male doc +
GENERAL DISCHARGE INSTRUCTIONS:
- Fortunately, the cause of your symptoms do NOT appear to be EMERGENT or LIFE-THREATENING during your evaluation today. If your symptoms persist, you may need further NON-emergency evaluation at a Primary Care Physician's Office or a Specialist's Office.
- Please return to the ER immediately for worsening or concerning symptoms: ex Fever >100.4, severe/worsening pain, blood in vomit/stools, in ability to tolerate oral fluids.
- Please follow up with your Primary Care Physician in 2-3 days, sooner if needed
- Return if your symptoms persist for >48 hours AND unable to be re-evaluated by your Primary Care Physician
-If you do not have a primary care provided, please let us know and we will be happy to provide you with a list.
***RESIDENT PHYSICIAN CLINICAL DECISION MAKING****:I have discussed findings of our medical evaluation today. On re-evaluation, pts sx have improved. Pt appears to be stable for d/c home with further evaluation/follow up with PCP. Discussed that there is no evidence of EMERGENT/LIFE-THREATENING causes of sxs today; However further, NON-EMERGENT, may be needed - for which I have provided the pt with contact information; Return precautions discussed, including worsening of sx, fever or any concerning symptoms.
48 HOUR MANDATORY ER EVALUATION:
- Please return in 48 hours for re-evaluation; You may need repeat lab drawn and/or radiology studies during this re-evaluation. The cause of your symptoms do not appear to be emergent or life threatening at this time, however, we would like to re-evaluate you in 48 hours, to ensure your safety.
- Fortunately, the cause of your symptoms do NOT appear to be EMERGENT or LIFE-THREATENING during your evaluation today. If your symptoms persist, you may need further NON-emergency evaluation at a Primary Care Physician's Office or a Specialist's Office.
- Please return to the ER immediately for worsening or concerning symptoms: ex Fever >100.4, severe/worsening pain, blood in vomit/stools, inability to tolerate oral fluids; for FEMALES and/or pregnant patients, return immediately for large amount of vaginal bleeding, etc.
24 HOUR MANDATORY ER EVALUATION:
- Please return in 24 hours for re-evaluation - if symptoms persist; If symptoms resolve or improve, you may follow up with your Primary Care Physician.
- Fortunately, the cause of your symptoms do NOT appear to be EMERGENT or LIFE-THREATENING during your evaluation today. If your symptoms persist, you may need further NON-emergency evaluation at a Primary Care Physician's Office or a Specialist's Office.
- Please return to the ER immediately for worsening or concerning symptoms: ex Fever >100.4, severe/worsening pain, blood in vomit/stools, inability to tolerate oral fluids, large amount of vaginal bleeding, etc.
SEIZURE INSTRUCTION:
- DO NOT perform any activities that my cause harm to YOURSELF or OTHER INDIVIDUALS should you have another seizure (including driving/operating machinery, climbing, swimming/bathing -showers are ok, etc) UNTIL YOU ARE CLEARED BY YOUR PCP OR NEUROLOGIST.
- Fortunately, the cause of your symptoms do NOT appear to be EMERGENT or LIFE-THREATENING during your evaluation today. If your symptoms persist, you may need further NON-emergency evaluation at a Primary Care Physician's Office or a Specialist's Office.
- Please return to the ER immediately for worsening or concerning symptoms: ex Fever >100.4, altered mental status, repeat seizure activity.
AMA RESIDENT PHYSICIAN NOTE: