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            [0] => a:17:{i:0;a:3:{s:8:"question";s:15:"Chief Complaint";s:6:"answer";s:8:"Overdose";s:13:"preload_value";s:0:"";}i:1;a:3:{s:8:"question";s:26:"History of Present Illness";s:6:"answer";s:1005:"The patient is a 22-year-old male with a history of depression, attempted suicide, and self-harm who presents to the emergency department via EMS with a chief complaint of an intentional drug overdose. The patient’s mother found him on his bed “passed out” and called EMS. EMS administered 0.4 mg Narcan to the patient en route, which resulted in him becoming alert and oriented x 3 within one minute. Upon arrival, the patient states that he is unware of what kind of medications he took, but states that he took “everything he could” and that it was “apparently not enough because he is still here.” The patient’s mother reports that he took Vicodin and Prozac. The patient complains of a throbbing head pain. He states that he has attempted suicide by drug overdose twice prior to this attempt. The patient denies chest pain, shortness of breath, abdominal pain, flank pain, pain in extremities, bowel or bladder concerns, or any other symptoms. No other reported symptoms at this time.";s:13:"preload_value";s:0:"";}i:2;a:3:{s:8:"question";s:17:"Review of Systems";s:6:"answer";s:89:"All pertinent positive findings are listed in the HPI and all other systems are negative.";s:13:"preload_value";s:0:"";}i:3;a:3:{s:8:"question";s:20:"Past Medical History";s:6:"answer";s:50:"Depression
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Self-Harm
Diabetes";s:13:"preload_value";s:0:"";}i:4;a:3:{s:8:"question";s:19:"Current Medications";s:6:"answer";s:4:"None";s:13:"preload_value";s:0:"";}i:5;a:3:{s:8:"question";s:9:"Allergies";s:6:"answer";s:23:"No known drug allergies";s:13:"preload_value";s:0:"";}i:6;a:3:{s:8:"question";s:14:"Social History";s:6:"answer";s:133:"Smoking Status - Not Asked
Smokeless Tobacco - Not Asked
Alcohol Use - Not Asked
Drug Use - Not Asked
Sexual Activity - Not Asked";s:13:"preload_value";s:0:"";}i:7;a:3:{s:8:"question";s:14:"Family History";s:6:"answer";s:22:"Alcohol Abuse - Father";s:13:"preload_value";s:0:"";}i:8;a:3:{s:8:"question";s:19:"Initial Vital Signs";s:6:"answer";s:3:"N/A";s:13:"preload_value";s:3:"N/A";}i:9;a:3:{s:8:"question";s:13:"Physical Exam";s:6:"answer";s:2147:"GENERAL: Alert and oriented x3. No significant distress noted.
HEENT: Normocephalic, atraumatic.  Pupils are 2mm equal round and reactive to light.  Nares are patent, without epistaxis.  There is no rhinorrhea.  Pharynx is moist and without erythema, exudate, or edema.  Uvula is midline.  Tympanic membranes are clear bilaterally.  There is no hemotympanum.
NECK: Supple, trachea is midline.  There is no JVD or carotid bruits.  There is no stridor.  There is no midline or paraspinal tenderness to palpation. There is no lymphadenopathy.
BACK: There is no midline or paraspinal tenderness to palpation, no evidence of trauma, there is no CVA tenderness.
CHEST: Symmetric, there is no crepitus. There is no visible evidence of trauma to the chest. 
LUNGS: Breath sounds are present and equal bilaterally, there are no rales, rhonchi or wheezes. There is no respiratory distress.
CARDIOVASCULAR: Regular rate and rhythm without murmur, rubs, clicks, or gallops. Normal S1 and S2.
ABDOMEN: Abdomen is nondistended. There is no palpable tenderness. There is no rebound or guarding. There is no palpable mass. Bowel sounds are present and equal throughout.
PELVIS: Stable to rock. There is no visible trauma.
MUSCULOSKELETAL: There are no deformities to the extremities. Capillary refill is less than two seconds to nail beds of the bilateral hands. There is no clubbing, cyanosis or edema. Radial pulses are +2/4 bilaterally.
NEUROLOGIC: The patient is alert and oriented x3. No cranial nerve deficit. Motor examination reveals +5/5 strength throughout. Sensation is normal throughout. Finger-to-nose intact. Heel-to-shin intact. Negative Romberg sign. Gait and station appear normal. Visual fields are full to confrontation.
SKIN: Skin is warm and dry. There is no pallor. There are no signs of acute dermatologic abnormality. There is no rash, petechiae, purpura, or ecchymosis. There is good skin turgor.
PSYCH: The patient admits to suicidal ideation and a suicidal attempt. The patient does not have homicidal ideation.  Mood is normal. The patient does not have auditory or visual hallucinations. Judgment and cognition are normal.";s:13:"preload_value";s:1928:"GENERAL: Alert and oriented x3. No significant distress noted.
HEENT: Normocephalic, atraumatic.  Pupils are 2mm equal round and reactive to light.  Nares are patent, without epistaxis.  There is no rhinorrhea.  Pharynx is moist and without erythema, exudate, or edema.  Uvula is midline.  Tympanic membranes are clear bilaterally.  There is no hemotympanum.
NECK: Supple, trachea is midline.  There is no JVD or carotid bruits.  There is no stridor.  There is no midline or paraspinal tenderness to palpation. There is no lymphadenopathy.
BACK: There is no midline or paraspinal tenderness to palpation, no evidence of trauma, there is no CVA tenderness.
CHEST: Symmetric, there is no crepitus. There is no visible evidence of trauma to the chest. 
LUNGS: Breath sounds are present and equal bilaterally, there are no rales, rhonchi or wheezes. There is no respiratory distress.
CARDIOVASCULAR: Regular rate and rhythm without murmur, rubs, clicks, or gallops. Normal S1 and S2.
ABDOMEN: Abdomen is nondistended. There is no palpable tenderness. There is no rebound or guarding. There is no palpable mass. Bowel sounds are present and equal throughout.
PELVIS: Stable to rock. There is no visible trauma.
MUSCULOSKELETAL: There are no deformities to the extremities. Capillary refill is less than two seconds to nail beds of the bilateral hands. There is no clubbing, cyanosis or edema. Radial pulses are +2/4 bilaterally.
NEUROLOGIC: The patient is alert and oriented x3. No cranial nerve deficit. Motor examination reveals +5/5 strength throughout. Sensation is normal throughout. Finger-to-nose intact. Heel-to-shin intact. Negative Romberg sign. Gait and station appear normal. Visual fields are full to confrontation.
SKIN: Skin is warm and dry. There is no pallor. There are no signs of acute dermatologic abnormality. There is no rash, petechiae, purpura, or ecchymosis. There is good skin turgor.
PSYCH: ***";}i:10;a:3:{s:8:"question";s:18:"ED COURSE:
Orders";s:6:"answer";s:4:"Labs";s:13:"preload_value";s:0:"";}i:11;a:3:{s:8:"question";s:11:"Lab Results";s:6:"answer";s:5:"Drugs";s:13:"preload_value";s:0:"";}i:12;a:3:{s:8:"question";s:10:"Procedures";s:6:"answer";s:4:"None";s:13:"preload_value";s:4:"None";}i:13;a:3:{s:8:"question";s:23:"Calls/Consults/Rechecks";s:6:"answer";s:364:"***: Discussed the patient’s case with Dr. Wallis (Psych). He has seen the patient for previous overdoses and would like to admit the patient. 

***: Rechecked patient who states his headache has not improved. Lab results were discussed. The plan for admission under the care of Dr. Wallis was discussed. Patient agrees with plan. All questions were addressed.";s:13:"preload_value";s:0:"";}i:14;a:3:{s:8:"question";s:23:"Medical Decision Making";s:6:"answer";s:524:"The patient is a male who presents to the emergency department with a chief complaint of a drug overdose.  Medical records were reviewed. Lab work was ordered and reviewed. Findings stated above. The patient was admitted under the care of Dr. Wallis (Psych) with a diagnosis of suicide attempt and intentional drug overdose. The patient's vital signs and condition remained stable while undergoing evaluation in the Emergency Department. The patient agreed with the plan for care.  All questions and concerns were addressed.";s:13:"preload_value";s:676:"The patient is a @AGE@ @SEX@ who presents to the emergency department with a chief complaint of ***.  Medical records were reviewed. Multiple diagnoses were considered.  Lab work was ordered and reviewed. A *** was also ordered and reviewed. Imaging shows ***.  The patient was provided with *** resulting in *** of symptoms. The patient was diagnosed with ***. The patient was advised to ***. It was recommended for the patient to follow up with ***.  The patient was prescribed ***.  The patient's vital signs and condition *** while undergoing evaluation in the Emergency Department. The patient*** agreed with the plan for care.  All questions and concerns were addressed.";}i:15;a:3:{s:8:"question";s:16:"Final Impression";s:6:"answer";s:42:"Suicide Attempt
Intentional Drug Overdose";s:13:"preload_value";s:0:"";}i:16;a:3:{s:8:"question";s:4:"Plan";s:6:"answer";s:125:"The patient is admitted under the care of Dr. Wallis in stable condition and does not have any further questions or concerns.";s:13:"preload_value";s:0:"";}}
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            [0] => Mock Patient #37: OVERDOSE - AGE 22
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            [0] => Mock Patient # 37 REVIEW: OVERDOSE - AGE 22
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Array
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    [0] => Array
        (
            [question] => Chief Complaint
            [answer] => Overdose
            [preload_value] => 
        )

    [1] => Array
        (
            [question] => History of Present Illness
            [answer] => The patient is a 22-year-old male with a history of depression, attempted suicide, and self-harm who presents to the emergency department via EMS with a chief complaint of an intentional drug overdose. The patient’s mother found him on his bed “passed out” and called EMS. EMS administered 0.4 mg Narcan to the patient en route, which resulted in him becoming alert and oriented x 3 within one minute. Upon arrival, the patient states that he is unware of what kind of medications he took, but states that he took “everything he could” and that it was “apparently not enough because he is still here.” The patient’s mother reports that he took Vicodin and Prozac. The patient complains of a throbbing head pain. He states that he has attempted suicide by drug overdose twice prior to this attempt. The patient denies chest pain, shortness of breath, abdominal pain, flank pain, pain in extremities, bowel or bladder concerns, or any other symptoms. No other reported symptoms at this time.
            [preload_value] => 
        )

    [2] => Array
        (
            [question] => Review of Systems
            [answer] => All pertinent positive findings are listed in the HPI and all other systems are negative.
            [preload_value] => 
        )

    [3] => Array
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            [question] => Past Medical History
            [answer] => Depression
Attempted Suicide
Self-Harm
Diabetes
            [preload_value] => 
        )

    [4] => Array
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            [question] => Current Medications
            [answer] => None
            [preload_value] => 
        )

    [5] => Array
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            [question] => Allergies
            [answer] => No known drug allergies
            [preload_value] => 
        )

    [6] => Array
        (
            [question] => Social History
            [answer] => Smoking Status - Not Asked
Smokeless Tobacco - Not Asked
Alcohol Use - Not Asked
Drug Use - Not Asked
Sexual Activity - Not Asked
            [preload_value] => 
        )

    [7] => Array
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            [question] => Family History
            [answer] => Alcohol Abuse - Father
            [preload_value] => 
        )

    [8] => Array
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            [question] => Initial Vital Signs
            [answer] => N/A
            [preload_value] => N/A
        )

    [9] => Array
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            [question] => Physical Exam
            [answer] => GENERAL: Alert and oriented x3. No significant distress noted.
HEENT: Normocephalic, atraumatic.  Pupils are 2mm equal round and reactive to light.  Nares are patent, without epistaxis.  There is no rhinorrhea.  Pharynx is moist and without erythema, exudate, or edema.  Uvula is midline.  Tympanic membranes are clear bilaterally.  There is no hemotympanum.
NECK: Supple, trachea is midline.  There is no JVD or carotid bruits.  There is no stridor.  There is no midline or paraspinal tenderness to palpation. There is no lymphadenopathy.
BACK: There is no midline or paraspinal tenderness to palpation, no evidence of trauma, there is no CVA tenderness.
CHEST: Symmetric, there is no crepitus. There is no visible evidence of trauma to the chest. 
LUNGS: Breath sounds are present and equal bilaterally, there are no rales, rhonchi or wheezes. There is no respiratory distress.
CARDIOVASCULAR: Regular rate and rhythm without murmur, rubs, clicks, or gallops. Normal S1 and S2.
ABDOMEN: Abdomen is nondistended. There is no palpable tenderness. There is no rebound or guarding. There is no palpable mass. Bowel sounds are present and equal throughout.
PELVIS: Stable to rock. There is no visible trauma.
MUSCULOSKELETAL: There are no deformities to the extremities. Capillary refill is less than two seconds to nail beds of the bilateral hands. There is no clubbing, cyanosis or edema. Radial pulses are +2/4 bilaterally.
NEUROLOGIC: The patient is alert and oriented x3. No cranial nerve deficit. Motor examination reveals +5/5 strength throughout. Sensation is normal throughout. Finger-to-nose intact. Heel-to-shin intact. Negative Romberg sign. Gait and station appear normal. Visual fields are full to confrontation.
SKIN: Skin is warm and dry. There is no pallor. There are no signs of acute dermatologic abnormality. There is no rash, petechiae, purpura, or ecchymosis. There is good skin turgor.
PSYCH: The patient admits to suicidal ideation and a suicidal attempt. The patient does not have homicidal ideation.  Mood is normal. The patient does not have auditory or visual hallucinations. Judgment and cognition are normal.
            [preload_value] => GENERAL: Alert and oriented x3. No significant distress noted.
HEENT: Normocephalic, atraumatic.  Pupils are 2mm equal round and reactive to light.  Nares are patent, without epistaxis.  There is no rhinorrhea.  Pharynx is moist and without erythema, exudate, or edema.  Uvula is midline.  Tympanic membranes are clear bilaterally.  There is no hemotympanum.
NECK: Supple, trachea is midline.  There is no JVD or carotid bruits.  There is no stridor.  There is no midline or paraspinal tenderness to palpation. There is no lymphadenopathy.
BACK: There is no midline or paraspinal tenderness to palpation, no evidence of trauma, there is no CVA tenderness.
CHEST: Symmetric, there is no crepitus. There is no visible evidence of trauma to the chest. 
LUNGS: Breath sounds are present and equal bilaterally, there are no rales, rhonchi or wheezes. There is no respiratory distress.
CARDIOVASCULAR: Regular rate and rhythm without murmur, rubs, clicks, or gallops. Normal S1 and S2.
ABDOMEN: Abdomen is nondistended. There is no palpable tenderness. There is no rebound or guarding. There is no palpable mass. Bowel sounds are present and equal throughout.
PELVIS: Stable to rock. There is no visible trauma.
MUSCULOSKELETAL: There are no deformities to the extremities. Capillary refill is less than two seconds to nail beds of the bilateral hands. There is no clubbing, cyanosis or edema. Radial pulses are +2/4 bilaterally.
NEUROLOGIC: The patient is alert and oriented x3. No cranial nerve deficit. Motor examination reveals +5/5 strength throughout. Sensation is normal throughout. Finger-to-nose intact. Heel-to-shin intact. Negative Romberg sign. Gait and station appear normal. Visual fields are full to confrontation.
SKIN: Skin is warm and dry. There is no pallor. There are no signs of acute dermatologic abnormality. There is no rash, petechiae, purpura, or ecchymosis. There is good skin turgor.
PSYCH: ***
        )

    [10] => Array
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            [question] => ED COURSE:
Orders
            [answer] => Labs
            [preload_value] => 
        )

    [11] => Array
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            [question] => Lab Results
            [answer] => Drugs
            [preload_value] => 
        )

    [12] => Array
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            [question] => Procedures
            [answer] => None
            [preload_value] => None
        )

    [13] => Array
        (
            [question] => Calls/Consults/Rechecks
            [answer] => ***: Discussed the patient’s case with Dr. Wallis (Psych). He has seen the patient for previous overdoses and would like to admit the patient. 

***: Rechecked patient who states his headache has not improved. Lab results were discussed. The plan for admission under the care of Dr. Wallis was discussed. Patient agrees with plan. All questions were addressed.
            [preload_value] => 
        )

    [14] => Array
        (
            [question] => Medical Decision Making
            [answer] => The patient is a male who presents to the emergency department with a chief complaint of a drug overdose.  Medical records were reviewed. Lab work was ordered and reviewed. Findings stated above. The patient was admitted under the care of Dr. Wallis (Psych) with a diagnosis of suicide attempt and intentional drug overdose. The patient's vital signs and condition remained stable while undergoing evaluation in the Emergency Department. The patient agreed with the plan for care.  All questions and concerns were addressed.
            [preload_value] => The patient is a @AGE@ @SEX@ who presents to the emergency department with a chief complaint of ***.  Medical records were reviewed. Multiple diagnoses were considered.  Lab work was ordered and reviewed. A *** was also ordered and reviewed. Imaging shows ***.  The patient was provided with *** resulting in *** of symptoms. The patient was diagnosed with ***. The patient was advised to ***. It was recommended for the patient to follow up with ***.  The patient was prescribed ***.  The patient's vital signs and condition *** while undergoing evaluation in the Emergency Department. The patient*** agreed with the plan for care.  All questions and concerns were addressed.
        )

    [15] => Array
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            [question] => Final Impression
            [answer] => Suicide Attempt
Intentional Drug Overdose
            [preload_value] => 
        )

    [16] => Array
        (
            [question] => Plan
            [answer] => The patient is admitted under the care of Dr. Wallis in stable condition and does not have any further questions or concerns.
            [preload_value] => 
        )

)

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