ED note LVDL

Presenting complaint - Presenting Issue: [Brief description of the presenting issue or complaint] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) HPC - [Details of the reason for visit, current issues including relevant signs and symptoms, as well as associated signs and symptoms, including pertinent negatives and positives, include systems review questions] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) PMHx - [Any known chronic medical conditions] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [Details of previous surgeries or hospitalizations] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Meds - [Current medications and dosages] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Allergies - [Any known allergies, particularly to medications] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Social History - [Current or past smoking history] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [Alcohol consumption habits] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [Any illicit drug use] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [Current or previous occupation] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Family History - [Relevant family medical history] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Obs [Blood pressure, heart rate, respiratory rate, temperature, oxygen saturation] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) OE - General examination: [General state of health and any notable findings] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - CVS: [Heart rate, rhythm, and any murmurs] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - Resp: [Breath sounds, any wheezes or crackles] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - Abdo: [Palpation, bowel sounds, any tenderness] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - MSK: [Range of motion, strength, any deformities] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - Neuro: [Mental status, cranial nerves, coordination, reflexes] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Impression - [Presumed diagnosis based on consult summary] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) - [Differential diagnosis] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) Plan/Treatment [Investigations, management, disposition] (Only include if explicitly mentioned in transcript, context or clinical note, else omit section entirely.) (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information included in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)