RESIDENT PHYSICIAN MEDICAL DECISION MAKING – Upper Abdominal Pain:

          AFTER EVALUATION, SOME OF THE SOME OF THE CLINICAL ENTITIES THAT I CONSIDERED FOR PT INCLUDED:    PUD,  GERD,  CHOLELITHIASIS,  CHOLECYSTITIS,  HEPATITIS,  PANCREATITIS, APPENDICITIS,  PYELONEPHRITIS,  URETEROLITHIASIS,  DIVERTICULITIS,  PANCREATITIS,  PERITONITIS,  IBS, CROHN'S DISEASE,  RUPTURED VISCOUS,  AAA,  MESENTERIC ISCHEMIA,  HERNIAS (VENTRAL/INGUINAL).   IN ADDITION, PT DID NOT APPEAR TO HAVE ANY OBVIOUS EVIDENCE OF A THORACIC ETIOLOGY SUCH AS PE,  PNEUMONIA,  PLEURAL EFFUSION,  OR  AMI.

           PATIENT WAS TREATED SYMPTOMATICALLY DURING HIS ED COURSE.      IN MY MEDICAL OPINION, I CONSIDER PT TO BE LOW RISK FOR ANY SERIOUS/LIFE-THREATENING ENTITY, & DEEM PT STABLE FOR DISCHARGE.     THIS IS BASED ON THE INFORMATION THAT WAS AVAILABLE TO ME AT TIME OF THE ED VISIT.

           BECAUSE THE CAUSE OF THE ABDOMINAL PAIN WAS NOT 100% CERTAIN, WE RECOMMENDED THAT PT BE RECHECKED IN OUR ED WITHIN 1 DAY [OR SOONER IF HIS CONDITION WORSENS].     IN ADDITION, WE RECOMMENDED THAT PT ALSO FOLLOW UP WITH A PCP, TO ENSURE RESOLUTION OF HIS MEDICAL CONDITION.CASE DISCUSSED W/ MY ATTENDING PHYSICIAN, WHO HAS SEEN AND INDEPENDENTLY EVALUATED PATIENT.

RESIDENT PHYSICIAN MEDICAL DECISION MAKING – Lower Abdominal Pain, MALE:

       AFTER EVALUATION, SOME OF THE SOME OF THE CLINICAL ENTITIES AND THAT I CONSIDERED INCLUDED:    APPENDICITIS,  CYSTITIS,  PYELONEPHRITIS,  URETEROLITHIASIS,  DIVERTICULITIS, PANCREATITIS,  PERITONITIS,  IBS,  CROHN'S DISEASE,  RUPTURED VISCOUS,  AAA,  MESENTERIC ISCHEMIA, HERNIAS (VENTRAL/INGUINAL), TESTICULAR TORSION,  EPIDIDYMITIS,  ORCHITIS,  & PROSTATITIS.

        PT WAS TREATED SYMPTOMATICALLY DURING HIS ED COURSE.    IN MY MEDICAL OPINION, I CONSIDER HIM VERY LOW RISK FOR ANY SERIOUS/LIFE-THREATENING ENTITY, & DEEM HIM STABLE FOR DISCHARGE.    THIS IS BASED ON THE INFORMATION THAT WAS AVAILABLE TO ME AT TIME OF THE ED VISIT.

         BECAUSE THE CAUSE OF HIS ABDOMINAL PAIN WAS NOT 100% CERTAIN, WE RECOMMENDED THAT PT BE RECHECKED IN OUR ED WITHIN 24 HOURS [OR SOONER IF HIS CONDITION WORSENS].    IN ADDITION, WE RECOMMENDED THAT PT FOLLOW UP WITH A PCP AS WELL, TO ENSURE RESOLUTION OF HIS CONDITION.  CASE DISCUSSED W/ MY ATTENDING PHYSICIAN, WHO HAS SEEN AND INDEPENDENTLY EVALUATED PATIENT.

RESIDENT PHYSICIAN MEDICAL DECISION MAKING – Lower Abdominal Pain, FEMALE:

           AFTER MY INDEPENDENT EVALUATION, SOME OF THE SOME OF THE CLINICAL ENTITIES AND THAT I CONSIDERED INCLUDED:    APPENDICITIS,  CYSTITIS,  PYELONEPHRITIS,  URETEROLITHIASIS,  DIVERTICULITIS,  PANCREATITIS,  PERITONITIS,  IBS,  CROHN'S DZ,  RUPTURED VISCOUS,  AAA,  MESENTERIC ISCHEMIA,  HERNIAS (VENTRAL/INGUINAL),  OVARIAN TORSION,  OVARIAN CYST,  ENDOMETRIOSIS,  UTERINE FIBROID,  CERVICITIS, SALPINGITIS,  PID,  & TOA.

         PT WAS TREATED SYMPTOMATICALLY DURING PTS ED COURSE.    IN MY MEDICAL OPINION, I CONSIDER PT TO BE VERY LOW RISK FOR ANY SERIOUS/LIFE-THREATENING ENTITY, & DEEM PT STABLE FOR DISCHARGE. THIS IS BASED ON THE INFORMATION THAT WAS AVAILABLE TO ME AT TIME OF PT ED VISIT.

            BECAUSE THE CAUSE OF PT ABDOMINAL PAIN WAS NOT 100% CERTAIN, WE RECOMMENDED THAT PT BE RECHECKED IN OUR ED WITHIN 24 HOURS [OR SOONER IF PT CONDITION WORSENS].     IN ADDITION, WE RECOMMENDED THAT PT FOLLOW UP WITH A PCP AS WELL, TO ENSURE RESOLUTION OF PT CONDITION.CASE DISCUSSED W/ MY ATTENDING PHYSICIAN, WHO HAS SEEN AND INDEPENDENTLY EVALUATED PATIENT.