_ y/o patient presenting with fever and malaise concerning for UTI. _Patient is UTD on immunizations, otherwise healthy, not immunocompromised. _Patient is circumsized. _ Patient is uncircumsized. Patient is extremely well appearing, mentating well, at baseline per parents, lucid and without meningeal signs. Nonfocal neuro exam with low suspicion for CNS infection. No respiratory distress with low suspicion for pneumonia. No abdominal pain and benign abdominal exam with low suspicion for atypical appendicitis. No overt findings for vulvovaginitis_. UA with WBC, leuk esterase, nitrites and bacteria. Urine culture was sent. Will treat with Keflex_ . Tolerating PO including juice and crackers in ED. Cautious return precautions discussed w/ full understanding. Prompt follow up with primary care physician discussed. Appendicitis return precautions discussed.
MDM for different chief complaints 
Critical care documentation
Combative patient
Wilderness preparedness
ACEP clinical policies
Expedited partner therapy
SCVMC:CUSTODY CARE
FALLS protocol