MDM //

presenting with increased anxiety with clear trigger now resolved. Given exam and history, low suspicion for acute cardiopulmonary process including dissection, ACS, or PE. Denies any acute ingestions and denies any other medical complaints at this time. Does not endorse any alcohol withdrawal symptoms. Engages with conversation. Mood and affect are congruent. Thoughts are linear and organized, and has no AH or HI. No acute need for psychiatric consultation and patient without SI or HI. Clinically no overt toxidrome, well appearing, low suspicion for ingestion given history and exam. Contracted for safety as well as demonstration of significant insight for finding homeless shelter and follow up. Cautious return precautions discussed w/ full understanding.



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