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Nate Friedman, MD
- 1ST TRIMESTER BLEEDING
- Against medical advice
- AKI/DEHYDRATION
- ALLERGIC RASH – LOW RISK
- AMS - general
- AMS - Hepatic encephalopathy
- APPY RULE OUT
- ASTHMA, MILD (PEDS)
- Back pain - low risk
- BENIGN RASH
- BICEPS TENDON PROBLEM
- Capacity assessment
- CELLULITIS (DC)
- Chest pain - admit
- Chest pain - atypical
- Chest pain - low risk
- CHF - hypertensive pulm edema
- CHF exacerbation - admit
- CHF with shock - admit
- Constipation - GI
- COPD exacerbation - admit
- Cough, simple - low risk
- Covid discharge
- COVID HPI – NO RISK FACTORS 3/20
- COVID MDM – TEST/NO TEST (3/20)
- COVID-19 AFTERCARE INST NARH
- COVID-19 DC INSTRUCTIONS AND FAQ
- DC INST – ALCOHOL INTOXICATION
- DC INST – ANKLE FX
- DC INST – BACK PAIN
- DC INST – BURN
- DC INST – CELLULITIS
- DC INST – CHEST PAIN
- DC INST – CHILD COUGH
- DC INST – COUGH
- DC INST – DIZZINESS
- DC INST – DVT
- DC INST – EAR INFECTION
- DC INST – EPISTAXIS
- DC INST – FRACTURE GENERIC
- DC INST – G TUBE REPLACEMENT
- DC INST – GASTRITIS
- DC INST – GASTROENTERITIS
- DC INST – GENERAL
- DC INST – HEAD INJURY (CT)
- DC INST – HEADACHE
- DC INST – HEMORRHOIDS
- DC INST – KNEE PAIN
- DC INST – LAC REPAIR
- DC INST – MENSTRUAL CRAMPS
- DC INST – MSK PAIN
- DC INST – MUSCLE STRAIN
- DC INST – MVC
- DC INST – NOSE INJURY
- DC INST – PEDS CHI
- DC INST – PEDS FEVER
- DC INST – PEDS FRACTURE
- DC INST – PEDS MSK (NO FX)
- DC INST – PEDS RASH
- DC INST – PENILE PAIN
- DC INST – PERITONSILLAR ABSCESS
- DC INST – PSYCH
- DC INST – RASH
- DC INST – RENAL COLIC
- DC INST – SEIZURE
- DC INST – SHORTNESS OF BREATH
- DC INST – SHOULDER DISLOCATION
- DC INST – SORE THROAT
- DC INST – STI
- DC INST – SUTURE REMOVAL
- DC INST – UPPER RESPIRATORY
- DC INST – UTI
- DC INST – VAGINAL BLEEDING
- DC INST – VASOVAGAL SYNCOPE
- DC INST – VOMITING
- DC INST – WRIST PAIN
- DC INST: ABDOMINAL PAIN
- DC INST: ABSCESS, ABX
- DC INST: ALLERGIC REACTION
- DC INST: ALTERED MENTAL STATUS
- DC INST: ANIMAL BITE
- Diarrhea - low risk
- DKA – ADMIT
- Dyspnea - general
- DYSURIA/STI
- Epigastric pain - low risk
- Gallstones - low risk
- Gastroenteritis - low risk
- General abdominal pain - low risk
- Headache - low risk
- Homeless
- HYPERGLYCEMIA – LO RISK
- HYPOGLYCEMIA – GENERAL
- KNEE PAIN
- Lower GI bleed - general
- MVA DISCHARGE
- PANIC ATTACK – LOW RISK
- Paresthesias - low risk
- PE – INFANT BASIC
- PE – PEDS BASIC
- PEDS COUGH – URI
- PEDS FEVER (LOW RISK)
- PEDS HEAD TRAUMA
- PEDS – GASTRITIS – NONTOXIC
- PEDS – GASTRO/AGE – NONTOXIC
- Physical exam – BASIC
- PSYCH – BOARD & TRANSFER
- PYELONEPHRITIS – GENERAL
- Rectal bleed - low risk
- RLQ abdominal pain
- RUQ abdominal pain
- Seizure - general
- SHINGLES
- SICK NEONATE (PEDS)
- Sickle cell crisis
- STEMI
- Stroke - code activation
- Syndrome - admit
- TEACHING RESIDENT SUPERVISORY ADDENDUM
- TOE PAIN (INJURY)
- TORSION/PELVIC PAIN
- TRANSPLANT REJECTION
- Upper GI bleed - general
- UTI – LOW RISK
- VAGINAL BLEEDING, NONPREGNANT
- Vertigo - low risk
- Viral URI - discharge
- VOMITING W VPS (PEDS)
- WRIST PAIN (PEDS)
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DYSURIA/STI

‍‍This patient presents with ‍﻿ dysuria//discharge and a history consistent with possible STI. Differential includes simple cystitis, pyelonephritis, ‍﻿ epididymitis. Will send UA and empirically treat for gonorrhea/chlamydia with IM CTX and PO azithromycin.
‍‍﻿
‍‍Pearls:
‍‍– cannot treat PID with PO azithro; needs the full 7 day course of doxy
‍‍– still should do endocervical/vaginal swab for GC/chlamydia over urine, although urine isn’t terrible
‍‍﻿
‍‍ from natedotphrase.com 

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