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            [0] => a:18:{i:0;a:3:{s:8:"question";s:15:"Chief Complaint";s:6:"answer";s:8:"Headache";s:13:"preload_value";s:0:"";}i:1;a:3:{s:8:"question";s:26:"History of Present Illness";s:6:"answer";s:837:"The patient is a 23-year-old male with no significant past medical history who presents to the emergency department with a chief complaint of a headache. The patient states that he gets headaches one to two times per month. His current symptoms began at 8:00 AM this morning and have been progressively worsening since onset. His headache is currently rated as a 8/10 in severity and described as a dull ache with no radiation. Symptoms are aggravated with light and there are no alleviating factors. Of note, the patient also reports having diarrhea one week ago. He denies worst headache of life, thunderclap headache, fever, chills, blurred vision, diplopia, neck pain, back pain, chest pain, shortness of breath, abdominal pain, nausea, emesis, hematochezia, hematuria, or any other symptoms. No other reported symptoms at this time.";s:13:"preload_value";s:486:"The patient is a [age] [sex] who presents to the emergency department with a chief complaint of ***. The symptoms began *** and have been *** since onset. His/her*** pain is currently rated as a ***/10 in severity and described as *** with radiation to ***. Associated symptoms include ***. Symptoms are aggravated with *** and improve with ***. The patient denies ***.  He/she*** reports taking *** prior to arrival with *** relief of symptoms. No other reported symptoms at this time.";}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:18:"Previously Healthy";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:154:"Smoking Status - Former Smoker, Quit 1 year ago, 10 years 1 pack/Day
Smokeless Tobacco - No
Alcohol Use - No
Drug Use - No
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:39:"Heart Attack - Dad
Alzheimer’s - Mom";s:13:"preload_value";s:0:"";}i:8;a:3:{s:8:"question";s:13:"Physical Exam";s:6:"answer";s:2215:"GENERAL: Alert and oriented x3. No significant distress noted.
HEENT: Normocephalic, atraumatic.  Pupils are 4mm 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 and Dorsalis Pedis pulses are +2/4 bilaterally.
NEUROLOGIC: The patient is alert and oriented x3. No cranial nerve deficit. Motor examination reveals +5/5 strength throughout. No foot drop. Good dorsiflexion and plantar flexion. No pronator drift. Good grip strength. 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 does not have suicidal ideation or homicidal ideation.  Mood is normal. The patient does not have auditory or visual hallucinations. Judgment and cognition are normal.";s:13:"preload_value";s:1839:"GENERAL: Alert and oriented x3. No significant distress noted.
HEENT: Normocephalic, atraumatic.  Pupils are 4mm 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 and Dorsalis Pedis pulses are +2/4 bilaterally.
NEUROLOGIC: ***
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 does not have suicidal ideation or homicidal ideation.  Mood is normal. The patient does not have auditory or visual hallucinations. Judgment and cognition are normal.";}i:9;a:3:{s:8:"question";s:18:"ED COURSE:
Orders";s:6:"answer";s:25:"CT Head WO Contrast
Labs";s:13:"preload_value";s:0:"";}i:10;a:3:{s:8:"question";s:24:"Medications Administered";s:6:"answer";s:8:"Dilaudid";s:13:"preload_value";s:0:"";}i:11;a:3:{s:8:"question";s:11:"Lab Results";s:6:"answer";s:18:"Normal
Dark urine";s:13:"preload_value";s:0:"";}i:12;a:3:{s:8:"question";s:9:"Radiology";s:6:"answer";s:141:"CT Head WO Contrast ordered and images reviewed by Dr. ***. Interpreted by Dr. ***. 
Indication: Headache
Interpretation: No acute findings";s:13:"preload_value";s:0:"";}i:13;a:3:{s:8:"question";s:10:"Procedures";s:6:"answer";s:4:"None";s:13:"preload_value";s:4:"None";}i:14;a:3:{s:8:"question";s:23:"Calls/Consults/Rechecks";s:6:"answer";s:293:"***: Rechecked patient who is resting comfortably. His headache has improved and is now rated as a 3-4/10. Imaging and lab results were discussed. The plan for discharge was discussed. The patient is requesting a work excuse at this time. Patient agrees with plan. All questions were addressed";s:13:"preload_value";s:0:"";}i:15;a:3:{s:8:"question";s:23:"Medical Decision Making";s:6:"answer";s:870:"The patient is a male who presents to the emergency department with a chief complaint of headache.  Medical records were reviewed. Lab work was ordered and reviewed. Findings stated above.  A head CT was also ordered and reviewed. Imaging shows no acute findings. The patient was provided with Dilaudid resulting in improvement of symptoms. The patient was discharged home with a diagnosis of headache (unknown cause). It was recommended for the patient to follow up with Dr. Miller (PCP) in one week.  The patient was provided prescriptions for Vicodin. He was advised to not drive or operate machinery while taking Vicodin. The patient was provided with a work excuse. 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:16;a:3:{s:8:"question";s:16:"Final Impression";s:6:"answer";s:24:"Headache (Unknown Cause)";s:13:"preload_value";s:0:"";}i:17;a:3:{s:8:"question";s:4:"Plan";s:6:"answer";s:103:"The patient is discharged home 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 #10: HEADACHE - AGE 23
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    [instrucors_video_title] => Array
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            [0] => Mock Patient #10 REVIEW: HEADACHE - AGE 23
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Array
(
    [0] => Array
        (
            [question] => Chief Complaint
            [answer] => Headache
            [preload_value] => 
        )

    [1] => Array
        (
            [question] => History of Present Illness
            [answer] => The patient is a 23-year-old male with no significant past medical history who presents to the emergency department with a chief complaint of a headache. The patient states that he gets headaches one to two times per month. His current symptoms began at 8:00 AM this morning and have been progressively worsening since onset. His headache is currently rated as a 8/10 in severity and described as a dull ache with no radiation. Symptoms are aggravated with light and there are no alleviating factors. Of note, the patient also reports having diarrhea one week ago. He denies worst headache of life, thunderclap headache, fever, chills, blurred vision, diplopia, neck pain, back pain, chest pain, shortness of breath, abdominal pain, nausea, emesis, hematochezia, hematuria, or any other symptoms. No other reported symptoms at this time.
            [preload_value] => The patient is a [age] [sex] who presents to the emergency department with a chief complaint of ***. The symptoms began *** and have been *** since onset. His/her*** pain is currently rated as a ***/10 in severity and described as *** with radiation to ***. Associated symptoms include ***. Symptoms are aggravated with *** and improve with ***. The patient denies ***.  He/she*** reports taking *** prior to arrival with *** relief of symptoms. No other reported symptoms at this time.
        )

    [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
        (
            [question] => Past Medical History
            [answer] => Previously Healthy
            [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 - Former Smoker, Quit 1 year ago, 10 years 1 pack/Day
Smokeless Tobacco - No
Alcohol Use - No
Drug Use - No
Sexual Activity - Not Asked
            [preload_value] => 
        )

    [7] => Array
        (
            [question] => Family History
            [answer] => Heart Attack - Dad
Alzheimer’s - Mom
            [preload_value] => 
        )

    [8] => Array
        (
            [question] => Physical Exam
            [answer] => GENERAL: Alert and oriented x3. No significant distress noted.
HEENT: Normocephalic, atraumatic.  Pupils are 4mm 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 and Dorsalis Pedis pulses are +2/4 bilaterally.
NEUROLOGIC: The patient is alert and oriented x3. No cranial nerve deficit. Motor examination reveals +5/5 strength throughout. No foot drop. Good dorsiflexion and plantar flexion. No pronator drift. Good grip strength. 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 does not have suicidal ideation or 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 4mm 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 and Dorsalis Pedis pulses are +2/4 bilaterally.
NEUROLOGIC: ***
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 does not have suicidal ideation or homicidal ideation.  Mood is normal. The patient does not have auditory or visual hallucinations. Judgment and cognition are normal.
        )

    [9] => Array
        (
            [question] => ED COURSE:
Orders
            [answer] => CT Head WO Contrast
Labs
            [preload_value] => 
        )

    [10] => Array
        (
            [question] => Medications Administered
            [answer] => Dilaudid
            [preload_value] => 
        )

    [11] => Array
        (
            [question] => Lab Results
            [answer] => Normal
Dark urine
            [preload_value] => 
        )

    [12] => Array
        (
            [question] => Radiology
            [answer] => CT Head WO Contrast ordered and images reviewed by Dr. ***. Interpreted by Dr. ***. 
Indication: Headache
Interpretation: No acute findings
            [preload_value] => 
        )

    [13] => Array
        (
            [question] => Procedures
            [answer] => None
            [preload_value] => None
        )

    [14] => Array
        (
            [question] => Calls/Consults/Rechecks
            [answer] => ***: Rechecked patient who is resting comfortably. His headache has improved and is now rated as a 3-4/10. Imaging and lab results were discussed. The plan for discharge was discussed. The patient is requesting a work excuse at this time. Patient agrees with plan. All questions were addressed
            [preload_value] => 
        )

    [15] => Array
        (
            [question] => Medical Decision Making
            [answer] => The patient is a male who presents to the emergency department with a chief complaint of headache.  Medical records were reviewed. Lab work was ordered and reviewed. Findings stated above.  A head CT was also ordered and reviewed. Imaging shows no acute findings. The patient was provided with Dilaudid resulting in improvement of symptoms. The patient was discharged home with a diagnosis of headache (unknown cause). It was recommended for the patient to follow up with Dr. Miller (PCP) in one week.  The patient was provided prescriptions for Vicodin. He was advised to not drive or operate machinery while taking Vicodin. The patient was provided with a work excuse. 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.
        )

    [16] => Array
        (
            [question] => Final Impression
            [answer] => Headache (Unknown Cause)
            [preload_value] => 
        )

    [17] => Array
        (
            [question] => Plan
            [answer] => The patient is discharged home in stable condition and does not have any further questions or concerns.
            [preload_value] => 
        )

)

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