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- Symptoms ⭐️
- Exams ⭐️
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- ACEP patient handouts
- Nate Friedman, MD
- EM Resource.org
- ADMISSION COURSE & COUNSELING
- ADULT EXAM
- ADULT REVIEW OF SYSTEMS
- AMA DISCHARGE
- DISCHARGE COUNSELING & AFTERCARE
- DISCHARGE COURSE & COUNSELING
- INFORMED REFUSAL OF TEST OR PROCEDURE
- IV CONTRAST & METFORMIN (GLUCOPHAGE)
- PEDIATRIC EXAM:
- PEDIATRIC REVIEW OF SYSTEMS
- PHONE EXAM
- RETURN PRECAUTIONS & AFTERCARE
- SHARED DECISION MAKING
- TELEMEDICINE EXAM
- TRANSFER COURSE & COUNSELING
- TRAUMA EXAM
- TRAUMA REVIEW OF SYSTEMS
- TYPE “D” PATIENT (Difficult)
- TYPE “E” PATIENT (Easy)
- Administrative
- Emoji and Symbols 🙂
TRAUMA EXAM
- GENERAL: Conversant and cooperative. In no acute distress.
- VITALS: Triage note and vitals reviewed.
- HEAD: Normocephalic. Atraumatic.
- EYES: Clear. No Discharge. No Photophbia
- ENT: No stridor, drooling, hoarse voice, swelling or trismus.
- NECK: No tracheal deviation. Not Tender. No Bruising.
- CARDIAC: Normal rate. Regular rhythm. Normal heart sounds.
- LUNGS: Effort normal. No Respiratory distress. No Splinting. No Wheezing. No Rales.
- CHEST: No tenderness
- ABDOMEN: Soft. No guarding. No rebound. Not Tender. No Bruising.
- EXTREMITIES: No Edema. No Tenderness. No deformity.
- NEURO: Alert and oriented. Non-focal. Normal speech.
- SKIN: Warm and dry. No erythema. No Abrasions
- PSYCHIATRIC: Normal mood and affect.
from emresource.org
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