HEENT Hustle
This symptom is considered the cardinal feature distinguishing allergic conjunctivitis from viral conjunctivitis.
What is itching?
ADCVANDIMALS is a mnemonic used to remember the essential components of this set of hospital instructions.
What are admitting orders?
Hospital progress notes commonly use this four-part format: Subjective, Objective, Assessment, and Plan.
What is SOAP?
This document summarizes what occurred during a hospitalization and allows the patient's next provider to continue their care.
What is the discharge summary?
Fever, drenching night sweats, and unexplained weight loss make up this classic lymphoma red-flag triad.
What are B symptoms?
This prostaglandin analog is a first-line treatment for open-angle glaucoma and lowers IOP primarily by increasing uveoscleral outflow.
What is latanoprost?
Rather than simply writing “check vitals,” a complete order should specify these two additional pieces of information.
What are frequency and notification/call parameters?
Instead of repeating the entire hospital course, this portion of a progress note should focus on new symptoms, overnight events, and changes since the previous note.
What is the Subjective section?
Evaluation, treatment, and patient progress should be summarized here, with each major diagnosis discussed separately.
What is the hospital course?
Enlargement of this left supraclavicular lymph node should raise concern for an abdominal malignancy.
What is Virchow's node?
Patients taking this peripheral antitussive must swallow the capsule whole because chewing it can cause laryngospasm, bronchospasm, and circulatory collapse.
What is benzonatate (Tessalon Perles)?
For a patient admitted with community-acquired pneumonia, these should be collected twice before the first dose of antibiotics whenever possible.
What are blood cultures?
Vital-sign trends, focused physical-exam findings, and new laboratory or imaging results belong in this portion of the progress note.
What is the Objective section?
“Improved” alone isn't enough. This section should also briefly describe the patient's functional and cognitive status, such as ability to ambulate or perform ADLs.
What is condition at discharge?
Lymphoma classically produces nodes with this consistency, while metastatic malignancy is more likely to produce hard, fixed nodes.
What is rubbery?
A contact-lens wearer presents with bacterial conjunctivitis. Because of the risk for Pseudomonas infection, this class of ophthalmic antibiotic is recommended.
What is a fluoroquinolone?
A patient admitted with acute decompensated HFrEF is receiving IV furosemide. Strict I&O should target approximately this daily net fluid balance.
What is negative 1–2 L/day?
High-quality medical decision-making documents these three elements: problems addressed, data reviewed, and this third component.
What is risk of complications, morbidity, or mortality?
Home, short-term rehab, long-term care, or transfer to another hospital should be documented under this heading.
What is disposition?
Migratory thrombophlebitis in a patient with malignancy is known by this eponym and is classically associated with pancreatic cancer.
What is Trousseau's sign?
A patient has an intraocular pressure of 42 mmHg. According to the lecture's referral thresholds, this level requires this degree of ophthalmologic evaluation.
What is an emergency referral?
A patient with DKA is receiving normal saline and an insulin infusion. Once the glucose falls below 250 mg/dL, the IV fluid should be changed to this.
What is D5 ½ NS?
On hospital day 2, a CAP patient's oxygen requirement has fallen from 4 L to 2 L, symptoms have improved, and WBC has dropped from 14.2 to 9.2. If improvement continues, the lecture recommends reassessing for this change in antibiotic therapy.
What is transition from IV to oral antibiotics?
Before discharge, the provider must list all medications with dosing and explain changes made to the patient's pre-admission regimen. This safety process is known as this.
What is medication reconciliation?
A patient with fatigue, bruising, splenomegaly, and abnormal myeloid proliferation is found to have t(9;22), producing BCR-ABL. This targeted drug from your lecture treats the resulting CML.
What is imatinib?