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The information provided on this website is intended for general informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The website’s content is based on general guidelines and recommendations and may not be applicable to specific individual cases. The information provided here is not exhaustive and may not cover all aspects of a particular medical condition. Individual health circumstances vary, and appropriate medical care and treatment should be tailored to the specific needs of each patient. Reliance on any information provided on this website is solely at your own risk. The operators of this website and its content contributors do not assume any responsibility or liability for any consequence resulting directly or indirectly from the use of the information provided. This website may contain links to external websites that are not under our control. We are not responsible for the content, accuracy, or availability of these external sites and do not endorse any views expressed or products or services offered therein.
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Discharge Macros
Neuro
Bell’s Palsy
You were seen in the emergency department for Bell’s palsy, a condition characterized by sudden, temporary weakness or paralysis on one side of the face. It’s crucial to be aware of red flag symptoms and know when to seek further emergency care. Return to the emergency room if you experience:
– Severe headache or changes in mental status: If you experience severe headaches or confusion associated with Bell’s palsy.
– Difficulty speaking or slurred speech: If you have trouble communicating or notice changes in your speech.
– Weakness or numbness: If you experience weakness or numbness, especially on one side of the body.
– Loss of consciousness: If you faint or lose consciousness.
– Eye symptoms: If you have severe eye pain, changes in vision, or difficulty closing the affected eye.
Precautions and instructions for at-home care:
– Prescribed medications: Take any prescribed medications for Bell’s palsy as directed by your healthcare provider.
– Eye protection: Use artificial tears or an eye patch to protect the affected eye if you have difficulty closing it.
– Gentle facial exercises: Perform gentle facial exercises as recommended by your healthcare provider to promote recovery.
– Stay hydrated: Ensure adequate fluid intake for overall health and well-being.
– Follow up with your primary care doctor: Schedule a follow-up appointment with your primary care doctor for ongoing evaluation and management.
If you did not inform your provider about possible tick bites or a rash, it’s crucial to communicate this information before you leave and during follow-up appointments, as certain infections may be associated with Bell’s palsy. If you encounter any of the red flag symptoms mentioned earlier, return to the emergency room for immediate evaluation.
Concussion
See “Concussion/Mild TBI” in the “Trauma/Wound Care” section
Dizziness/Peripheral Vertigo
You were seen in the emergency department for peripheral vertigo, a type of dizziness often related to issues with the inner ear. It’s important to be aware of red flag symptoms and know when to seek further emergency care. Return to the emergency room if you experience:
– Severe headache or changes in mental status: If you experience severe headaches or confusion associated with vertigo.
– Difficulty speaking or slurred speech: If you have trouble communicating or notice changes in your speech.
– Loss of consciousness: If you faint or lose consciousness.
– Weakness or numbness: If you experience weakness or numbness, especially on one side of the body.
– Double vision or vision changes: If you have persistent double vision or significant changes in your vision.
Precautions and instructions for at-home care:
– Prescribed medications: Take any prescribed medications for vertigo as directed by your healthcare provider.
– Avoid sudden movements: Be cautious with sudden head movements, and try to move slowly to minimize dizziness.
– Sit or lie down when feeling dizzy: If you experience vertigo, sit or lie down until the sensation passes.
– Stay hydrated: Ensure adequate fluid intake, as dehydration can worsen vertigo symptoms.
– Follow up with neurology: Schedule a follow-up appointment with a neurologist for ongoing evaluation and management.
If you encounter any of the red flag symptoms mentioned earlier, return to the emergency room for immediate evaluation. Follow up with your primary care doctor and neurologist for ongoing care and monitoring. Call for an appointment today.
Conjunctivitis
Allergic
You were seen in the emergency department for allergic conjunctivitis, an inflammation of the eye’s outer membrane caused by an allergic reaction. It’s important to be aware of red flag symptoms and know when to seek further emergency care. Return to the emergency room if you experience:
– Severe eye pain or vision changes: If you experience intense pain or notice significant changes in your vision.
– Swelling of the eyes or face: If there is severe swelling, especially if it spreads beyond the eye area.
– Difficulty breathing or swallowing: If breathing becomes difficult or swallowing is severely impaired.
– Persistent redness and irritation: If symptoms persist despite over-the-counter remedies and home care.
Precautions and instructions for at-home care:
– Hand hygiene: Wash your hands frequently to avoid introducing more allergens to your eyes. Use soap and water or an alcohol-based hand sanitizer.
– Avoid allergens: Identify and minimize exposure to allergens that trigger your symptoms, such as pollen, dust, or pet dander.
– Cool compresses: Apply cool compresses to your eyes to alleviate discomfort. Use a clean cloth soaked in cool water.
– Over-the-counter antihistamine eye drops: Use over-the-counter antihistamine eye drops to relieve itching and redness.
– Prescribed medications: If prescribed, use any allergy medications, such as oral antihistamines, as directed by your healthcare provider.
Follow up with your primary care doctor for ongoing care and monitoring. If you encounter any of the red flag symptoms mentioned earlier, return to the emergency room for immediate evaluation.
Bacterial
You were seen in the emergency department for bacterial conjunctivitis, a contagious infection of the eye’s outer membrane caused by bacteria. It’s crucial to follow these instructions to facilitate healing and prevent spreading the infection:
Return to the emergency room if you experience any of the following:
– Severe eye pain or sudden vision changes.
– Worsening redness, swelling, or discharge from the eyes.
– High fever or chills accompanying eye symptoms.
– Difficulty moving the eye or significant sensitivity to light
At-Home Care:
– Hand Hygiene: Wash your hands thoroughly and frequently to prevent spreading the infection to yourself or others. Use soap and water or an alcohol-based hand sanitizer.
– Avoid Eye Rubbing: Refrain from touching or rubbing your eyes to minimize the spread of bacteria.
– Warm Compresses: Apply warm compresses to your eyes for 5-10 minutes, several times a day, to help relieve discomfort and promote drainage of discharge.
– Prescribed Eye Drops or Ointment: Use any prescribed antibiotic eye drops or ointment as directed by your healthcare provider. Administer them according to the prescribed schedule, even if your symptoms improve.
– Avoid Contact Lenses: Do not wear contact lenses until your symptoms have completely resolved, and you have finished your prescribed course of treatment
Medication Instructions: If antibiotics were prescribed, take them as directed until you’ve completed the full course, even if symptoms improve. Follow any additional instructions provided by your healthcare provider.
Follow-Up Care: Follow up with your primary care doctor or an eye specialist for further evaluation and monitoring of your condition. They may need to reassess your progress or adjust your treatment plan if necessary.
Remember, if you experience any worsening symptoms or develop new concerns, seek prompt medical attention. Your health and vision are our priority.
Viral
Headache/Migraine
You were seen in the emergency department for a headache or migraine. Your evaluation did not reveal any concerning findings. You have received treatment to alleviate your symptoms. However, it’s important to monitor for certain red flag symptoms and seek immediate medical attention at the emergency room if you experience:
– Severe headache: If your headache becomes extremely intense or is different from your usual headaches/migraine
– Sudden onset of severe headache: Especially if it reaches its peak within seconds to minutes, often described as the worst headache of your life
– Focal neurological symptoms: Such as weakness, numbness, visual changes, or difficulty speaking
– Persistent vomiting: Especially if it prevents you from keeping down fluids
– Altered mental status: Confusion, disorientation, or any other significant change in your mental function
– Seizures: If you experience a seizure, it is a medical emergency
– Fever with a stiff neck: This could indicate a more serious underlying condition
If you encounter any of these red flag symptoms, please return to the emergency room immediately for further evaluation. Otherwise, follow up with your neurologist or primary care doctor for ongoing management and to discuss any concerns or changes in your symptoms. To help your symptoms resolve, be sure to get plenty of sleep and hydrate well. Decrease use of screens including televisions, computers, and phones. Try to rest in dark conditions with minimal stimulation. You should follow up with your primary care doctor within the next week. Call for an appointment today,
Seizure (Known Seizure Disorder)
You were evaluated in the emergency department for a seizure episode, and your evaluation and laboratory results were reassuring. As you have a known seizure disorder, it’s important to be vigilant about certain red flag symptoms. While a follow-up with your neurologist or primary care doctor is recommended, you should return to the emergency room if you experience any of the following:
– Prolonged or clustered seizures: If the seizure lasts longer than usual or if you experience multiple seizures in a short period.
– Difficulty breathing or shortness of breath: Seizures can sometimes affect breathing, and any respiratory distress should be addressed promptly.
– Injury during the seizure: If you sustained an injury during the seizure, especially if it’s severe.
– Severe confusion or prolonged altered mental status: If your mental state does not return to baseline within a reasonable time frame.
– New or worsening neurological symptoms: Any new focal neurological deficits, weakness, numbness, or changes in vision.
– Status epilepticus: If you have a continuous seizure lasting more than 5 minutes or experience multiple seizures without regaining consciousness.
– Fever with a seizure: If you have a seizure associated with a high fever, it may indicate an underlying infection.
If you or someone near you observe any of these red flag symptoms, seek immediate medical attention at the emergency room. Otherwise, follow up with your neurologist or primary care doctor for ongoing management, adjustments to your treatment plan, and to discuss any concerns or changes in your seizure activity. Call for an appointment today. Until you see your neurologist or primary care DO NOT DRIVE, SWIM/TAKE BATHS, OPERATE HEAVY MACHINERY, OR PERFORM ANY DANGEROUS TASKS.
HEENT/Ophthalmology
Corneal Abrasion
You were seen in the emergency department for a corneal abrasion, which is a scratch or injury to the cornea, the clear front part of the eye. It’s important to be aware of red flag symptoms and know when to seek further emergency care. Return to the emergency room if you experience:
– Severe eye pain: If the pain becomes intense and difficult to manage.
– Worsening vision or vision changes: Especially if it persists or gets worse over time.
– Persistent light sensitivity: If sensitivity to light continues or intensifies.
– Increasing redness in the eye: If the eye becomes significantly more red or if redness spreads.
– Severe headaches or nausea: If you develop severe headaches or nausea associated with the eye injury.
Precautions and instructions for at-home care:
– Avoid wearing contact lenses: Refrain from wearing contact lenses until your eye has healed. If you wear contacts regularly, consult with an ophthalmologist before resuming use.
– Eye protection: Use protective eyewear, such as glasses, to shield the affected eye from further injury.
– Prescribed eye drops or ointments: Use any prescribed eye drops or ointments as directed by your healthcare provider.
Follow up with an ophthalmologist promptly if you experience:
– Persistent or worsening symptoms: If your symptoms do not improve or worsen despite initial treatment.
– Concerns about healing: If you have any concerns about the healing process or potential complications.
– Contact lens wear: If you wear contact lenses, consult with an ophthalmologist before resuming use.
For ongoing care and assessment, follow up with your primary care doctor. Call for an appointment today. However, if you encounter any of the red flag symptoms mentioned earlier, return to the emergency room for immediate evaluation.
Orbital Fracture (with Sinus Precautions)
You were seen in the Emergency Department today and based on your imaging you were found to have an orbital fracture – this is a fracture of the bony part of your eye socket, which can cause swelling, pain, and sometimes changes in your vision. Based on our evaluation, you were determined to not need surgery or admission to the hospital to treat your fracture at this time, and it is safe for you to go home and follow up with the ophthalmologist (eye doctors) or ENT (Ear, Nose, and Throat doctors). You should follow certain precautions for your injury:
– Place a cold compress on your injury to reduce swelling as frequently as every two hours for the first 24-48 hours, after this you can use a warm compress twice a day, do not use a warm compress for the first two days
– Avoid blowing your nose, straws, sneezing with your mouth closed, and changes in atmospheric pressure such as flying in an airplane or scuba diving
– You may have been prescribed a nasal spray called “Afrin” or “Oxymetazoline”, you can use this spray up to twice a day as needed for the first 3 days, do not use it afterwards unless instructed by your doctor
– If you were prescribed antibiotics, take these as prescribed and complete the medication even if you feel better after the first couple of doses
You should seek earlier follow up with the ophthalmologist/ENT if you have any of the following symptoms: Vision changes, such as increased blurriness or worsening double vision, pain when you move your eyes, nausea or light-headedness when you move your eyes, redness or swelling that does not go away or gets worse, blood or fluid coming from your nose, fever, or headache.
You should return to the Emergency Department if you have any of the following concerning symptoms or are unable to reach your doctor or the ophthalmologist/ENT for the above symptoms: Sensation that you are seeing flashing lights, sudden blindness. sudden bulging of the injured eye, you notice that your heart is beating much slower than normal, you have dizziness or pass out, chest pain or shortness of breath.
Sinus Precautions
– Place a cold compress on your injury to reduce swelling as frequently as every two hours for the first 24-48 hours, after this you can use a warm compress twice a day, do not use a warm compress for the first two days
– Avoid blowing your nose, straws, sneezing with your mouth closed, and changes in atmospheric pressure such as flying in an airplane or scuba diving
– You may have been prescribed a nasal spray called “Afrin” or “Oxymetazoline”, you can use this spray up to twice a day as needed for the first 3 days, do not use it afterwards unless instructed by your doctor
– If you were prescribed antibiotics, take these as prescribed and complete the medication even if you feel better after the first couple of doses
Sore Throat
Viral
You were seen in the emergency department for a sore throat caused by a viral illness. Viral infections, such as the common cold or flu, can result in a sore throat. It’s important to be mindful of red flag symptoms and know when to seek further emergency care. Return to the emergency room if you experience:
– Difficulty breathing or swallowing: If breathing becomes significantly difficult or if swallowing is impaired.
– Severe throat pain: If the pain becomes intense and is not relieved by over-the-counter pain medications.
– Persistent high fever: If your fever remains high or if it increases despite home remedies.
– Swelling in the neck: If you notice significant swelling in the neck area.
– Severe headache or confusion: If you experience severe headaches or confusion associated with the sore throat.
Precautions and instructions for at-home care:
– Rest and hydration: Get plenty of rest and stay well-hydrated to support your body’s natural healing process.
– Over-the-counter pain relief: Take over-the-counter pain medications, such as acetaminophen or ibuprofen, as directed for pain relief.
– Warm saltwater gargle: Gargle with warm saltwater to soothe the throat. Repeat several times a day.
– Use a humidifier: Moisture from a humidifier can help relieve throat irritation.
Follow up with your primary care doctor for ongoing care and monitoring. However, if you encounter any of the red flag symptoms mentioned earlier, return to the emergency room for immediate evaluation.
Strep Throat/Bacterial
You were diagnosed with strep throat in the emergency department, and you have been prescribed antibiotics for treatment. Strep throat is a bacterial infection that can cause a sore throat. You should take the antibiotics that were prescribed to you and finish the course, even if you begin to feel better. While antibiotics are effective against the bacteria, it’s important to be aware of red flag symptoms and know when to seek further emergency care. Return to the emergency room if you experience:
– Severe difficulty breathing or swallowing: If breathing becomes significantly difficult or if swallowing is severely impaired.
– Persistent high fever: If your fever remains high or if it increases despite antibiotic treatment.
– Worsening throat pain or swelling: If the pain becomes more intense or if you notice increasing swelling.
– Severe headache or confusion: If you experience severe headaches or confusion associated with the strep throat.
Precautions and instructions for at-home care:
– Complete the antibiotic course: Take the prescribed antibiotics as directed by your healthcare provider to ensure complete eradication of the infection.
– Rest and hydration: Get plenty of rest and stay well-hydrated to support your body’s healing process.
– Over-the-counter pain relief: In addition to antibiotics, take over-the-counter pain medications, such as acetaminophen or ibuprofen, as directed for pain relief.
– Warm saltwater gargle: Gargle with warm saltwater to soothe the throat. Repeat several times a day.
– Use a humidifier: Moisture from a humidifier can help relieve throat irritation.
Follow up with your primary care doctor for ongoing care and monitoring. However, if you encounter any of the red flag symptoms mentioned earlier, return to the emergency room for immediate evaluation.
Mono
You were seen in the emergency department for a sore throat caused by mononucleosis, a viral infection often caused by the Epstein-Barr virus. It’s important to be aware of red flag symptoms and know when to seek further emergency care. Return to the emergency room if you experience:
– Severe difficulty breathing or swallowing: If breathing becomes significantly difficult or if swallowing is severely impaired.
– Persistent high fever: If your fever remains high or if it increases despite home remedies.
– Worsening throat pain or swelling: If the pain becomes more intense or if you notice increasing swelling.
– Severe headache or confusion: If you experience severe headaches or confusion associated with mononucleosis.
– Severe abdominal pain: Pain in the upper left side of the abdomen can occur in some cases of mononucleosis and should be addressed promptly.
Precautions and instructions for at-home care:
– Rest and hydration: Get plenty of rest and stay well-hydrated to support your body’s natural healing process.
– Over-the-counter pain relief: Take over-the-counter pain medications, such as acetaminophen or ibuprofen, as directed for pain relief.
– Avoid contact sports: Refrain from participating in any contact sports during the recovery period to prevent the risk of spleen injury, which can be a complication of mononucleosis.
– Follow up with your primary care doctor: Keep scheduled follow-up appointments with your primary care doctor for ongoing care and monitoring.
Mononucleosis often involves a prolonged recovery period, so be patient and allow your body the time it needs to heal. If you encounter any of the red flag symptoms mentioned earlier, return to the emergency room for immediate evaluation.
Chest/Cardio/Pulm/Respiratory
Asthma Exacerbation
You were seen in the emergency room for an asthma exacerbation and will be discharged after treating symptoms with an otherwise unremarkable evaluation. It’s essential to be aware of red flag symptoms and know when to seek further emergency care. Return to the emergency room if you experience:
– Severe shortness of breath: If you have sudden or severe difficulty breathing, especially if it’s not responding to your usual rescue inhaler.
– Persistent chest pain or pressure: If you experience persistent or worsening chest pain or pressure.
– Lips or fingernails turning blue: If you notice a bluish tint to your lips or fingernails, indicating inadequate oxygenation.
– Inability to speak in full sentences: If you can’t complete a full sentence due to shortness of breath.
– Rescue inhaler provides minimal relief: If your rescue inhaler provides minimal relief or if your symptoms persist.
As you transition home, follow these guidelines for at-home care:
– Take prescribed medications: Ensure you take your prescribed asthma medications as directed by your healthcare provider.
– Follow your asthma action plan: Adhere to your asthma action plan, which includes knowing when to use your rescue inhaler and when to seek emergency care.
– Avoid triggers: Identify and avoid triggers that may exacerbate your asthma symptoms.
– Stay well-hydrated: Maintain adequate fluid intake to keep airways moist.
– Follow-up with your primary care doctor or pulmonologist (lung doctor): Schedule a follow-up appointment with your doctor for ongoing asthma management. Call for an appointment today.
If you encounter any of the red flag symptoms mentioned earlier, return to the emergency room for immediate evaluation.
Chest Pain
MSK/Costochondritis
You were seen in the emergency department for chest pain attributed to a musculoskeletal (MSK) cause, such as costochondritis, and your initial workup, including an ECG and lab work, was reassuring. It’s important to be aware of red flag symptoms and know when to seek further emergency care. Return to the emergency room if you experience:
– Severe or worsening chest pain: If the chest pain becomes severe or intensifies, especially if it persists or radiates.
– Shortness of breath: If you experience sudden or severe shortness of breath, especially if it’s accompanied by chest discomfort.
– Lightheadedness or fainting: If you feel lightheaded or faint, as this may indicate an unrelated cardiac issue.
– Symptoms persist or worsen: If your symptoms persist or worsen despite initial evaluation and reassurance.
While your primary concern is MSK-related, it’s still essential to follow up with your primary care doctor for ongoing assessment and to discuss the management of your chest pain. Call for an appointment today. If you encounter any of the red flag symptoms mentioned earlier, return to the emergency room for immediate evaluation. We appreciate the opportunity to provide care for your chest pain and hope for a positive outcome in managing your symptoms.
Unknown Cause
You were seen in the emergency department for chest pain without an identified cause, and your initial workup, including an ECG and lab work, was reassuring. It’s crucial to be aware of red flag symptoms and know when to seek further emergency care. Return to the emergency room if you experience:
– Severe or worsening chest pain: If the chest pain becomes severe or intensifies, especially if it radiates to the arm, jaw, or back.
– Shortness of breath: If you experience sudden or severe shortness of breath, especially if it’s accompanied by chest discomfort.
– Lightheadedness or fainting: If you feel lightheaded or faint, as this may indicate a serious cardiac issue.
– Irregular heartbeats or palpitations: If you have new or concerning changes in your heart rhythm.
– Symptoms persist or worsen: If your symptoms persist or worsen despite initial evaluation and reassurance.
It’s essential to follow up with your primary care doctor or cardiologist for further assessment and to discuss ongoing management of your chest pain. Call for an appointment today. However, if you encounter any of the red flag symptoms mentioned earlier, return to the emergency room for immediate evaluation.
Congestive Heart Failure Exacerbation (CHF)
You were seen in the emergency department for a congestive heart failure (CHF) exacerbation, and your initial workup, including an ECG and lab work, was reassuring. You are being discharged with diuretics and advised to follow up with cardiology – call for an appointment today. It’s essential to be aware of red flag symptoms and know when to seek further emergency care. Return to the emergency room if you experience:
– Severe shortness of breath: If you have sudden or severe difficulty breathing that does not improve with medication.
– Persistent chest pain or discomfort: If you experience persistent or worsening chest pain.
– Sudden weight gain or swelling: If there is a sudden increase in weight or swelling, especially in the legs or abdomen.
– Severe weakness or dizziness: If you feel extremely weak or lightheaded
– Confusion or altered mental status: If there is a sudden change in mental function.
It’s crucial to adhere to your prescribed medications, especially diuretics, and follow up promptly with your cardiology appointment. If you encounter any of the red flag symptoms mentioned earlier, return to the emergency room for immediate evaluation.
COPD Exacerbation
You were seen in the emergency room for a COPD exacerbation and will be discharged after treating symptoms with an otherwise unremarkable evaluation. It’s crucial to be aware of red flag symptoms and know when to seek further emergency care. Return to the emergency room if you experience:
– Severe shortness of breath: If you have sudden or severe difficulty breathing, especially if it’s not responding to your usual medications.
– Persistent chest pain or pressure: If you experience persistent or worsening chest pain or pressure.
– Lips or fingernails turning blue: If you notice a bluish tint to your lips or fingernails, indicating inadequate oxygenation.
– Inability to speak in full sentences: If you can’t complete a full sentence due to shortness of breath.
– Rescue inhalers provide minimal relief: If your rescue inhalers provide minimal relief or if your symptoms persist.
As you transition home, follow these guidelines for at-home care:
– Take prescribed medications: Ensure you take your prescribed COPD medications, including bronchodilators and anti-inflammatory medications, as directed by your healthcare provider.
– Follow your COPD action plan: Adhere to your COPD action plan, which includes knowing when to use your rescue inhalers and when to seek emergency care.
– Avoid triggers: Identify and avoid triggers that may exacerbate your COPD symptoms, such as tobacco smoke or environmental pollutants.
– Stay well-hydrated: Maintain adequate fluid intake to keep airways moist.
– Follow up with your primary care doctor: Schedule a follow-up appointment with your primary care doctor for ongoing COPD management. Call for an appointment today.
If you encounter any of the red flag symptoms mentioned earlier, return to the emergency room for immediate evaluation.
Syncope/Near Syncope
Syncope, also known as fainting, is when a person briefly loses consciousness and may appear to “pass out” due to a temporary drop in blood flow to the brain. It’s like a brief episode of unconsciousness that can happen for various reasons.
You were evaluated in the emergency department for syncope or near-syncope, and the examination, labs, and ECG results were reassuring. While a follow-up with a cardiologist or primary care doctor is recommended, it’s important to be aware of red flag symptoms that should prompt a return to the emergency room:
– Persistent or worsening symptoms: If your syncope or near-syncope episodes become more frequent or intense.
– Chest pain or discomfort: If you experience new or worsening chest pain, pressure, or discomfort.
– Shortness of breath: Difficulty breathing or significant changes in your respiratory status.
– Fainting during exertion or exercise: If syncope occurs while engaged in physical activity, especially if it’s consistent or recurrent.
– Severe headache or confusion following the episode: This could indicate a more serious underlying issue.
– Irregular heartbeats or palpitations: New or concerning changes in your heart rhythm.
– Seizures during or after syncope: If you experience seizures associated with or following a syncopal episode.
– Significant injury during the episode: If you sustained a serious injury during the syncopal episode.
If you encounter any of these red flag symptoms, seek immediate medical attention at the emergency room. Otherwise, follow up with your cardiologist or primary care doctor for further assessment, monitoring, and discussions about potential causes and management of your syncope. Call for an appointment today.
Palpitations
You were seen in the emergency department for palpitations, and your initial workup, including an ECG and lab work, was reassuring. You are being discharged with follow-up care recommended with either your primary care doctor or a cardiologist. It’s important to be aware of red flag symptoms and know when to seek further emergency care. Return to the emergency room if you experience:
– Severe chest pain or discomfort: If you have sudden or severe chest pain associated with palpitations.
– Shortness of breath: If you experience sudden or severe shortness of breath along with palpitations.
– Fainting or near-fainting episodes: If you faint or come close to fainting associated with palpitations.
– Prolonged episodes of palpitations: If the palpitations persist for an extended duration or become more frequent.
– Severe dizziness or weakness: If you feel extremely dizzy or weak along with palpitations.
It’s crucial to follow up promptly with either your primary care doctor or cardiologist to further investigate and manage your palpitations. Call for an appointment today. If you encounter any of the red flag symptoms mentioned earlier, return to the emergency room for immediate evaluation.
Pneumonia
You were seen in the emergency room for pneumonia and will be discharged with antibiotics, along with the recommendation for follow-up care with your primary care doctor. It’s crucial to be aware of red flag symptoms and know when to seek further emergency care. Return to the emergency room if you experience:
– Severe shortness of breath: If you have sudden or severe difficulty breathing, especially if it’s not alleviated by prescribed medications.
– Persistent high fever: If your fever remains high or if it increases despite antibiotic treatment.
– Worsening chest pain: If you experience persistent or worsening chest pain.
– Confusion or altered mental status: If there is a sudden change in mental function.
– Dehydration: If you experience persistent vomiting, inability to keep fluids down, or signs of dehydration.
As you recover at home, follow these guidelines for at-home care:
– Take prescribed antibiotics: Complete the full course of antibiotics as prescribed by your healthcare provider even if you begin to feel better.
– Rest and hydration: Get plenty of rest and stay well-hydrated to support your body’s natural healing process.
– Over-the-counter symptom relief: Use over-the-counter medications as directed for symptom relief, such as acetaminophen or ibuprofen for fever and pain.
– Isolation: Practice good respiratory hygiene, including covering your mouth and nose when coughing or sneezing, and maintain distance from others to prevent the spread of the infection.
– Follow-up with your primary care doctor: Schedule a follow-up appointment with your primary care doctor for ongoing care and monitoring. Call for an appointment today.
If you encounter any of the red flag symptoms mentioned earlier, return to the emergency room for immediate evaluation.
Viral Upper Respiratory Infection (Viral URI)
You were seen in the emergency department for a viral upper respiratory illness, and your evaluation was reassuring. You can go home with the option of follow-up care with your primary care doctor. It’s important to be aware of red flag symptoms and know when to seek further emergency care. Return to the emergency room if you experience:
– Severe shortness of breath: If you have sudden or severe difficulty breathing.
– Persistent high fever: If your fever remains high or if it increases despite home remedies.
– Worsening symptoms: If your respiratory symptoms worsen, especially if you experience chest pain or pressure.
– Confusion or altered mental status: If there is a sudden change in mental function.
– Dehydration: If you experience persistent vomiting, inability to keep fluids down, or signs of dehydration.
While you may have mild symptoms, it’s common for viral upper respiratory illnesses to last around one to two weeks. Take the following precautions and at-home care measures:
– Rest and hydration: Get plenty of rest and stay well-hydrated to support your body’s natural healing process.
– Over-the-counter symptom relief: Use over-the-counter medications as directed for symptom relief, such as acetaminophen or ibuprofen for fever and pain, and cough drops or throat lozenges.
– Humidifier use: Use a humidifier to ease respiratory symptoms.
– Isolation: Practice good respiratory hygiene, including covering your mouth and nose when coughing or sneezing, and maintaining distance from others to prevent the spread of the virus.
If you encounter any of the red flag symptoms mentioned earlier, return to the emergency room for immediate evaluation.
GI/Abdomen
Abdominal Pain
Unknown Cause
You were seen in the emergency room for abdominal pain. Unfortunately we did not find the cause of your abdominal pain on this visit, but your evaluation was unremarkable. It’s important to be aware of red flag symptoms and know when to seek further emergency care. Return to the emergency room if you experience:
– Severe or worsening abdominal pain: If the abdominal pain becomes severe or intensifies.
– Persistent vomiting: If you experience persistent vomiting that prevents you from keeping down fluids.
– Fever of 100.4 or higher: If you develop a fever of 100.4 degrees Fahrenheit or higher.
– Any other new or concerning symptoms: If you notice new or concerning symptoms that weren’t present during your initial evaluation.
As you recover at home, follow these guidelines for at-home care:
– Take prescribed medications: If any medications were prescribed, take them as directed by your healthcare provider.
– Rest and hydration: Get plenty of rest and stay well-hydrated to support your body’s natural healing process.
– Avoid triggering foods: Identify and avoid foods that may exacerbate abdominal discomfort.
– Follow-up with your primary care doctor or gastroenterologist (GI doctor): Schedule a follow-up appointment with your primary care doctor for ongoing assessment and management of your abdominal pain. Call for an appointment today.
If you encounter any of the red flag symptoms mentioned earlier, return to the emergency room for immediate evaluation.
Nausea/Vomiting
You were seen in the emergency room for nausea and vomiting, we treated your symptoms and your evaluation was otherwise unremarkable evaluation, including labs and examination. It’s important to be aware of red flag symptoms and know when to seek further emergency care. Return to the emergency room if you experience:
– Severe dehydration: If you are unable to keep down fluids and experience signs of severe dehydration, such as dizziness, dark urine, or extreme thirst.
– Persistent or worsening symptoms: If your nausea and vomiting persist or worsen despite initial treatment.
– Severe abdominal pain: If you develop severe abdominal pain or discomfort.
– Fever of 100.4 or higher: If you develop a fever of 100.4 degrees Fahrenheit or higher.
– Any other new or concerning symptoms: If you notice new or concerning symptoms that weren’t present during your initial evaluation.
As you recover at home, follow these guidelines for at-home care:
– Stay hydrated: Sip on clear fluids to stay hydrated, and consider using oral rehydration solutions.
– Gradual reintroduction of food: Start with bland, easily digestible foods as you reintroduce a regular diet.
– Rest: Get plenty of rest to aid in your recovery.
– Follow-up with your primary care doctor or gastroenterologist (GI doctor): Schedule a follow-up appointment with your primary care doctor for ongoing assessment and management of your symptoms. Call for an appointment today.
If you encounter any of the red flag symptoms mentioned earlier, return to the emergency room for immediate evaluation.
Trauma/Wound Care
Concussion/Mild TBI
You were seen in the emergency department for a concussion (sometimes known as “mild traumatic brain injury (TBI)”). A concussion is a type of brain injury resulting from a blow to the head or body, causing temporary disruption in normal brain function and does not show up on imaging of the brain like a CT. Your examination did not reveal any concerning findings, but it’s crucial to be aware of red flag symptoms. Return to the emergency room if you experience:
– Worsening headaches: Especially if severe or persistent.
– Increased confusion or irritability: If your mental status declines or becomes more problematic.
– Repeated vomiting: Frequent or persistent vomiting is a concern.
– Seizures: If you have a seizure, it is a medical emergency.
– Weakness or numbness: Particularly on one side of the body.
– Visual disturbances: Sudden or severe changes in vision.
– Severe dizziness or loss of balance: If it significantly worsens or persists.
At home, take the following precautions:
– Screen time and cognitive rest: Limit the use of screens (phones, computers, TV) to avoid overstimulation. Allow time for mental rest to aid in recovery.
– Physical rest: Avoid strenuous activities, heavy lifting, and intense exercise. Gradually reintroduce activities as guided by your healthcare provider.
– Hydration and nutrition: Ensure adequate fluid intake and maintain a balanced diet to support recovery.
– Regular sleep: Aim for a consistent sleep schedule and ensure sufficient rest.
Follow up with your primary care doctor or neurology for ongoing monitoring and guidance. Call for an appointment today. If any red flag symptoms arise or if you have concerns about your recovery, return to the emergency room for prompt evaluation.
Psychiatric/Substance
General Psychiatric/Mental Health
You were evaluated in the emergency department for mental health concerns, and it’s our assessment that you do not currently require immediate psychiatric intervention. We feel safe discharging you with the following instructions:
We recommend following up with your primary care doctor or psychiatrist for ongoing mental health support and guidance.
Additional Resources: If needed, you can seek evaluation and support at the DC Department of Behavioral Health Psychiatric Urgent Care located at 35 K Street NE in Washington, DC. The clinic is open Monday-Friday from 8am to 3pm and accepts walk-ins. They provide services to all DC residents who have no insurance or Medicaid or Medicare.
Directions to the DC Department of Behavioral Health Psychiatric Urgent Care by Public Transit:
– Take the Metro to Union Station (Red Line).
– From Union Station, exit the station and head northeast on Massachusetts Ave NE
– Turn right onto 1st St NE.
– Continue straight until you reach K Street NE.
– Turn left onto K Street NE, and the clinic will be on your left.
Red Flag Symptoms:
Return to the emergency room or seek immediate help if you experience any of the following:
– Feeling like harming yourself or others.
– Suicidal feelings or thoughts.
– Homicidal feelings or thoughts.
– Any other concerning symptoms that significantly impact your safety or well-being.
At-Home Precautions:
– Practice self-care: Engage in activities that promote relaxation and well-being, such as exercise, hobbies, or spending time with supportive individuals.
– Monitor your mental health: Pay attention to any changes in your mood, behavior, or thoughts. Reach out for help if you notice any concerning developments.
– Stay connected: Maintain open communication with trusted friends, family members, or mental health professionals. Don’t hesitate to reach out for support when needed.
Emergency Contacts:
In case of an emergency or if you need immediate assistance, you can contact 1- (888)7WE-HELP or 1-888-793-4357 or go to the nearest emergency room.
Please remember that your mental health is important, and seeking help is a sign of strength. We encourage you to prioritize your well-being and to reach out for support whenever necessary.