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DiraChart Clinical Reference
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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 {###}. |
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.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. |
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.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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