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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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Epigastric pain - low risk

‍‍Presentation consistent with acute epigastric abdominal pain. Differential diagnosis includes ‍﻿ . Abdominal exam without peritoneal signs. No evidence of acute abdomen at this time. Well appearing. Low suspicion for acute hepatobiliary disease (includng acute cholecystitis), acute pancreatitis, PUD (including perforation), acute infectious processes (pneumonia, hepatitis, pyelonephritis), atypical appendicitis, vascular catastrophe, bowel obstruction or viscus perforation. Presentation not consistent with other acute, emergent causes of abdominal pain at this time.
‍‍﻿
‍‍Plan: labs, UA, GI cocktail, RUQ US ‍﻿ , serial reassessment
‍‍﻿
‍‍ from natedotphrase.com 

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