemoptysis — Mild/Non-Massive Patient presents with hemoptysis. Presentation is well-appearing with stable vital signs, adequate oxygenation, and no respiratory distress. Volume is modest (estimated *** mL), and hemodynamic parameters are reassuring. History and exam lower suspicion for massive hemorrhage, airway compromise, … More Hemoptysis MDM

Trauma PEDs MDMLast reviewed: March 2026 Contents MDM Templates Head Injury — PECARN Low Risk Head Injury — PECARN Intermediate Risk Blunt Abdominal Trauma Non-Accidental Trauma Concern Clinical Education PECARN Decision Rule Concussion Management Abdominal Trauma Pearls C-Spine and SCIWORA Non-Accidental Trauma Disposition References MDM Templates Head Injury — PECARN Low Risk Child presents after … More Trauma PEDs MDM

Bronchiolitis PEDs MDMLast reviewed: March 2026 Contents MDM Templates Bronchiolitis — Mild (Discharge) Bronchiolitis — Moderate (Admit) Bronchiolitis — Severe (PICU) Clinical Education Diagnosis — Clinical, Not Labs What Works What Doesn’t Work High-Risk Features Apnea in Bronchiolitis When to Admit The Bronchiolitis-Asthma Overlap References MDM Templates Bronchiolitis — Mild (Discharge) Infant presents with URI … More Bronchiolitis PEDs MDM

Contents MDM Templates Clinical Education References Last reviewed: March 2026 MDM Templates Abnormal Uterine Bleeding — Stable Discharge Patient presents with vaginal bleeding in the setting of confirmed negative pregnancy test. Hemodynamically stable. Hemoglobin ***. No coagulopathy on labs. History and exam lower suspicion for ectopic pregnancy, coagulopathy, trauma, or other emergent cause. Presentation most … More Vaginal Bleeding (Non-Pregnant) MDM

with h/o _____ presenting today for _______ days of diffuse urticaria. Pt does not know of any new agents that they could have contacted through clothes/other contaminants or through ingestion with medication/food products. Negative for respiratory symptoms such as wheezing, SOB/respiratory distress Negative for cardiovascular signs such as hypotension Negative for GI symptoms such as nausea and … More Urticaria MDM