Buckeye Problem List
[checkbox memo="COPD" name="copd" value=""] [conditional field="copd" condition="(copd).is('')"] [select name="prob_copd" value="Chronic obstructive pulmonary disease, unspecified J44.9=1|Chronic obstructive pulmonary disease with (acute) exacerbation J44.2|Chronic obstructive pulmonary disease with acute lower respiratory infection J44.0=3"] [/conditional] [checkbox memo="Ddx abd pain lower female " name="D" value=""] [conditional field="D" condition="(D).is('')"] [textarea cols=80 rows=5 default="Differential diagnosis entertained was broad with potential high acuity and includes appendicitis, diverticulitis, ectopic pregnancy, ovarian torsion, hemorrhagic ovarian cyst, kidney stone, UTI, small bowel obstruction, volvulus, AAA, pancreatitis, among others. Considering pt’s lack of risk factors for AAA, normal dorsalis pedis pulses, no radiation of pain to the back, and no pulsatile mass felt on exam, the patient's profile was overall low risk for AAA and definitive workup was not pursued. Pt has no significant risk factors for PID, such as multiple sexual partners, history of STDs, vaginal discharge, or any cervical motion tenderness. Pregnancy test is negative, ruling out ectopic pregnancy. Presentation is not consistent with ovarian torsion or hemorrhagic ovarian cyst, pain was not sudden onset, not associated with vomiting, and has no significant tenderness on exam. The patient denies any bloody stool and has no pain out of proportion to exam, and no significant risk factors for mesenteric ischemia such as atrial fibrillation or severe PAD/PVD (peripheral arterial / vascular disease), thus definitive workup to rule out mesenteric ischemia was not pursued. "]
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