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            [0] => a:15:{i:0;a:3:{s:8:"question";s:15:"Chief Complaint";s:6:"answer";s:11:"Dental Pain";s:13:"preload_value";s:0:"";}i:1;a:3:{s:8:"question";s:26:"History of Present Illness";s:6:"answer";s:926:"The patient is a 31-year-old female with no significant past medical history who presents to the emergency department with a chief complaint of right lower dental pain. Two days ago, the patient was eating an enchilada when she felt like one of her crowns broke off.  Since then, she has had right lower dental pain that has been progressively worsening. Her right lower dental pain is currently rated as a 5/10 in severity and described as throbbing with radiation into the right side of her face. Associated symptoms include bleeding from the tooth. Symptoms are aggravated with mastication and there are no alleviating factors. The patient denies fever, chills, purulent discharge fromt the tooth, dysphagia, paresthesias, or any other symptoms. She reports that she cannot obtain an appointment with her dentist and is requesting a prescription for antibiotics and pain medication. 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:20:"Tetracycline - Itchy";s:13:"preload_value";s:0:"";}i:6;a:3:{s:8:"question";s:14:"Social History";s:6:"answer";s:99:"Smoking Status - No
Smokeless Tobacco - No
Alcohol Use - No
Drug Use - No
Sexual Activity - N/A";s:13:"preload_value";s:0:"";}i:7;a:3:{s:8:"question";s:14:"Family History";s:6:"answer";s:109:"Denies family history of heart disease, cancer, diabetes, and stroke. 
Hemachromatosis- Brother, Great Uncle";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:2206:"GENERAL: Alert and oriented x3. No significant distress noted.
HEENT: Normocephalic, atraumatic.  Pupils are 3mm 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. There are dental caries in the lower right molars. There is a fractured tooth on the right lower side. 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 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:2123:"GENERAL: Alert and oriented x3. No significant distress noted.
HEENT: Normocephalic, atraumatic.  Pupils are 3mm 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. There are dental*** 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 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:10;a:3:{s:8:"question";s:18:"ED COURSE:
Orders";s:6:"answer";s:4:"None";s:13:"preload_value";s:4:"None";}i:11;a:3:{s:8:"question";s:23:"Calls/Consults/Rechecks";s:6:"answer";s:266:"***: Finished physical exam and discussed the plan for discharge. The patient was denied narcotics due to the fact that she was listed on a drug seeking website and that she has a pain contract with Dr. Miller. Patient agrees with plan. All questions were addressed.";s:13:"preload_value";s:0:"";}i:12;a:3:{s:8:"question";s:23:"Medical Decision Making";s:6:"answer";s:690:"The patient is a female who presents to the emergency department with a chief complaint of right lower dental pain. Medical records were reviewed. History and physical exam do not warrant any additional testing at this time. The patient was discharged home with a diagnosis of odontalgia and tooth fracture. It was recommended for the patient to follow up with her dentist as soon as possible. The patient was denied narcotics while in th ED and was provided a prescription for Amoxicillin. 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:13;a:3:{s:8:"question";s:16:"Final Impression";s:6:"answer";s:26:"Odontalgia
Tooth Fracture";s:13:"preload_value";s:0:"";}i:14;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 #5: DENTAL PAIN - AGE 31
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    [instrucors_video_title] => Array
        (
            [0] => Mock Patient #5 REVIEW: DENTAL PAIN - AGE 31
        )

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            [0] => May 4, 2019 @ 6:35 pm
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Array
(
    [0] => Array
        (
            [question] => Chief Complaint
            [answer] => Dental Pain
            [preload_value] => 
        )

    [1] => Array
        (
            [question] => History of Present Illness
            [answer] => The patient is a 31-year-old female with no significant past medical history who presents to the emergency department with a chief complaint of right lower dental pain. Two days ago, the patient was eating an enchilada when she felt like one of her crowns broke off.  Since then, she has had right lower dental pain that has been progressively worsening. Her right lower dental pain is currently rated as a 5/10 in severity and described as throbbing with radiation into the right side of her face. Associated symptoms include bleeding from the tooth. Symptoms are aggravated with mastication and there are no alleviating factors. The patient denies fever, chills, purulent discharge fromt the tooth, dysphagia, paresthesias, or any other symptoms. She reports that she cannot obtain an appointment with her dentist and is requesting a prescription for antibiotics and pain medication. 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
        (
            [question] => Current Medications
            [answer] => None
            [preload_value] => 
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    [5] => Array
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            [question] => Allergies
            [answer] => Tetracycline - Itchy
            [preload_value] => 
        )

    [6] => Array
        (
            [question] => Social History
            [answer] => Smoking Status - No
Smokeless Tobacco - No
Alcohol Use - No
Drug Use - No
Sexual Activity - N/A
            [preload_value] => 
        )

    [7] => Array
        (
            [question] => Family History
            [answer] => Denies family history of heart disease, cancer, diabetes, and stroke. 
Hemachromatosis- Brother, Great Uncle
            [preload_value] => 
        )

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

    [9] => Array
        (
            [question] => Physical Exam
            [answer] => GENERAL: Alert and oriented x3. No significant distress noted.
HEENT: Normocephalic, atraumatic.  Pupils are 3mm 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. There are dental caries in the lower right molars. There is a fractured tooth on the right lower side. 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 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 3mm 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. There are dental*** 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 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.
        )

    [10] => Array
        (
            [question] => ED COURSE:
Orders
            [answer] => None
            [preload_value] => None
        )

    [11] => Array
        (
            [question] => Calls/Consults/Rechecks
            [answer] => ***: Finished physical exam and discussed the plan for discharge. The patient was denied narcotics due to the fact that she was listed on a drug seeking website and that she has a pain contract with Dr. Miller. Patient agrees with plan. All questions were addressed.
            [preload_value] => 
        )

    [12] => Array
        (
            [question] => Medical Decision Making
            [answer] => The patient is a female who presents to the emergency department with a chief complaint of right lower dental pain. Medical records were reviewed. History and physical exam do not warrant any additional testing at this time. The patient was discharged home with a diagnosis of odontalgia and tooth fracture. It was recommended for the patient to follow up with her dentist as soon as possible. The patient was denied narcotics while in th ED and was provided a prescription for Amoxicillin. 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.
        )

    [13] => Array
        (
            [question] => Final Impression
            [answer] => Odontalgia
Tooth Fracture
            [preload_value] => 
        )

    [14] => 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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