Suspect new onset DM. Will eval for DKA. Pt mentating well, not lethargic, hemodynamically stable
Plan:
cbc
bmp
ketones
UA
EKG
Dispo:
Stable. Awaiting available bed.
Of note, this is a “Brief Medical Screening” note (abbreviated HPI, screening plan). My interaction with the patient in this setting is not intended as a full ED evaluation sufficient to entertain all pathological etiologies for the patient complaint and nor necessarily provide sufficient treatment for patient’s condition. Subsequent, full evaluation, discussion with patient, and treatment plan by ED provider to promptly follow.