CO ED Note

[text name="variable_1" default="age and gender"] [select name="variable_2" value="no significant|"] pmhx of [textarea name="variable_1" default="pmhx"] comes to ED w/ [text name="variable_4" default="Chief Complaint"]. [textarea name="variable_5" default="narrative"]. Their pain/symptom is [checkbox name="variable_6" value="mild|moderate|severe"], located in [text name="variable_7" default="location"], constant, non mediating with [checkbox name="variable_8" value="rest| "], associated with [checkbox name="variable_9" value="trauma|falls|fever|headache|shortness of breath|cough|rhinorrhea|congestion|chest pain|abdominal pain|nausea|vomiting|diarrhea|melena|hematochezia|dysuria|hematuria|urinary frequency|skin changes|p.o. issues|issues urinating|issues stooling|issues with ambulation"]. Started [checkbox name="variable_10" value="randomly| "]. Denies [checkbox name="variable_11" value="trauma|falls|fever|headache|shortness of breath|cough|rhinorrhea|congestion|chest pain|abdominal pain|nausea|vomiting|diarrhea|melena|hematochezia|dysuria|hematuria|urinary frequency|skin changes|p.o. issues|issues urinating|issues stooling|issues with ambulation"].

As per HPI

[General: non-toxic, NAD
HEENT: NCAT, PERRL
Cardiac: RRR, no murmurs, 2+ peripheral pulses
Chest: CTA
Abdomen: soft, non-distended, bowel sounds present, no ttp, no rebound or guarding
Extremities: no peripheral edema, calf tenderness, or leg size discrepancies
Skin: no rashes
Neuro: AAOx4, 5+motor, sensory grossly intact
Psych: mood and affect appropriate]

Impression: [Age and Gender] pmhx of [***] comes to ED w/ [***]. Their symptoms and exam findings of [***] are concerning for [***].

Ordered [labs, imaging, medications] for diagnosis, management, and treatment.