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15 CCS, 15 CCS:, 15 CCS, 10 CCS:, 10 CCS:, 10 CCS:, 10 CCS:, 10 CCS:, 10…
15 CCS
Hemoperitoneum from Ruptured Ovarian Cyst
CBC
HCG
ECG
Echocardiography
Abdominal ultrasound
BMP
Blood type
IV saline
Packed RBCs
Hydromorphone
PT
Cefazolin sodium
Laparotomy
Trichomoniasis
CBC
HCG
Vaginal pH
Test for Chlamydia
Test for Gonorrhea
HIV antibodies
CMP
Vaginal microscopy (wet mount)
Metronidazole
Treat sexual partner
Advise no intercourse until treatment completed
Lumbar Hernia
CBC
TSH
MRI spine
CT spine
BMP
Physical therapy
Celecoxib (or Diclofenac)
Vaccination (DTP-HepB)
Hemophilia
CBC
CMP
PT
Factor VIII
Anti-hemophilic treatment
Reassurance
Genetic counseling
Ovarian Torsion
CBC
ECG
PT
Blood group
Abdominal and pelvic ultrasound
Laparoscopy (consult gynecology)
Hiatal Hernia
Endoscopy
ECG
CBC
BMP
Omeprazole
Calorie-restricted diet
CO Poisoning
ECG
Lactate
Blood CO levels
CBC
CMP
Oxygen therapy
Squamous Cell Carcinoma (SCC)
CBC
BMP
Oral or skin biopsy
Consult dermatology
Advise sun protection
Acute Cystitis
CBC
CMP
Urinalysis
Nitrofurantoin (or TMP-SMX, Trimethoprim)
PAP smear
PTSD
CBC
TSH
BMP
Psychological support
Trigeminal Neuralgia
CBC
BMP
CT head
Carbamazepine
Cauda Equina Syndrome
CBC
CMP
MRI spine
Consult neurosurgery (laminectomy)
GAS Pharyngitis
Streptococcal culture
Acetaminophen
Penicillin
Medication compliance
Acute Otitis Media (AOM)
Acetaminophen
Amoxicillin
Medication compliance
Trigeminal Neuropathy
CBC
BMP
Pregabalin
15 CCS:
Lung Adenocarcinoma
CBC
ABG
ESR
CXR
Chest CT
Head CT
TB skin test
Sputum bacterial culture
Bronchoscopy
CRP
Abdominal CT
CMP
Oncology consultation
Smoking cessation
Cancer diagnosis counseling
Tdap vaccine
Varicella vaccine
Pneumococcal vaccine
PCOS
CBC
TSH
hCG
Lipid profile
Testosterone
FSH
LH
Pelvic ultrasound
CMP
Prolactin
HbA1c
Combined oral contraceptives (COCs)
Calorie-restricted diet
Exercise
Spironolactone
Tdap vaccine
Pap smear
Crohn’s Disease
CBC
Vitamin B12
Vitamin D
Iron studies
Stool culture
Ova and parasite stool test
PCR
Colonoscopy
Occult blood test
ESR
CRP
Endoscopy
CMP
Gastroenterology consultation
Mesalamine
Tdap vaccine
Smoking cessation
Hyperthyroidism
CBC
TSH
ECG
hCG
ESR
Toxicology urine screen
CMP
Triiodothyronine (T3)
Propranolol
Endocrinology consultation
Methimazole
Tdap vaccine
Pap smear
Hypothyroidism
CBC
Lipid profile
Random glucose
HbA1c
ECG
TSH
Serum thyroxine
Depression index
CMP
Levothyroxine
Exercise
Pap smear
Tdap vaccine
Syphilis
CBC
Chlamydia antibody/culture
Gonorrhea DNA test
HIV antibody
Hepatitis C antibody
Hepatitis panel
RPR
CMP
Penicillin G
Sexual partner treatment
Safe sex counseling
Avoid illegal activity
Menopause
CBC
TSH
hCG
Prolactin
FSH
Cervical wet mount
Mammography
CMP
Estrogen therapy
Citalopram/Duloxetine
Lubricating gel
Tdap vaccine
Endometrial Cancer
CBC
PT
BT
Pap smear
Endometrial biopsy
CMP
Pelvic ultrasound
Peripheral blood smear (PBS)
Gynecologist consultation
Hematologist/Oncologist consultation
Cancer diagnosis counseling
Obstructive Sleep Apnea
CBC
HbA1c
Lipid profile
ECG
PT
Blood type
Polysomnography (sleep study)
CMP
Positive airway pressure therapy
Insulin 70/30
Calorie-restricted diet
Major Depressive Disorder
CBC
TSH
Toxicology urine screen
Urinalysis
CMP
Bupropion
Safety plan
Exercise
Psychiatry consultation
Tdap vaccine
Pap smear
Fat Embolism Syndrome
ECG
CXR
Chest CT
CBC
ABG
Pulse oximetry
CMP
Intubation
Mechanical ventilation
Saline infusion
Heparin
Pancreatic Cancer
CBC
Serum magnesium
Lipase
Urinalysis
CA 19-9
Chest CT
MRCP
CMP
Abdominal ultrasound
Oncology consultation
ERCP
Type 2 Diabetes Mellitus
Urinalysis
CMP
HbA1c
Insulin 70/30
Calorie-restricted diet
Exercise
Glucose monitoring
Hypercalcemia Secondary to Cancer
CBC
PTH
CMP
Calcitonin-salmon
Zoledronic acid
Saline infusion
Hematologist/Oncologist consultation
Foreign Body Aspiration
Pulse oximetry
Neck X-ray
CXR
Saline infusion
Bronchoscopy
Elder Abuse
CXR
CMP
Diclofenac
Social service involvement
15 CCS
Renal Cell Carcinoma (RCC)
CBC
TSH
Pulse oximetry
Abdominal ultrasound
Abdominal CT
ECG
Urinalysis
CMP
Consult oncology/hematology
PT
Surgical consultation
Cancer diagnosis counseling
Vaccination: Varicella
Toxic Shock Syndrome
CBC
Urinalysis
Blood cultures
Urine culture
Tampon culture
Gram stain of tampon sample
CMP
Oxygen therapy
Remove tampon
IV saline
Vancomycin (or Linezolid)
Idiopathic Intracranial Hypertension (IIH)
CT head
Lumbar puncture
CSF cell count
CSF glucose
CSF protein
CBC
CMP
Consult ophthalmology
Acetazolamide
Recommend exercise
Advise calorie-restricted diet
CO Poisoning
ABG
Lactate
Blood CO levels
ECG
HCG
CMP
Mechanical ventilation
Endotracheal intubation
Normal saline
Oxygen therapy
Hyperbaric oxygen therapy
Benign Prostatic Hyperplasia (BPH)
CBC
Urinalysis
PSA (total/free)
BMP
Pelvic ultrasound
Finasteride
Tamsulosin hydrochloride
Advise no caffeine
Vaccination: DTP-HepB
Vaccination: Varicella
Osteoporosis
Foot X-ray
Bone densitometry
CBC
Vitamin D 25-hydroxy
CMP
Vitamin D therapy
Alendronate
Avoid Raloxifene
Avoid Estrogen therapy
Recommend exercise
Essential Hypertension (HTN)
CBC
TSH
Urinalysis
ECG
Echocardiography
HbA1C
CMP
Captopril
Vaccination: Tdap
Advise on low-sodium diet
Post-MI Syndrome
Pulse oximetry
Cardiac enzymes
ECG
Chest X-ray
CBC
CMP
Colchicine
Aspirin
Celecoxib (or Diclofenac)
Advise rest at home
Deep Vein Thrombosis (DVT)
CBC
D-dimer
Doppler ultrasound of lower extremities
ESR
PT
CMP
Rivaroxaban
Advise smoking cessation
Recommend calorie-restricted diet
Acute Pyelonephritis
CBC
Urinalysis
Gram stain of urine
HCG
CT abdomen/pelvis
CMP
Ciprofloxacin
Avoid Nitrofurantoin
Avoid Fosfomycin
Malrotation with Volvulus
CBC
Abdominal X-ray (acute series)
Barium enema
CMP
Abdominal ultrasound
Avoid abdominal CT
IV saline
Nasogastric tube with gravity drainage
Consult pediatric surgery
Breastfeeding Neonatal Jaundice
CBC
G6PD blood test
Direct antiglobulin test
CMP
Liver function and bilirubin
Phototherapy
Regular infant formula (hydrolyzed)
Advise on breastfeeding practices
Galactosemia
CBC
Galactokinase test
CMP
Genetic counseling
Advise lactose-free diet
Osteoarthritis (NSAIDs not effective)
Knee X-ray
Duloxetine
Dexamethasone
Advise calorie-restricted diet
Recommend physical therapy
Roseola Infantum
Reassurance
10 CCS:
Temporal Arteritis:
CXR
ESR
TSH
CRP
CBC
Temporal artery biopsy
CMP
CT head
Methylprednisolone
Vitamin D therapy
Calcium
Ophthalmology consult
Rheumatology consult
Reassurance
DTaP and Varicella vaccines
Medical compliance counseling
Sarcoidosis:
CBC
Urine analysis
Vitamin D serum
Skin TB test
Chest CT
HIV antibodies
PFT
ESR
CRP
Skin biopsy
ACE serum
Urinary calcium
Pulse oximetry
CMP
Prednisone
Vitamin D therapy
Ruptured Ectopic Pregnancy:
ECG
Pelvic ultrasound
CBC
HCG
CMP
Abdominal X-ray
Saline
PT
Ondansetron
Blood type
Laparoscopy
Safe sex education
Smoking cessation
Avoid alcohol
Gonorrhea and chlamydia testing
Rheumatoid Arthritis (RA):
CBC
ESR
CRP
Ankle X-ray
ANA antibodies
Arthrocentesis
Synovial fluid analysis
Gonorrhea culture
CMP
Rheumatoid factor (RF)
Diclofenac
Methotrexate
Avoid arthroscopy and biopsy
Exercise
Pneumoperitoneum Due to Peptic Ulcer:
CBC
H. pylori antibodies
CMP
CXR
Saline
Morphine
NPO
PT
Blood type
NG tube
Piperacillin-tazobactam
Gastroenterology consult
Avoid aspirin and NSAIDs
Cellulitis:
Femur X-ray
Urine analysis
Hemoglobin A1C
Lower extremity Doppler
Bacterial culture
CRP
CMP
Saline
Vancomycin
Diclofenac
Insulin
Diabetes education
Normal Pressure Hydrocephalus (NPH):
CBC
TSH
CT head
Vitamin B12/B1 serum
VDRL
CMP
Lumbar puncture
Neurosurgery consult
DTaP and Varicella vaccines
Ankylosing Spondylitis:
CBC
HLA-B27
Rheumatoid factor (RF)
Pelvic X-ray
CMP
CRP
Abdominal CT
Abdominal MRI
Infliximab
Intussusception:
CBC
CMP
Abdominal ultrasound
NPO
Saline
NG tube
Pediatric surgery consult
Barium enema
Porphyria:
Protoporphyrin
Porphobilinogen
Porphyrins (urine/stool)
CMP
Infectious disease consult
Phlebotomy
Avoid sun exposure
Avoid alcohol
Phenylketonuria (PKU):
Phenylalanine levels
Low-protein diet
10 CCS:
Septic Arthritis:
CBC
ESR
Gonorrhea urethral swab
Arthrocentesis
Urethral gram stain
Synovial fluid analysis
Knee X-ray
Lyme serology
ECG
HCG
Toxicology screening
Urinalysis
Chlamydia antibody
Gonorrhea DNA test
HIV antibody
Hepatitis C antibody
Hepatitis panel
PCR herpes
RPR
CMP
Azithromycin
Ceftriaxone
Diclofenac
Safe sex counseling
Avoid illegal substances
Notify sexual partner
Smoking cessation
DTaP vaccine
Nephrolithiasis:
CBC
Lipase
Magnesium serum
Phosphorus
Urinalysis
Abdominal X-ray
Abdominal CT
HCG
Uric acid levels
Urine stain
CMP
Morphine
Nifedipine
Saline
DTaP vaccine
PAP smear
Lead Intoxication with Encephalopathy:
CBC
Urinalysis
Magnesium serum
Abdominal X-ray
Protoporphyrin levels
Head CT
Blood lead levels
CMP
Iron studies
EDTA
Dimercaprol
Saline
Lorazepam
Lead agency notification
Ischemic Colitis:
CBC
Lactate
Abdominal X-ray
Abdominal CT
ECG
CMP
Abdominal MRI
Saline
Nasogastric tube
PT
Blood type
NPO status
Surgical consult
Piperacillin-tazobactam
Duodenal Ulcer:
CBC
TSH
Postural BP
Occult blood test
CMP
Endoscopy
Omeprazole
Clarithromycin (CAP therapy)
Gastroenterology consult
Saline
Avoid alcohol
DTaP vaccine
Avoid NSAIDs
Spontaneous Abortion:
CBC
TSH
HCG
Blood type
CMP
Pelvic ultrasound
OB/GYN consult
Dilation and curettage (D&C)
Misoprostol (Mifepristone)
Doxycycline
Methylergonovine
Psychology consult
DTaP vaccine
Hyperkalemia Emergency (Secondary to ACEI/NSAIDs):
CBC
ECG
Cardiac monitoring
CMP
Calcium chloride
Insulin
Albuterol
Dextrose
Furosemide
Hemodialysis (if necessary)
Potassium restriction
Viral Meningitis:
CBC
Urinalysis
Urine bacterial culture
Blood culture
CSF culture/glucose/cell count/protein/gram stain
Lumbar puncture
CMP
Saline
Acetaminophen
Aspirin
Vancomycin
Stevens-Johnson Syndrome:
CBC
CXR
Mycoplasma serology
Wound culture
Skin biopsy
CMP
Saline
Wound dressing
Morphine
Cyclosporine
Neutropenic Fever:
CBC
Pulse oximetry
Blood culture
CMP
Oxygen
Piperacillin-tazobactam
Goals of care discussion
Hematology consult
10 CCS:
TCA Overdose:
Pulse oximetry
Random glucose
CBC
ECG
Cardiac monitoring
Urine analysis
Acetaminophen level
ABG
CT head
Creatine phosphokinase
HCG
CMP
Urine toxicology
Ethanol serum
Salicylate serum
TCA serum
Oxygen therapy
Vitamin B therapy
Dextrose
Naloxone
Saline
NG tube
Activated charcoal
Intubation
Mechanical ventilation
Sodium bicarbonate
Psychiatric consult
Unstable Angina:
CBC
Mg serum
ECG
PT
CXR
Lipid profile
Echo
Cardiac monitoring
Hem A1c
CMP
Nitroglycerin
Morphine
Aspirin
Heparin
Atenolol
Cardiology consult
Atorvastatin
Angiocardiography
Captopril
Clopidogrel
Smoking cessation
Low-sodium diet
Exercise
DTaP, Varicella vaccine
CHF (Congestive Heart Failure):
CBC
Pulse oximetry
TSH
ECG
Cardiac enzymes
BNP
CXR
Echo
Random glucose
Foley catheter
CMP
Echo
Furosemide
Digoxin
Input/output monitoring
Nitroglycerin
Carvedilol
Reassurance
Smoking cessation
Low-sodium diet
No alcohol
Pneumococcal, DTaP, and Varicella vaccines
Celiac Disease:
CBC
TSH
Stool ova
Stool bacterial culture
Fecal fat (72-hour test)
Gliadin antibody
Endomysial antibody
Endoscopy
Vitamin B12
Folate serum
Vitamins A, D, E, K
Copper, iron, zinc serum
CRP
PT
Bone densitometry
Ferritin serum
Small bowel biopsy
CMP
Vitamin D therapy
Gluten-free diet
Nutritionist consult
Pneumococcal vaccine
PCP (Pneumocystis Pneumonia):
CBC
ECG
Microscopic vaginal fluid
Hepatitis panel
Blood/sputum bacterial cultures
Sputum Gram stain
Mycobacterial sputum culture
PCP sputum PCR
Urine analysis
Lactate dehydrogenase serum
HIV PCR
CMP
CXR
Saline
TMP-SMX
Oxygen therapy
Infectious disease consult
Nystatin
Public health report
Smoking cessation
Pneumococcal vaccine
DTaP, Pap test
Acute Cholecystitis:
CBC
Urine analysis
Abdomen ultrasound
CMP
Abdomen CT
Saline
NPO diet
Dronabinol
Hydromorphone
PT
Blood type
Ampicillin sodium
Laparoscopy
Alcohol cessation
Pap test
DTaP
Bacterial Meningitis:
CBC
CT head
Urine toxicology
Lumbar puncture (CSF protein, glucose, Gram stain, cell count)
Fungal culture
CMP
Blood bacterial culture
CSF bacterial/viral culture
CT head
Saline
Diclofenac
Levofloxacin
Dexamethasone
Smoking cessation
DKA (Diabetic Ketoacidosis):
Hem A1c
Urine analysis
CBC
CMP
Insulin 70/30
Saline
Potassium citrate
Dextrose
Pap test
DTaP
No illegal drugs
Diabetes education
Preeclampsia:
CBC
Blood type
PT
Urine analysis
Pelvic ultrasound
Doppler studies
24-hour urine protein
CMP
Betamethasone
Magnesium sulfate
Labetalol
Cesarean section (OB consult)
Tension Pneumothorax:
CXR
Pulse oximetry
Cardiac enzymes
ECG
Thoracocentesis
Tube thoracostomy
10 CCS:
Panic Attack:
CBC
TSH
HCG
Toxicology screening
Pulse oximetry
CXR
ECG
Cardiac enzymes
CMP
Diazepam
Sertraline (Citalopram)
Psychology consult
Psychiatry consult
Relaxation techniques
DTaP vaccine
PAP smear
G6PD Deficiency (G6PDH):
CBC
TSH
PT
Haptoglobin
Lactate
Urinalysis
G6PD assay
CMP
Saline
Blood type
Packed RBCs
Diclofenac
Quinine
Avoid fava beans
DTaP vaccine
Diazepam Overdose:
Pulse oximetry
CBC
Random glucose
ECG
Cardiac monitoring
Urine toxicology
Salicylate levels
Acetaminophen toxicity nomogram
CPK
Ethanol serum
CMP
Saline
Psychiatric consult
Flumazenil
Activated charcoal
Acute Gout:
CBC
TSH
Urinalysis
Gram stain (urethra)
Arthrocentesis
Synovial fluid analysis
Synovial bacterial culture
Knee X-ray
Serology
CMP
ESR
Captopril
Diclofenac
Avoid alcohol
DTaP vaccine
Zollinger-Ellison Syndrome (ZES):
CBC
Endoscopy
Gastrin serum
Abdominal CT
CMP
Omeprazole
PT
Blood type
ECG
General surgery consult
Smoking cessation
Ionized calcium serum
PTH
Prolactin
Grand Mal Seizure:
CBC
Ethanol serum
ECG
Electroencephalography
Urinalysis
Toxicology screening
Magnesium serum
Head CT
Carbamazepine
DTaP vaccine
Driving restriction
Colles Fracture:
HCG
Elbow X-ray
CXR
Toxicology screening
Head CT
Diclofenac
Splinting of the extremity
Safety plan
Social services
Smoking cessation
Cyanide Poisoning:
ABG
Carbon monoxide levels
CMP
Lactate
ECG
Intubation
Mechanical ventilation
Saline
Vitamin B12 therapy
Croup:
CBC
Pulse oximetry
Neck X-ray
Saline
Humidified air
Epinephrine
Dexamethasone
Acetaminophen
Depression:
HCG
TSH
Head CT
CBC
Dexamethasone suppression test
CMP
Neurology consult
10 CCS:
Infective Endocarditis:
CBC
Toxicology screen
Chlamydia antibody
Gonorrhea DNA test
HIV antibody
Hepatitis C antibody
Hepatitis panel
Blood cultures
RPR
ESR
Urinalysis
Pulse oximetry
ECG
CXR
HCG
Echocardiogram
CMP
Saline
Diclofenac
Infectious disease consult
Vancomycin
Cardiothoracic surgery consult
Subacute bacterial endocarditis prophylaxis
Social services involvement
Safe sex counseling
DTaP vaccine
PAP sme
Subarachnoid Hemorrhage (SAH):
CBC
Head CT
Cerebral MRA
Lumbar puncture
CSF protein analysis
Cardiac monitoring
Pulse oximetry
ECG
CMP
Morphine
Neurosurgery consult
PT
Blood type and crossmatch
Ondansetron
Nimodipine
Chlamydia Infection:
CBC
Toxicology screen
Chlamydia antibody
Gonorrhea DNA test
HIV testing
Hepatitis C testing
Hepatitis panel
CMP
Doxycycline
Diclofenac
Safe sex counseling
Notify sexual partner
Smoking cessation
Avoid illegal substances
Hodgkin Lymphoma:
CBC
ECG
HIV testing
EBV testing
CXR
Abdominal CT
Urinalysis
Pulse oximetry
Lymph node biopsy
CMP
Albumin levels
Chest CT
Oncology consult
Cancer diagnosis counseling
Dysfunctional Uterine Bleeding:
CBC
HCG
Urinalysis
Pulse oximetry
Postural BP
TSH
FSH
Prolactin levels
Pelvic ultrasound
PT
CMP
Oral contraceptives
Reassurance
DTaP vaccine
NSTEMI (Non-ST Elevation Myocardial Infarction):
Cardiac monitoring
ECG
Cardiac enzymes
CBC
CMP
Aspirin
Statin
Atenolol
Ticagrelor
Cardiology consult
Heparin
Avoid thrombolysis
Urinary Tract Infection (UTI):
Urinalysis
CBC
Urine gram stain and culture
Chlamydia antibody
Gonorrhea DNA test
Blood cultures
CMP
Doppler fetal ultrasound (if pregnant)
Nitrofurantoin
Levofloxacin
Reassurance
Address medical complications
End-Stage Renal Disease:
CBC
Hemoglobin A1c
ABG
ECG
Cardiac monitoring
Abdominal ultrasound
CMP
Calcium levels
Hemodialysis
Nephrology consult
Kidney transplant referral
Non-Accidental Trauma (Child Abuse):
CBC
CXR
Head CT
CMP
Saline
Pediatric surgery consult
Surgical debridement
Neurosurgery consult
Social services involvement
Endometrioma:
Abdominal CT
Laparoscopy
Smoking cessation
Avoid illegal substances
10 CCS:
Irritable Bowel Syndrome (IBS):
ESR
Urinalysis
Abdominal X-ray
Stool ova and parasites
CRP
CBC
Gliadin antibody
C. difficile testing
CMP
Loperamide
Exercise
Reassurance
High-fiber diet
Lactose-free diet
Colonoscopy
Smoking cessation
Avoid alcohol
DTaP vaccine
Systemic Lupus Erythematosus (SLE):
CBC
PT
TSH
ESR
Urinalysis
CXR
C3, C4 levels
CMP
Anti-DNA antibody
Methylprednisolone
Diclofenac
Rheumatology/Nephrology consult
Hydroxychloroquine
Smoking cessation
Avoid alcohol
DTaP vaccine
PAP smear
Sun protection
Community-Acquired Pneumonia:
CBC
CXR
Pulse oximetry
Urinalysis
ECG
Legionella antibody
Serum magnesium
Blood/urine/sputum cultures
Sputum gram stain
CMP
Oxygen therapy
Saline
Ceftriaxone
Vaccination: varicella, DTaP, pneumococcal, influenza
Smoking cessation
Prostatitis:
Urinalysis
Urine gram stain
Chlamydia antibody
Gonorrhea DNA test
Urine culture
CBC
Pulse oximetry
CMP
Ciprofloxacin (or Ceftriaxone)
Seat belt counseling (injury prevention)
Safe sex counseling
DTaP vaccine
Reassurance
Meningococcal vaccine
CBC
D-dimer
Cardiac enzymes
CXR
Pulse oximetry
ECG
Cardiac monitoring
CMP
Echocardiogram
Nitroglycerin
Morphine
Thoracic surgery consult
PT
Blood type and crossmatch
Avoid aspirin
Colon Cancer:
CBC
Colonoscopy
Abdominal CT
CXR
Chest CT
CEA
CMP
ECG
PT
Blood type and crossmatch
NPO
Surgical/Oncology consult
Informed consent
Cancer diagnosis counseling
Pericardial Tamponade:
CXR
Chest CT
Echocardiogram
Bedside ultrasound
Cardiac monitoring
Cardiac enzymes
Lactate
PT
CMP
Saline
Oxygen therapy
Surgical consult
Pericardiocentesis
Blood type and crossmatch
Drowning:
Pulse oximetry
ECG
Cardiac monitoring
ABG
CBC
CMP
CPR
Remove wet clothes
Mechanical ventilation
Endotracheal intubation
Saline
Epinephrine
Warming measure
Pregnancy-Induced Hypertension:
TSH
CBC
Pelvic ultrasound
Doppler fetal study
Urine protein test
CMP
Magnesium levels
Methyldopa
Obstetrics consult
Dexamethasone
Address medical complications
Mononucleosis:
ESR
IM screen
CMP
Acetaminophen
Amoxicillin (avoid if rash is suspected with EBV)
No aspirin
10 CCS:
Pelvic Inflammatory Disease (PID):
Exams
CBC
β-hCG
Chlamydia antibodies
Gonorrhea DNA test
Urinalysis
Hepatitis B panel
Trichomonas DNA
Gram stain of cervical discharge
ESR
CRP
VDRL
HIV antibodies
Hepatitis C antibodies
CMP
Ondansetron
Diclofenac
Ceftriaxone
Saline
Safe sex counseling
Treatment for sexual partner
DTaP vaccine
PAP smear
HPV vaccine
Rape (Post-Assault Care):
Exams
β-hCG
Toxicology screen
Serum ethanol
Rape kit collection
Social services referral
CBC
CMP
Saline
Ceftriaxone
Doxycycline
Metronidazole
Levonorgestrel
Tenofovir and Emtricitabine
Psychology consult
RPR test
HIV antibodies
HPV vaccine
No intercourse
Avoid alcohol
Hypertensive Emergency:
Exams
CBC
TSH
Pulse oximetry
ECG
Cardiac enzymes
Toxicology screen
Head CT
CXR
Urinalysis
CMP
Nitroprusside
NPO
Ondansetron
DTaP vaccine
Varicella vaccine
Smoking cessation
Address medical compliance
Intermittent Claudication:
Exams
CBC
Lipid profile
Hemoglobin A1c
ECG
24-hour urine microalbumin
CMP
Lower extremity angiography
Ankle-brachial index
Metformin
Captopril
Statin
Aspirin
Smoking cessation
Diabetes management advice
Calorie-restricted diet
Exercise
Atrial Fibrillation (AF):
Exams
CBC
TSH
Pulse oximetry
ECG
Cardiac enzymes
Echocardiogram
CXR
Urine toxicology screen
CMP
Atenolol
Cardiology consult
Warfarin
Cardiac monitoring
PT
DTaP vaccine
PAP smear
Hepatitis A:
Exams
CBC
ECG
Abdominal ultrasound
Acetaminophen nomogram
Sputum culture
CMP
Hepatitis panel
Saline
Ondansetron
Oxygen
Morphine
Levofloxacin or penicillin
Avoid acetaminophen
No alcohol
Pericarditis:
Exams
Pulse oximetry
ECG
Cardiac enzymes
Echocardiogram
CXR
TSH
ANA antibodies
Rheumatoid factor
CMP
Avoid transesophageal echocardiogram unless necessary
Diclofenac
Colchicine
Omeprazole
Rest at home
Third-Degree Heart Block:
Exams
CBC
TSH
Lipid profile
Lyme serology
Cardiac enzymes
ECG
CMP
Cardiology consult
Cardiac monitoring
Pacemaker placement
NPO
Blood type and crossmatch
PT
Right Ventricular Myocardial Infarction (RVMI):
Exams
ECG
Cardiac monitoring
CBC
Echocardiogram
Cardiac enzymes
CMP
Aspirin
Statin
Clopidogrel
Dobutamine
Saline
Cardiology consult
Morphine
Epiglottitis:
Exams
CBC
Blood culture
Throat culture
Neck X-ray (lateral view or laryngoscopy)
CMP
Oxygen therapy
Acetaminophen
Endotracheal intubation if needed
Mechanical ventilation if required
Ceftriaxone
Vancomycin
10 CCS:
Alcohol with Delirium:
CBC
GGT
ECG
Head CT
Toxicology screen
CMP
Vitamin B1 (thiamine)
Haloperidol
Vitamin B6 (pyridoxine)
Saline
Folic acid
Potassium chloride
Magnesium
Lorazepam
Atenolol
Substance abuse unit referral
Psychiatry consult
Naltrexone
Social services referral
DTaP vaccine
Medical compliance counseling
No alcohol
Septic Shock:
CBC
HIV antibodies
Hepatitis C antibodies
Hepatitis panel
ESR
Urinalysis
Urine culture
CXR
Wound culture and gram stain
Pulse oximetry
ECG
Blood cultures
Echocardiogram
CMP
General surgery consult
Piperacillin-Tazobactam
Saline
Diclofenac
Infectious disease consult
Substance abuse unit referral
Social services referral
No illegal substances
Guillain-Barré Syndrome (GBS):
CBC
ECG
Pulmonary function tests (PFTs)
Urinalysis
TSH
CXR
CT spine
MRI spine
CSF analysis (protein, gram stain, glucose, cell count)
Folic acid
Vitamin B12
CRP
ESR
VDRL test
Lumbar puncture
Heavy metal screening
Nerve conduction studies (NCS)
CMP
Neurology consult
Spirometry
Plasmapheresis
Prednisone
Acute Pancreatitis:
CBC
β-hCG
Serum magnesium
Urinalysis
Pulse check
Serum ethanol level
Abdominal X-ray
Lipase
Amylase
Random glucose
Lipid profile
CMP
Abdominal CT
NPO
Saline
Ondansetron
Morphine
ERCP
Gastroenterology consult
Surgery consult
COPD Exacerbation:
CBC
RSV antibodies
ECG
CXR
Sputum gram stain and culture
BNP
Blood culture
Peak flow
Pulse oximetry
CMP
Spirometry
Oxygen therapy
Levofloxacin
Prednisone
Ipratropium
Smoking cessation
Pneumococcal vaccine
Pulmonary Embolism:
CBC
ECG
BNP
CXR
Cardiac enzymes
ABG
D-dimer
Doppler ultrasound of lower extremities
Chest CT
Pulse oximetry
CMP
Heparin
Cardiac monitoring
Pulmonology consult
Medication side effects review
Exercise counseling
DTaP vaccine
Abdominal Abscess:
Blood and urine cultures
CBC
CXR
Urinalysis
Abscess culture and gram stain
CMP
Abdominal CT
Saline
Morphine
Imipenem-Cilastatin or Piperacillin-Tazobactam
Ondansetron
Drainage procedure
Safe sex counseling
Smoking cessation
PAP smear
Inferior Myocardial Infarction (MI):
ECG
CBC
Cardiac monitoring
Cardiac enzymes
CMP
Aspirin
Statin
Atenolol
Ticagrelor
Heparin
Cardiology consult
West Nile Encephalitis:
CBC
CXR
Urinalysis
Urine toxicology
Blood cultures for bacteria
MRI head
Lumbar puncture (CSF for viral/bacterial panel, protein, glucose, cell count, West Nile antibodies, PCR for herpes)
CMP
DTaP vaccine
PAP smear
Mammogram
Acute Diverticulitis:
CBC
Urinalysis
Blood and urine cultures
Abdominal X-ray and CT
Occult blood test
CMP
Saline
NPO
Ampicillin or Piperacillin-Tazobactam
General surgery consult
High-fiber diet counseling
10 CCS:
Transient Ischemic Attack (TIA):
Exams: CBC, CMP, TSH, tox urine, CT head, MRI head, lipid profile, PT, ESR, echo, MRA carotid.
Treatment/Management: Aspirin, statin, dietary advice for diabetes, smoking cessation.
Consultations: Neurology.
Other Recommendations: Reassure, DTaP, varicella
Myasthenia Gravis (MG):
Exams: CBC, CMP, CXR, pulse oximetry, ESR, TSH, acetylcholine receptor antibody test, EMG, Tensilon test, HCG.
Treatment/Management: Methylprednisolone, pyridostigmine, IVIG.
Consultations: Surgery/general, neuro.
Other Recommendations: Smoking cessation, safe sex, reassure, pap, DTaP.
Sickle Cell Anemia (SCA):
Exams: CBC, CMP, peripheral smear, pulse oximetry, hemoglobin electrophoresis, urine, blood cultures, PT.
Treatment/Management: Oxygen, saline, morphine, packed RBC, hydroxyurea, folic acid, ceftriaxone, penicillin V.
Consultations: Hematology.
Other Recommendations: Vaccines (meningococcal), medication compliance.
Cystic Fibrosis (CF):
Exams: CBC, CMP, pulse oximetry, CXR, PFT, sputum/blood cultures, RSV serology, influenza titer, fat stool test, CF DNA, chloride sweat test, pancreatic enzyme analysis, serum albumin.
Treatment/Management: Piperacillin, albuterol, physiotherapy, oxygen, pancreatic enzymes, multivitamins.
Consultations: Nutrition, genetics, pediatric pulmonology, CF care center.
Other Recommendations: Vaccinations (influenza).
Tuberculosis (TB):
Exams: CBC, CMP, TSH, pulse oximetry, CXR, chest CT, sputum gram stain, acid-fast stain, TB sputum PCR, RPR, HIV/HCV testing, gonorrhea DNA, chlamydia culture.
Treatment/Management: Rifampin, pyrazinamide, ethambutol, isoniazid with B6 therapy.
Consultations: Ophthalmology (ethambutol).
Other Recommendations: Respiratory isolation, public health notification, medication compliance, safe sex, no alcohol, no illegal drugs.
Post-Streptococcal Glomerulonephritis:
Exams: CBC, CMP, TSH, ASO titer, throat culture, C3, ANCA, cryoglobulins, ANA, abdominal ultrasound, urinalysis.
Treatment/Management: Furosemide, nifedipine.
Consultations: Nephrology, nutrition.
Other Recommendations: Low-sodium diet, fluid restriction.
Acute Gastritis:
Exams: CBC, CMP, H. pylori antibody, occult blood, endoscopy.
Treatment/Management: Omeprazole, acetaminophen.
Consultations: Surgery (if indicated).
Other Recommendations: Avoid NSAIDs, no alcohol, smoking cessation, DTaP.
Bacterial Meningitis:
Exams: CBC, CMP, CSF analysis (protein, glucose, cell count, gram stain, bacterial/viral culture), CT head, lumbar puncture, tox urine.
Treatment/Management: Saline, diclofenac, levofloxacin, dexamethasone.
Other Recommendations: Smoking cessation.
Opioid Overdose:
Exams: CBC, CMP, ECG, tox urine, CO, hCG, methaemoglobin, ethanol serum, salicylate serum, acetaminophen level, TCA level, ABG, lactate serum, creatinine phosphokinase.
Management: Charcoal, oxygen, B1 therapy, naloxone, D50 dextrose, saline.
Other Recommendations: Psych consult, suicide assessment.
Subdural Hematoma:
Exams: CBC, CMP, CT head, TSH.
Consultations: Neurosurgery consult.
10 CCS:
TCA Overdose
Pulse oximetry
Random glucose
CBC
ECG
Cardiac monitoring
Urinalysis
Acetaminophen level
ABG
Head CT
Creatine phosphokinase
HCG
CMP
Urine toxicology
Ethanol level
Salicylate level
TCA level
Oxygen
Vitamin B1 therapy
Dextrose
Naloxone
Saline
NG tube
Activated charcoal
Intubation
Mechanical ventilation
Sodium bicarbonate
Psychiatric consultation
Unstable Angina
CBC
Serum magnesium
ECG
PT
CXR
Lipid profile
Echocardiography
Cardiac monitoring
Hemoglobin A1c
CMP
Nitroglycerin
Morphine
Aspirin
Heparin
Atenolol
Cardiology consultation
Atorvastatin
Angiocardiography
Captopril
Clopidogrel
Smoking cessation
Low sodium diet
Exercise
DTaP vaccination
Varicella vaccination
Celiac Disease
CBC
TSH
Stool ova and parasites
Stool bacterial culture
72-hour fecal fat
Gliadin antibody
Endomysial antibody
Endoscopy
Vitamin B12 level
Folic acid level
Vitamins A, D, E, and K levels
Copper level
Iron level
Zinc level
CRP
PT
Densitometry
Serum ferritin
Small bowel biopsy
CMP
Vitamin D therapy
Gluten-free diet
Nutrition consultation
Pneumococcal vaccination
Pneumocystis Pneumonia (PCP)
CBC
ECG
Microscopic vaginal fluid examination
Hepatitis panel
Blood and sputum bacterial cultures
Sputum Gram stain
Mycobacterial sputum culture
PCP sputum testing
Urinalysis
Serum lactate dehydrogenase
HIV PCR
CMP
CXR
Saline
TMP-SMX
Oxygen therapy
Infectious disease consultation
Nystatin
Public health notification
Smoking cessation
Pneumococcal vaccination
DTaP vaccination
Pap smear
CHF
CBC
Pulse oximetry
TSH
ECG
Cardiac enzymes
BNP
CXR
Echocardiography
Random glucose
Foley catheter placement
CMP
Furosemide
Digoxin
Input/output monitoring
Nitroglycerin
Carvedilol
Smoking cessation
Low sodium diet
Avoid alcohol
Pneumococcal vaccination
DTaP vaccination
Varicella vaccination
Bacterial Meningitis
CBC
Head CT
Urine toxicology
Lumbar puncture
CSF protein
CSF Gram stain
CSF glucose
CSF cell count
Fungal culture
Urinalysis
CMP
Blood bacterial culture
CSF bacterial and viral culture
Saline
Diclofenac
Levofloxacin
Dexamethasone
Smoking cessation
Acute Cholecystitis
CBC
Urinalysis
Abdominal ultrasound
CMP
Abdominal CT
Saline
Diet NPO
Dronabinol or ondansetron
Hydromorphone
PT
Blood typing
Ampicillin-sulbactam
Laparoscopy
Alcohol abstinence
Pap smear
DTaP vaccination
DKA
Hemoglobin A1c
Urinalysis
CBC
CMP
Insulin 70/30
Saline
Potassium citrate
Dextrose
Pap smear
DTaP vaccination
Avoid illegal substances
Diabetes patient instruction
Preeclampsia
CBC
Blood typing
PT
Urinalysis
Pelvic ultrasound
Doppler ultrasound
24-hour urine protein
CMP
Betamethasone
Magnesium sulfate
Labetalol
Cesarean section (obstetric consultation)
CXR
Pulse oximetry
Cardiac enzymes
ECG
Thoracentesis
Tube thoracostomy
10 CCS:
Opioid Overdose:
CBC
ECG
Urine toxicology
Urine analysis
Carbon monoxide levels
HCG
Methemoglobin level
Ethanol serum
Salicylate serum
Acetaminophen toxic level
TCA serum
ABG
Pulse oximetry
Random glucose
Cardiac monitoring
Lactic acid serum
Creatine phosphokinase serum
CMP
Activated charcoal
Oxygen therapy
Vitamin B1 therapy
Dextrose 50%
Naloxone
Saline
Suicide risk assessment
Psychiatric consult
MG (Myasthenia Gravis):
CXR
CBC
ECG
Pulse oximetry
ESR
HCG
TSH
Acetylcholine receptor antibodies
Electromyography
PT
Tensilon test
Blood type
CMP
Methylprednisolone
Pyridostigmine
Surgical consultation (thymectomy consideration)
Intravenous immunoglobulin (IVIG)
Smoking cessation
Safe sex education
Reassurance
Pap test
DTaP vaccine
TIA (Transient Ischemic Attack):
CBC
TSH
Urine toxicology
CT head
MRI head
Lipid profile
PT
ESR
Echocardiogram
Cardiac monitoring
CMP
MRA carotid
Aspirin
Neurology consult
Avoid tPA
Diabetes-friendly diet
Statins
Smoking cessation
Reassurance
DTaP, Varicella vaccines
SCA (Sickle Cell Anemia):
CXR
Peripheral smear
Pulse oximetry
Hemoglobin electrophoresis
Urine analysis
Blood bacterial cultures
PT
CMP
Oxygen therapy
Saline hydration
Morphine for pain
Packed RBC transfusion
Hydroxyurea
Folic acid supplementation
Ceftriaxone
Penicillin V prophylaxis
Hematology consult
Medical compliance counseling
Meningococcal vaccine
Subdural Hematoma:
CBC
CT head
CMP
TSH
Neurological surgery consult