Neck Thyroid

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Trace DC57-12

DiraChart Clinical Reference
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1. Purpose and clinical relevance

DiraChart Clinical Reference

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Smart phrases

EMR dot-phrases; replace merge fields in braces. These supplement — never duplicate — the clinical-reference and overlay smart phrases.

.NECK_POSTOP

Post-{thyroidectomy/neck surgery} day {#}: incision {clean/dry}, neck {soft/non-expanding vs swelling}, airway {clear}, voice {normal/hoarse/stridor}, hypocalcemia signs ({perioral/digital numbness/twitching none}), calcium {monitored}. Covered skilled neck care + hematoma/airway/calcium surveillance. Supports Section I; goal {###}.

.NECK_HEMATOMA

Post-thyroidectomy neck hematoma concern: {expanding swelling/pressure/breathing difficulty/voice change}. EMS/emergency activated; surgeon/provider notified immediately; airway supported; prep for emergency opening/airway per protocol; representative notified. Airway emergency. Supports Section I.

.NECK_HYPOCALCEMIA

Hypocalcemia: {perioral/digital numbness}, {twitching/Chvostek/Trousseau}. Provider notified; calcium/labs per order; replacement given; tetany/laryngospasm watch; representative notified. Reassess {when}. Supports Section I.

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