MMC GI Clinic Note v5

[comment memo="***SUBJECTIVE:***" memo_color="red" memo_style="bold" memo_size="large"]
***SUBJECTIVE:***
VISIT TYPE: [select name="variable_110691" value="New patient|Follow-up"]
REASON FOR VISIT/CHIEF COMPLAINT: [select name="variable_7000" value="|Anemia|Suspected UGIB|Suspected LGIB|PEG evaluation|Dysphagia|Odynophagia|Esophageal foreign body|Esophageal food impaction|Abnormal LFTs|Abdominal pain|Gastric volvulus|Cecal volvulus|Sigmoid volvulus|Hepatic steatosis|New cirrhosis|Compensated cirrhosis|Decompensated cirrhosis|Suspected choledocholithiasis|Acute cholangitis|Acute cholecystitis|Abnormal imaging findings|Screening colonoscopy|Surveillance colonoscopy|Other"] [textarea name="variable_49621" default=""]

HISTORY OF PRESENT ILLNESS:
[textarea name="variable_3" default=""]

[checkbox name="602934230948" value="upon referral of their PCP for screening colonoscopy.|The patient reports that they feel well today. They denied any acute complaints."]

[checkbox value="Denies dysphagia, odynophagia, nausea, vomiting, coffee-ground emesis, hematemesis, abdominal pain, diarrhea, constipation, melena, hematochezia, and unintentional weight loss."]

[checkbox value="REVIEW OF SYSTEMS:"]
[checkbox name="Problem601" value="General:"] [conditional field="Problem601" condition="(Problem601).is('General:')"] [checkbox value="endorses fever/chills|denies fever/chills|endorses fatigue|denies fatigue|endorses malaise|denies malaise|endorses weight loss|denies weight loss|endorses weight gain|denies weight gain"] [textarea name="gen" default=""][/conditional]
[checkbox name="Problem602" value="HEENT:"] [conditional field="Problem602" condition="(Problem602).is('HEENT:')"] [checkbox value="endorses headaches|denies headaches|endorses vision changes|denies vision changes|endorses rhinorrhea|denies rhinorrhea|endorses sore throat|denies sore throat"] [textarea name="heent" default=""][/conditional]
[checkbox name="Problem603" value="Cardiac:"] [conditional field="Problem603" condition="(Problem603).is('Cardiac:')"] [checkbox value="endorses chest pain|denies chest pain|endorses palpitations|denies palpitations|endorses peripheral edema|denies peripheral edema"] [textarea name="cardiac" default=""][/conditional]
[checkbox name="Problem604" value="Pulmonary:"] [conditional field="Problem604" condition="(Problem604).is('Pulmonary:')"] [checkbox value="endorses shortness of breath at rest|denies shortness of breath at rest|endorses dyspnea on exertion|denies dyspnea on exertion|endorses cough|denies cough|endorses sputum production|denies sputum production"] [textarea name="pulm" default=""][/conditional]
[checkbox name="Problem605" value="GI:"] [conditional field="Problem605" condition="(Problem605).is('GI:')"] [checkbox value="endorses dysphagia|denies dysphagia|endorses odynophagia|denies odynophagia|endorses nausea|denies nausea|endorses vomiting|denies vomiting|endorses coffee-ground emesis|denies coffee-ground emesis|endorses hematemesis|denies hematemesis|endorses abdominal pain|denies abdominal pain|endorses diarrhea|denies diarrhea|endorses constipation|denies constipation|endorses melena|denies melena|endorses hematochezia|denies hematochezia"] [textarea name="gen" default=""][/conditional]
[checkbox name="Problem606" value="GU:"] [conditional field="Problem606" condition="(Problem606).is('GU:')"] [checkbox value="endorses suprapubic pain|denies suprapubic pain|endorses dysuria|denies dysuria|endorses nocturia|denies nocturia|endorses hematuria|denies hematuria"] [textarea name="gen" default=""][/conditional]
[checkbox name="Problem607" value="Neurologic:"] [conditional field="Problem607" condition="(Problem607).is('Neurologic:')"] [checkbox value="endorses headaches|denies headaches|endorses dizziness|denies dizziness|endorses loss of consciousness|denies loss of consciousness|endorses seizures|denies seizures|endorses numbness|denies numbness|endorses weakness|denies weakness|endorses balance problems|denies balance problems"] [textarea name="neuro" default=""][/conditional]
[checkbox name="Problem608" value="MSK:"] [conditional field="Problem608" condition="(Problem608).is('MSK:')"] [checkbox value="endorses myalgias|denies myalgias|endorses arthalgias|denies arthalgias|endorses joint swelling|denies joint swelling|endorses back pain|denies back pain"] [textarea name="msk" default=""][/conditional]
[checkbox name="Problem609" value="Dermatologic:"] [conditional field="Problem609" condition="(Problem609).is('Dermatologic:')"] [checkbox value="endorses pruritus|denies pruritus|endorses rashes|denies rashes|endorses sores|denies sores"] [textarea name="derm" default=""][/conditional]
[checkbox name="Problem610" value="Hematologic/Oncologic:"] [conditional field="Problem610" condition="(Problem610).is('Hematologic/Oncologic:')"] [checkbox value="endorses abnormal bleeding|denies abnormal bleeding|endorses abnormal bruising|denies abnormal bruising|endorses abnormal growths|denies abnormal growths"] [textarea name="hemeonc" default=""][/conditional]
[checkbox name="Problem611" value="Endocrine:"] [conditional field="Problem611" condition="(Problem611).is('Endocrine:')"] [checkbox value="endorses polyuria|denies polyuria|endorses polydipsia|denies polydipsia|endorses polyphagia|denies polyphagia"] [textarea name="endo" default=""][/conditional]

PAST MEDICAL & SURGICAL HISTORY:
[select name="variable_0531961" value="|Denies chronic medical comorbidities|Denies past surgeries|Dementia|Nonverbal, bedbound, trach to vent, PEG|Nonverbal|Bebound|Trach to vent|PEG|CVA|CAD|CAD s/p PCI|CAD s/p CABG|CAD s/p PCI & CABG|HFpEF|HFmrEF|HFrEF|Atrial fibrillation|T2DM|HTN|HLD|CKD|ESRD|on HD M/W/F|on HD Tu/Th/Sat|Asthma|COPD|ILD|on home O2|Hypothyroidism|Hyperthyroidism|GERD|PUD|Hx of Hepatitis B|Hx of Hepatitis C|Hx of Hepatitis B & C|Compensated liver cirrhosis|Decompensated liver cirrhosis|Seizure disorder|HIV|HIV/AIDS|Alcohol use disorder|Substance use disorder(s)|Psychiatric disorder(s)"]
[select name="variable_0531962" value="|Denies chronic medical comorbidities|Denies past surgeries|Dementia|Nonverbal, bedbound, trach to vent, PEG|Nonverbal|Bebound|Trach to vent|PEG|CVA|CAD|CAD s/p PCI|CAD s/p CABG|CAD s/p PCI & CABG|HFpEF|HFmrEF|HFrEF|Atrial fibrillation|T2DM|HTN|HLD|CKD|ESRD|on HD M/W/F|on HD Tu/Th/Sat|Asthma|COPD|ILD|on home O2|Hypothyroidism|Hyperthyroidism|GERD|PUD|Hx of Hepatitis B|Hx of Hepatitis C|Hx of Hepatitis B & C|Compensated liver cirrhosis|Decompensated liver cirrhosis|Seizure disorder|HIV|HIV/AIDS|Alcohol use disorder|Substance use disorder(s)|Psychiatric disorder(s)"]
[select name="variable_0531963" value="|Denies chronic medical comorbidities|Denies past surgeries|Dementia|Nonverbal, bedbound, trach to vent, PEG|Nonverbal|Bebound|Trach to vent|PEG|CVA|CAD|CAD s/p PCI|CAD s/p CABG|CAD s/p PCI & CABG|HFpEF|HFmrEF|HFrEF|Atrial fibrillation|T2DM|HTN|HLD|CKD|ESRD|on HD M/W/F|on HD Tu/Th/Sat|Asthma|COPD|ILD|on home O2|Hypothyroidism|Hyperthyroidism|GERD|PUD|Hx of Hepatitis B|Hx of Hepatitis C|Hx of Hepatitis B & C|Compensated liver cirrhosis|Decompensated liver cirrhosis|Seizure disorder|HIV|HIV/AIDS|Alcohol use disorder|Substance use disorder(s)|Psychiatric disorder(s)"]
[select name="variable_0531964" value="|Denies chronic medical comorbidities|Denies past surgeries|Dementia|Nonverbal, bedbound, trach to vent, PEG|Nonverbal|Bebound|Trach to vent|PEG|CVA|CAD|CAD s/p PCI|CAD s/p CABG|CAD s/p PCI & CABG|HFpEF|HFmrEF|HFrEF|Atrial fibrillation|T2DM|HTN|HLD|CKD|ESRD|on HD M/W/F|on HD Tu/Th/Sat|Asthma|COPD|ILD|on home O2|Hypothyroidism|Hyperthyroidism|GERD|PUD|Hx of Hepatitis B|Hx of Hepatitis C|Hx of Hepatitis B & C|Compensated liver cirrhosis|Decompensated liver cirrhosis|Seizure disorder|HIV|HIV/AIDS|Alcohol use disorder|Substance use disorder(s)|Psychiatric disorder(s)"]
[select name="variable_0531965" value="|Denies chronic medical comorbidities|Denies past surgeries|Dementia|Nonverbal, bedbound, trach to vent, PEG|Nonverbal|Bebound|Trach to vent|PEG|CVA|CAD|CAD s/p PCI|CAD s/p CABG|CAD s/p PCI & CABG|HFpEF|HFmrEF|HFrEF|Atrial fibrillation|T2DM|HTN|HLD|CKD|ESRD|on HD M/W/F|on HD Tu/Th/Sat|Asthma|COPD|ILD|on home O2|Hypothyroidism|Hyperthyroidism|GERD|PUD|Hx of Hepatitis B|Hx of Hepatitis C|Hx of Hepatitis B & C|Compensated liver cirrhosis|Decompensated liver cirrhosis|Seizure disorder|HIV|HIV/AIDS|Alcohol use disorder|Substance use disorder(s)|Psychiatric disorder(s)"]
[select name="variable_0531966" value="|Denies chronic medical comorbidities|Denies past surgeries|Dementia|Nonverbal, bedbound, trach to vent, PEG|Nonverbal|Bebound|Trach to vent|PEG|CVA|CAD|CAD s/p PCI|CAD s/p CABG|CAD s/p PCI & CABG|HFpEF|HFmrEF|HFrEF|Atrial fibrillation|T2DM|HTN|HLD|CKD|ESRD|on HD M/W/F|on HD Tu/Th/Sat|Asthma|COPD|ILD|on home O2|Hypothyroidism|Hyperthyroidism|GERD|PUD|Hx of Hepatitis B|Hx of Hepatitis C|Hx of Hepatitis B & C|Compensated liver cirrhosis|Decompensated liver cirrhosis|Seizure disorder|HIV|HIV/AIDS|Alcohol use disorder|Substance use disorder(s)|Psychiatric disorder(s)"]
[select name="variable_0531967" value="|Denies chronic medical comorbidities|Denies past surgeries|Dementia|Nonverbal, bedbound, trach to vent, PEG|Nonverbal|Bebound|Trach to vent|PEG|CVA|CAD|CAD s/p PCI|CAD s/p CABG|CAD s/p PCI & CABG|HFpEF|HFmrEF|HFrEF|Atrial fibrillation|T2DM|HTN|HLD|CKD|ESRD|on HD M/W/F|on HD Tu/Th/Sat|Asthma|COPD|ILD|on home O2|Hypothyroidism|Hyperthyroidism|GERD|PUD|Hx of Hepatitis B|Hx of Hepatitis C|Hx of Hepatitis B & C|Compensated liver cirrhosis|Decompensated liver cirrhosis|Seizure disorder|HIV|HIV/AIDS|Alcohol use disorder|Substance use disorder(s)|Psychiatric disorder(s)"]
[select name="variable_0531968" value="|Denies chronic medical comorbidities|Denies past surgeries|Dementia|Nonverbal, bedbound, trach to vent, PEG|Nonverbal|Bebound|Trach to vent|PEG|CVA|CAD|CAD s/p PCI|CAD s/p CABG|CAD s/p PCI & CABG|HFpEF|HFmrEF|HFrEF|Atrial fibrillation|T2DM|HTN|HLD|CKD|ESRD|on HD M/W/F|on HD Tu/Th/Sat|Asthma|COPD|ILD|on home O2|Hypothyroidism|Hyperthyroidism|GERD|PUD|Hx of Hepatitis B|Hx of Hepatitis C|Hx of Hepatitis B & C|Compensated liver cirrhosis|Decompensated liver cirrhosis|Seizure disorder|HIV|HIV/AIDS|Alcohol use disorder|Substance use disorder(s)|Psychiatric disorder(s)"]
[select name="variable_0531969" value="|Denies chronic medical comorbidities|Denies past surgeries|Dementia|Nonverbal, bedbound, trach to vent, PEG|Nonverbal|Bebound|Trach to vent|PEG|CVA|CAD|CAD s/p PCI|CAD s/p CABG|CAD s/p PCI & CABG|HFpEF|HFmrEF|HFrEF|Atrial fibrillation|T2DM|HTN|HLD|CKD|ESRD|on HD M/W/F|on HD Tu/Th/Sat|Asthma|COPD|ILD|on home O2|Hypothyroidism|Hyperthyroidism|GERD|PUD|Hx of Hepatitis B|Hx of Hepatitis C|Hx of Hepatitis B & C|Compensated liver cirrhosis|Decompensated liver cirrhosis|Seizure disorder|HIV|HIV/AIDS|Alcohol use disorder|Substance use disorder(s)|Psychiatric disorder(s)"]
[select name="variable_05319610" value="|Denies chronic medical comorbidities|Denies past surgeries|Dementia|Nonverbal, bedbound, trach to vent, PEG|Nonverbal|Bebound|Trach to vent|PEG|CVA|CAD|CAD s/p PCI|CAD s/p CABG|CAD s/p PCI & CABG|HFpEF|HFmrEF|HFrEF|Atrial fibrillation|T2DM|HTN|HLD|CKD|ESRD|on HD M/W/F|on HD Tu/Th/Sat|Asthma|COPD|ILD|on home O2|Hypothyroidism|Hyperthyroidism|GERD|PUD|Hx of Hepatitis B|Hx of Hepatitis C|Hx of Hepatitis B & C|Compensated liver cirrhosis|Decompensated liver cirrhosis|Seizure disorder|HIV|HIV/AIDS|Alcohol use disorder|Substance use disorder(s)|Psychiatric disorder(s)"]
[textarea name="variable_5" default=""]

PAST ENDOSCOPIC HISTORY + HISTOPATHOLOGY:
[select name="variable_110691196011" value="None|Denies|None @ MMC|Prior endoscopy/endoscopies @ MMC; see SCM for full procedure report(s)|Prior endoscopy/endoscopies @ outside facility|Records of full procedure report(s) will have to be obtained|Unknown|Non-contributory"]
[textarea name="variable_7" default=""]

ALLERGIES (MEDICATION*(S)/ENVIRONMENTAL/FOOD):
[checkbox value="NKDA|Penicillin|Contrast|Shellfish|Sulfonamides|Unknown"]
[textarea name="variable_8" default=""]

OUTPATIENT MEDICATIONS:
[select name="variable_1106911960111" value="See in designated section of this note or in ambulatory intake note|None|No NSAIDs|No anticoagulation|No antiplatelet agents|No NSAIDs/anticoagulation/antiplatelet agents|On Aspirin|On Aspirin & Plavix|On Plavix|On Eliquis|On Xarelto"]
[textarea name="variable_11069102" default=""]

SOCIAL HISTORY:
[checkbox value="Denies ACTIVE tobacco, alcohol, or illicit drug use"]
[checkbox value="Denies ACTIVE tobacco or illicit drug use, but reports social alcohol consumption"]
[checkbox name="Problem800" value=""]
[conditional field="Problem800" condition="(Problem800).is('')"] [textarea name="tob" default="Tobacco: <br>Alcohol: <br>Illicit drugs: "][/conditional]

FAMILY HISTORY:
[select name="variable_11069119601112" value="No known history of gastrointestinal/hepatobiliary/pancreatic malignancies in 1st degree relatives|No known history of gastrointestinal malignancies in 1st degree relatives|No known history of hepatobiliary malignancies in 1st degree relatives|No    known history of pancreatic malignancies in 1st degree relatives|Unknown|Non-contributory"]
[textarea name="variable_2625151" default=""]

[comment memo="***OBJECTIVE:***" memo_color="red" memo_style="bold" memo_size="large"]
***OBJECTIVE:***
VITAL SIGNS:
[checkbox value="Reviewed/See in relevant section."]
[checkbox name="Problem11069104" value=""] [conditional field="Problem11069104" condition="(Problem11069104).is('')"]  [textarea name="gen" default="Temperature - <br>Heart rate - <br>Respiratory rate - <br>Oxygen saturation - <br>Blood pressure - "][/conditional]

[checkbox value="PHYSICAL EXAMINATION:"]
[checkbox name="Problem500" value="GENERAL:"] [conditional field="Problem500" condition="(Problem500).is('GENERAL:')"] [checkbox value="pediatric|adult|elderly|male|female|laying in bed|sitting up in bed|sitting up in chair|sitting up in chair at bedside|walking around in room|well-groomed|disheveled|cachectic|thin-appearing|normal weight|overweight|obese|morbidly obese|well-appearing|acutely-ill appearing|chronically-ill appearing|appears comfortable|appears uncomfortable|appears in pain|in no acute distress|in mild distress|in moderate distress|in severe distress|toxic in appearance"] [textarea name="gen" default=""][/conditional]
[checkbox name="Problem502" value="HEENT:"] [conditional field="Problem502" condition="(Problem502).is('HEENT:')"] [checkbox value="normocephalic, atraumatic, PERRL, EOMI, anicteric sclera, mmm|normocephalic|atraumatic|PERRL|PERRLA|EOMI|anicteric sclera|scleral icterus|mmm|neck supple|no cervical LAD|+cervical LAD|thyroid non-enlarged/non-tender|trachea midline|no JVD|+JVD"] [textarea name="heent" default=""][/conditional]
[checkbox name="Problem503" value="HEART:"] [conditional field="Problem503" condition="(Problem503).is('HEART:')"] [checkbox value="regular rate/rhythm, +s1, +s1|regular rate/rhythm|irregularly irregular rhythm|bradycardic|tachycardic|+s1|+s2|+s3|+s4|no murmurs|no clicks|no rubs|no gallops|no peripheral edema b/l|+1 peripheral edema b/l|+2 peripheral edema b/l"] [textarea name="heart" default=""][/conditional]
[checkbox name="Problem504" value="LUNGS:"] [conditional field="Problem504" condition="(Problem504).is('LUNGS:')"] [checkbox value="+breath sounds b/l, normal respiratory rate, on room air, does not appear to be in respiratory distress|+breath sounds b/l|clear to auscultation b/l|no wheezing|+wheezing|no rales|+rales|no rhonchi|+rhonchi|decreased breath sounds b/l|decreased breath sounds on the right|decreased breath sounds on the left|diminished breath sounds at lung bases|normal respiratory rate|tachypnea|bradypnea|intubated and mechanically ventilated|tracheostomy in place|on room air| on supplemental O2 via nasal canula| on supplemental O2 via NRB|on supplemental O2 via Venturi mask|on HFNC|on CPAP|on BiPAP|does not appear to be in respiratory distress|appears to be in respiratory distress"] [textarea name="lungs" default=""][/conditional]
[checkbox name="Problem505" value="ABDOMEN:"] [conditional field="Problem505" condition="(Problem505).is('ABDOMEN:')"] [checkbox value="soft, non-tender, non-distended, +bowel sounds|soft|rigid abdomen|guarding|non-tender|epigastric tenderness|periumbilical tenderness|RUQ tenderness|RLQ tenderness|LUQ tenderness|LLQ tenderness|diffuse abdominal tenderness|rebound tenderness|suprapubic tenderness|right CVA tenderness|left CVA tenderness|b/l CVA tenderness|non-distended|mildly distended|moderately distended|severely distended|+bowel sounds|normal bowel sounds|absent bowel sounds|hypoactive bowel sounds|hyperactive bowel sounds|hepatomegaly|splenomegaly"] [textarea name="abd" default=""][/conditional]
[checkbox name="Problem506" value="RECTAL:"] [conditional field="Problem506" condition="(Problem506).is('RECTAL:')"] [checkbox value="no stool|brown stool|melenic stool|bright red blood|hypotonic sphincter|normal sphincter tone|hypertonic sphincter|no palpable internal hemorrhoids|palpable internal hemorrhoids|no external hemorrhoids|+external hemorrhoids|no palpable rectal masses|palpable rectal mass"] [textarea name="rect" default=""][/conditional]
[checkbox name="Problem501" value="NEURO:"] [conditional field="Problem501" condition="(Problem501).is('NEURO:')"] [checkbox value="awake/alert/oriented x3, no focal deficits discernible on observation|patient is sedated|awake/alert/oriented x3|awake/alert/oriented x2|awake/alert/oriented x1|awake/alert/oriented x0|normal examination of CN 2-12|no focal deficits discernible on observation|sensation to pain, touch, proprioception normal|DTRs normal in upper/lower extremities b/l|no pathologic reflexes identified|observable right-sided deficits|observable left-sided deficits|observable b/l deficits|appears confused|obtunded|somnolent/lethargic|slurred speech|incoherent speech|mild asterixis/tremir|obvious asterixis"]. [textarea name="neuro" default=""][/conditional]
[checkbox name="Problem507" value="MSK/Extremities:"] [conditional field="Problem507" condition="(Problem507).is('MSK/Extremities:')"] [checkbox value="no clubbing, no cyanosis|no edema to b/l LEs|+1 edema to b/l LEs|+2 edema to b/l LEs|no clubbing|+clubbing|no cyanosis|+cyanosis|peripheral pulses intact|weak peripheral pulses|no peripheral pulses"]. [textarea name="mskext" default=""][/conditional]
[checkbox name="Problem508" value="SKIN:"] [conditional field="Problem508" condition="(Problem508).is('SKIN:')"] [checkbox value="warm, dry, color appropriate for ethnicity, no jaundice, no pallor|warm|cool|cold|dry|diaphoretic|intact|color appropriate for ethnicity|jaundiced|generalized pallor"] [textarea name="skin" default=""][/conditional]
[checkbox name="Problem409" value="PSYCH:"] [conditional field="Problem409" condition="(Problem409).is('PSYCH:')"] [checkbox value="normal mood, normal affect|normal mood|normal affect|flat affect|anxious appearing|tearful|agitated|verbally combative|physically combative"]. [textarea name="psych" default=""][/conditional]

[comment memo="Use if physical exam is normal"]
[checkbox name="Problem4999" value="PHYSICAL EXAMINATION:"] [conditional field="Problem4999" condition="(Problem4999).is('PHYSICAL EXAMINATION:')"] 
GENERAL: adult patient, sitting up in chair, in no acute distress
HEENT: normocephalic, atraumatic, PERRL, EOMI
CV: RRR, +s1/s2
RESP: +breath sounds b/l
ABD: soft, non-tender, non-distended, +bowel sounds
EXTREMITIES: no peripheral edema, no clubbing, no cyanosis
NEURO: no focal deficits discernible on observation
PSYCH: normal mood and affect
 [/conditional]

LABORATORY VALUES:
[select name="variable_110691196011123" value="Reviewed|Unavailable|None available for review|None recent"]
[textarea name="variable_11069101" default=""]

RADIOLOGY:
[select name="variable_1106911960111234" value="No abdominal imaging|Unavailable|None available for review|None recent|CXR|Abd XR:|RUQ U/S:|CT abd/pelvis w/ IV contrast:|CT abd/pelvis w/ PO contrast:|CT abd/pelvis w/ PO/IV contrast:|CT abd/pelvis noncontrast:|CTA abdomen/pelvis w/ & w/o IV contrast:|MRCP/MRI abd w/ & w/o IV contrast:|MRI abd w/ & w/o IV contrast:|Reviewed"]
[textarea name="variable_14" default=""]

[comment memo="***ASSESSMENT:***" memo_color="red" memo_style="bold" memo_size="large"]
***ASSESSMENT:***
[textarea name="variable_15" default=""]
[checkbox name="variable_0531199626251513" value="Screening colonoscopy"]
[checkbox name="variable_0531199626251514" value="Surveillance colonoscopy"]

[comment memo="***PLAN/RECOMMENDATIONS:***" memo_color="red" memo_style="bold" memo_size="large"]
***PLAN/RECOMMENDATIONS:***
[textarea name="variable_16" default=""]
[comment memo="CF plan"]
[checkbox name="variable_053119962625151" value="The patient was booked for CF w/ Dr. Tsirlin.  The patient was given instructional paperwork in English and received counseling with regards to bowel preparation. Bowel prep prescribed and sent to patient's preferred pharmacy.  The patient was advised to bring someone with him/her on the day of the procedure as a chaperone. Discussed risks of anesthesia administration (changes in HR, BP, respiratory status) and colonoscopy (bleeding, perforation). The patient is agreeable."]
[comment memo="EGD/CF plan"]
[checkbox name="variable_0531199626251512" value="The patient was booked for EGD/CF w/ Dr. Tsirlin.  The patient was given instructional paperwork in English and received counseling with regards to bowel preparation. Bowel prep prescribed and sent to patient's preferred pharmacy.  The patient was advised to bring someone with him/her on the day of the procedure as a chaperone. Discussed risks of anesthesia administration (changes in HR, BP, respiratory status) and upper endoscopy/colonoscopy (bleeding, perforation). The patient is agreeable."]


The case [select name="variable_1000" value="was discussed|is to be discussed"] w/ the [select name="variable_1001" value="clinic|on-call|consult"] attending, Dr. [select name="variable_1002" value="Elliot Fuhrer, MD|Seth Lapin, DO|Aaron Tokayer, MD|Dmitriy Khodorskiy, MD|Ira Mayer, MD|James Park, MD|Linda Lee, MD|Manol Jovani, MD|Michael Kantrowitz, DO|Negar Niknam, MD|Yuriy Tsirlin, MD|Hatef Massoumi, MD|Arun Swaminath, MD|Cindy Law, MD"].

[select name="variable_1003" value="Tanuj Chokshi, DO|Samantha Ehrlich, MD|Sadat Iqbal, MD|Steve Obanor, MD|Kaveh Zivari, MD|Larisa Garkusha, MD|Neha Sharma, MD|Diana Cheung, DO|Amit Kashyap, MD"]
Gastroenterology & Hepatology Fellow
p[text name="variable_2625152" default="6315"]

[comment memo="USEFUL LINKS:" memo_color="green" memo_style="bold" memo_size="large"]
[link url="https://openai.com/chatgpt" memo="ChatGPT 3.5"]
[link url="https://www.mdcalc.com/calc/10437/model-end-stage-liver-disease-meld" memo="MELD 3.0 Score"]
[link url="https://www.mdcalc.com/calc/340/child-pugh-score-cirrhosis-mortality" memo="Child Pugh Score"]
[link url="https://www.mdcalc.com/calc/56/maddreys-discriminant-function-alcoholic-hepatitis" memo="Maddrey's Discriminant Function"]
[link url="https://www.vocalpennscore.com/" memo="VOCAL-Penn Score"]
[link url="https://www.mayoclinic.org/medical-professionals/transplant-medicine/calculators/post-operative-mortality-risk-in-patients-with-cirrhosis/itt-20434721" memo="Mayo Score - Cirrhotic Post-Op Mortality Risk"]