Nose – FB, Epistaxis

HISTORY: 
[checkbox name="historian" value="provided by patient|provided by family||SO/family member present during visit|chaperon/MA present during visit||interpretation provided by family member/SO|interpretation provided by MA||complete history unobtainable d/t poor effort/affect|complete history unobtainable d/t cognitive changes or lack of knowledge|complete history unobtainable d/t language skills|"][textarea cols=70 rows=1]
CC:
[checkbox name="cc" value="nosebleed|foreign body|"][textarea cols=70 rows=1]
ASSOCIATED SYMPTOMS:
[checkbox name="associated" value="lightheadedness|blackout|trauma|high blood pressure|travel|dryiness|high altitude|vomiting|"][textarea cols=70 rows=1]
AFFECTED SIDE:
[checkbox name="which_ear" value="right|left|both|"][textarea cols=70 rows=1]
HPI:
[checkbox name="hpi" value="started prior to arrival|started today|started yesterday|started days ago||lasted minutes|lasted hours||stopped now|continuing now||no similar sx previously|similar sx previously|first happened months ago|occurred multiple times|"][textarea cols=70 rows=1]
PRIOR TREATMENT:
[checkbox name="prior_tx" value="pressure|nasal spray|"][textarea cols=70 rows=1]
PMSH:
[checkbox name="pmh" value="HTN|bleeding/clotting disorder|anticoagulation|cancer|anemia||nasal allergies|nasal trauma|"][textarea cols=70 rows=1]

REVIEW OF SYSTEMS: [+] reported  [-] not reported
negative except as stated in HPI

CONSTITUTIONAL: [textarea cols=70 rows=1]
[checklist name="const_symptoms" value="objective fever|subjective fever|chills|fatigue"]
EYES: [textarea cols=70 rows=1]
[checklist name="eye_symptoms" value="vision loss|photophobia|dryness|redness/irritation|discharge|pain with EOM"]
EARS: [textarea cols=70 rows=1]
[checklist name="nose_symptoms" value="pain|hearing loss|bleeding"]
MOUTH: [textarea cols=70 rows=1]
[checklist name="mouth_symptoms" value="sores|dryness|tongue pain/swelling|toothache"]
THROAT: [textarea cols=70 rows=1]
[checklist name="throat_symptoms" value="sore throat|odynophagia|dysphagia|hoarseness"]
NECK: [textarea cols=70 rows=1]
[checklist name="neck_symptoms" value="pain|stiffness|swelling|swollen glands"]
CV: [textarea cols=70 rows=1]
[checklist name="cv_symptoms" value="chest pain/pressure|SOB|palpitations|dyspnea|ankle swelling|ankle discoloration|varicose veins|leg cramps"]
CHEST/RESPIRATORY: [textarea cols=70 rows=1]
[checklist name="chest_symptoms" value="chest tightness|pain w/ breathing|cough|wheezing"]
GI: [textarea cols=70 rows=1]
[checklist name="gi_symptoms" value="poor appetite|nausea|vomiting|abdominal pain|constipation|diarrhea"]
GU: [textarea cols=70 rows=1]
[checklist name="gu_symptoms" value="dysuria|urgency|odor|hematuria|hesitancy|retention"]
MSK: [textarea cols=70 rows=1]
[checklist name="msk_symptoms" value="neck pain|back pain|shoulder pain|hip pain|knee pain|chronic pain/meds|localized joint pain/deformity|generalized joint pain|localized muscle/soft tissue pain/swelling|myalgias"]
NEURO: [textarea cols=70 rows=1]
[checklist name="neuro_symptoms" value="dizziness|vertigo|poor balance|abnormality of walk|focal weakness|blackouts|seizures|tingling/numbness"]
PSYCH: [textarea cols=70 rows=1]
[checklist name="psych_symptoms" value="irritability|confusion|depression|anxiety|mood swings|memory loss|insomnia"]
DERM: [textarea cols=70 rows=1]
[checklist name="derm_symptoms" value="dryness|pruritus|rash/redness|swelling|wounds|new or suspicious lesions"]



Appearance:
[checkbox name="appearance" value="well-appearing|alert|non-toxic|normal WOB||allows exam|poor cooperation with exam|crying but consolable||ill-appearing|tired-looking|short of breath|diaphoretic||drowsy|appears impaired|slumped|"][textarea cols=70 rows=1]

Skin:
[checkbox name="skin" value="warm, dry|grossly intact, no rashes|no bruises|normal turgor|dry||tattoos|body piercings||pallor|cyanosis|poor turgor|diaphoresis|rash|"][textarea cols=70 rows=1]

Head/Face:
[checkbox name="head" value="normocephalic, atraumatic|symmetrical face|CN grossly intact|"][textarea cols=70 rows=1]

Eyes:
[checkbox name="eyes" value="clear conjunctiva, anicteric sclera, EOM intact without nystagmus|visual acuity grossly intact|cornea(s) clear||glasses|contacts||conjunctival injection|epiphora|conjunctival exudate||allergic shiners|dennie lines||periorbital swelling|palpebral edema|palpebral exudates|dysconjugate gaze|"][textarea cols=70 rows=1]

Ears:
[checkbox name="ears" value="symmetrical & intact auricles bilaterally|hearing to conversation intact|clear canals without erythema or discharge|TMs normal in appearance||TM obscured by cerumen|TM red||mastoid tenderness|"][textarea cols=70 rows=1]

Mouth/Throat:
[checkbox name="throat" value="tongue normal in appearance w/o lesions and with good symmetrical movements|moist oral mucosa without lesions|normal voice|patent pharynx w/o swelling or exudates||pharyngeal erythema w/o exudates|"][textarea cols=70 rows=1]

Neck:
[checkbox name="neck" value="symmetric with free painless ROM|no LAD|no bruit or JVD||anterior LAD|posterior LAD||nuchal tenderness|"][textarea cols=70 rows=1]

Chest/Lungs:
[checkbox name="lungs" value="normal work of breathing, symmetrical chest expansion|no retractions|clear and equal breath sounds bilaterally||cough|breath sounds decreased bilaterally|wheezing|crackles||poor effort|"][textarea cols=70 rows=1]

CV:
[checkbox name="cv" value="regular rhythm|no murmurs|no ankle edema|pedal skin warm with good & equal pulses||tachycardia|irregular heart rhythm|systolic murmur||calf tenderness|ankle edema|varicosities|stasis discoloration|"][textarea cols=70 rows=1]

Abdomen:
[checkbox name="abd" value="not examined|normal visual inspection, no distension||normal active bowel sounds|soft non-tender||protruding|surgical scar|umbilical hernia||diffuse tenderness over entire abdomen w/o RRG|direct non-rebound tenderness|"][textarea cols=70 rows=1]

GU:
[checkbox name="gu" value="not examined||no suprapubic tenderness|no CVAT bilaterally|normal external genitalia|"][textarea cols=70 rows=1]

MSK:
[checkbox name="spine" value="no gross deformities, moves all extremities with good ROM for age|full weight-bearing|normal curvature & ROM in C- & L-spine for age||C-spine tenderness & DROM|neck pain with active motion|"][textarea cols=70 rows=1]

Neuro:
[checkbox name="neuro" value="ambulates w/o limp or alteration in gait|balance & coordination grossly intact|extremities strong w/o atrophy, tremor or fasciculations||normal speech|normal concentration and attention|memory grossly intact||no gross motor deficits|sensation symmetrical & grossly intact||antalgic gait|wide gait|shuffling gait|dystonia|"][textarea cols=70 rows=1]

Behavior:
[checkbox name="behavior" value="calm|pleasant|respectful||cooperative with exam|poor cooperation with exam||guarded|anxious|fearful|suspicious|hypervigilant||irritable|frustrated|restless||labile|sighing|crying||agitated|raising voice||defensive|argumentative|hostile||forceful|intense|euphoric||demanding particular medication, test, referral, or accommodation||withdrawn|indifferent|appears to be responding to internal psychotic process|"][textarea cols=70 rows=1]

Psychomotor Activity:
[checkbox name="psychomotor" value="no involuntary movements||tremor|tardive dyskinesia|tics||bradykinetic|fidgeting|picking skin|twirling hair|cracking knuckles||threatening posture/movement|grimacing, furrowing eyebrows|tightening jaw|breathing hard||shaking extremities|clenching fists|intense staring||standing up and/or pacing|opening door to hallway|exited exam room during exam|"][textarea cols=70 rows=1]

Speech:
[checkbox name="speech" value="clear & coherent|normal rate & rhythm||slurred|monotonous|stuttering||hypoverbal|hyperverbal||loud|soft||slow|rapid|pressured||repetitive questions|cursing, swearing|criticisms of staff|verbal threats|"][textarea cols=70 rows=1]

Right Nostril/Passage:
[checkbox name="nose" value="atraumatic mucosa|no FB visible||dried blood|fresh clots|active bleeding||anterior septal bleeding|posterior septal bleeding|bleeding of uncertain location|"][textarea cols=70 rows=1]

Left Nostril/Passage:
[checkbox name="nose" value="atraumatic mucosa|no FB visible||dried blood|fresh clots|active bleeding||anterior septal bleeding|posterior septal bleeding|bleeding of uncertain location|"][textarea cols=70 rows=1]

A/P:
[textarea cols=70 rows=4]

PLAN OF CARE:
[checkbox name="poc" value="POC risks/benefits/alternatives discussed with patient/parent/SO, opportunity provided to ask questions|verbalized understanding of and agreement with POC, discharge & f/u instructions||did not agree with my POC/recommendations – will seek second opinion/further care elsewhere|"][textarea cols=70 rows=1]

PROCEDURE:
[checkbox name="procedure" value="none||universal precautions||positioned 45 degrees recumbent|clots cleared by asking patient to blow nose|clots cleared with suction|Neosynephrine instilled|Afrin instilled|with Lidocaine|cotton balls soaked in remaining liquid inserted in both passages|nosed pinched for 10 minutes|nasal clip applied for 10 min|cotton balls removed|passage inspected with otoscope|no active bleeding observed|active bleeding present|packed with hemostatic nasal balloon|packed with nasal rocket covered with triple abx|packed with gauze impregnated with||attempt to remove FB w forceps was unsuccessful||tolerated procedure well|"][textarea cols=70 rows=1]

RX:
[checkbox name="order_RX" value="none|electronic|paper|given to MA to be transmitted to pharmacy||abx|"][textarea cols=70 rows=1]

REVIEWED:
[checkbox name="reviewed" value="MA notes|med list|previous visits|PMP/CURES|previous laboratory/diagnostic studies|hospital discharge|"][textarea cols=70 rows=1]

VERBALLY INSTRUCTED ON:
[checkbox name="instructions" value="vital signs/exam findings/recommendations|laboratory/diagnostic studies|appropriate follow up|no Valsalva, touching of nose, or lying down flat x 24 hours|reporting medication side effects immediately||air humidification|using OTC nasal emollients|controlling chronic conditions|"][textarea cols=70 rows=1]

BARRIERS TO CARE:
[checkbox name="barriers" value="none identified||poor cooperation with exam|lack of motivation|negative attitude to diagnostic impression & proposed tx|incomplete history|vague shifting complaints|history not supported by objective findings||poor compliance with POC|multiple comorbidities|polypharmacy|lack of interest in nonpharmacologic therapies|overwhelming focus on Rx drugs|intolerance of multiple meds||frequent ER/UC visits|altered mental status|hostile/disruptive behavior|active psychiatric diagnosis|alcohol or substance use|social/cultural barriers|victim of abuse||perseveration|flight of ideas||preoccupation with illness|catastrophization|overgeneralization|unrealistic beliefs|negativism|pessimism|blaming others|staff splitting|"][textarea cols=70 rows=1]

DISPOSITION:
[checkbox name="disposition" value="RTC 48-72 hours or see ENT to remove packing, sooner if condition worsens or new symptoms arise|contact 911/ER if significant bleeding or trouble breathing||refer to ENT||referred to ER for immediate treatment via 911|referred to ER for immediate treatment via private transport||declined emergency transfer|left facility before being discharged|asked to leave clinic|"][textarea cols=70 rows=1]