top 100 diagnoses in ED

[DIVA01]

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does anyone know where I could find a list of the top national 50-100 diagnoses made in ED?

thanks!

 

[Seaglass]

1. Med Refil
2. Drug seeking
3. Sepsis
4. Cervical Strain
5. Pharyngitis

 

[USCDiver]

1. Med Refil
2. Drug seeking
3. Sepsis
4. Cervical Strain
5. Pharyngitis

6. Wants ultrasound of her baby
7. Work note
8. URI
9. Baby spitting up
10. Had an MVC, just wanted to get checked, no complaints (I'm sure it has an ICD9 code)

 

[MavsFan08]

6. Wants ultrasound of her baby
7. Work note
8. URI
9. Baby spitting up
10. Had an MVC, just wanted to get checked, no complaints (I'm sure it has an ICD9 code)

11. Back Pain
12. Rash

 

[Wackie]

13. pregnancy

 

[EM2BE]

14. Chest pain (could fit any of the above categories, but lots more work-up)

 

[leviathan]

15. "Severe" shortness of breath
15(i)While smoking cigarettes
15(ii)While blurting out entire paragraphs between breaths on cell phone
15(iii) both subsection i. and ii.

 

[kungfufishing]

pregnancy TEST...via EMS

 

[allendo]

What about "Some dude hit me"?

 

[Mighty Mouse]

not to be confused with, "I was just walking along, and these 2 dudes jumped me"

also need to throw vaginitis/cervicitis/PID into the mix.

 

[Bring It On]

My cousin is a malpractice lawyer and these two are the most "go to court" and win! Anyone want to guess what they are??🙂

 

[lucky_deadman]

16. Toothache
17. Work/School Excuse
18. Hungry
19. Drunk

 

[deleted52758]

18. asthma exacerbation 2o to recent heron use.
19. cocaine chest pain

 

[ERMudPhud]

My cousin is a malpractice lawyer and these two are the most "go to court" and win! Anyone want to guess what they are??🙂

1. Missed acute MI

2. Missed foreign body/deep structure injury during wound exploration


For the OP. Go to your schools ED and ask to speak to whoever does their billing. They can probably print out a list of their top 100 diagnoses. I'm not sure where you could find a nationwide survey

 

[nosugrefneb]

20. "Bush told me to come."

 

[sjt9721]

"Abdominal Pain NOS"

 

[MavsFan08]

"Psychiatric Disorder NOS"

 

[sjt9721]

"Psychiatric Disorder NOS"

Heck, this could be (appropriately) added to nearly every patient, dontcha think? 😀

 

[docB]

does anyone know where I could find a list of the top national 50-100 diagnoses made in ED?

thanks!

Not that I could find either of these but are you looking for the final diagnosis or the chief complaint? There's a difference.

 

[bulgethetwine]

Not that I could find either of these but are you looking for the final diagnosis or the chief complaint? There's a difference.

If you check the EMRA websie, I bet they have it as they have a publication called EM's Top Clinical Problems.

And don't be put off by our collective responses above. It's our means to sanity maintenance. 🙂

 

[allendo]

"I think I got my period can you check"!!

" I cant poop"!!!

 

[mlw47]

From the CDC's National Hospital Ambulatory Medical Care Survey (2004)

Most Common Diagnoses (By ICD-9-CM Codes):

1) Contusion with intact skin surfact
2) Abdominal pain
3) Open wound, excluding head
4) Chest pain
5) Acute upper respiratory infection, excluding pharyngitis
6) Spinal disorders
7) Fractures, excluding lower limb
8) Sprains and strains, excluding ankle and back
9) Sprains and strains of neck and back
10) Open wound of head
11) Otitis media and eustachian tube disorders
12) Cellulitis and abscess
13) Asthma
14) Urinary tract infection, site not specific
15) Rheumatism, excluding back
16) Superficial injuries
17) Pyrexia of unknown origin
18) Heart disease, excluding ischemic
19) Pneumonia
20) All other diagnosis


Most common chief complaints:

1) Stomach & abdominal pain, cramps, and spasms
2) Chest pain and related symtoms
3) Fever
4) Back symptoms
5) Headache, pain in head
6) Cough
7) Shortness of breath
8) Vomiting
9) Pain, site no referable to a specific body system
10) Lacerations and cuts -- upper extremity

...available here:

http://www.cdc.gov/nchs/data/ad/ad372.pdf

see pages 19 and 17, respectively.

 

[Seaglass]

18. asthma exacerbation 2o to recent heron use.
19. cocaine chest pain

Do you smoke the whole bird or only part of it?

 

[Farbar]

My favorite CC:

1. left AMA from local community hospital

 

[johnthestreak]

we get a lot of Kluver-Bucy in our ED

 

[GeneralVeers]

You guys forgot 40-year-old hispanic women with the dreaded "Todo me duele!"

 

[ERresponsible]

20. dysuria
21. dyschezia
22. dysentery
23. dysmenorrhea
24. dyspareunia
25. dysphasia
26. dystocia

 

[docB]

You guys forgot 40-year-old hispanic women with the dreaded "Todo me duele!"

The correct term for that affliction is DDTC (AKA dolor del todo cuerpo).

 

[DeLaughterDO]

20. dysuria
21. dyschezia
22. dysentery
23. dysmenorrhea
24. dyspareunia
25. dysphasia
26. dystocia

Well, our path professor told us that dyspareunia is better than no pareunia at all!!

Hahahaha, gimme those ribs, you!

jd

 

[BeetleMama]

Do you smoke the whole bird or only part of it?

 

[Jeff698]

4. Cervical Strain

"I'm sorry, Ma'am, you seem to have strained your cervix.

Unfortunately, we'll have to put your cervix in this collar for several weeks."




Take care,
Jeff

 

[hyperbaric]

Well, our path professor told us that dyspareunia is better than no pareunia at all!!

Hahahaha, gimme those ribs, you!

jd

He will be missed!

 

[CueDoc]

My cousin is a malpractice lawyer and these two are the most "go to court" and win! Anyone want to guess what they are??🙂

uh.. are you going to tell us? Im think foreign body in wound is one but I dont know the other..

37. wants a sandwich

 

[docB]

uh.. are you going to tell us? Im think foreign body in wound is one but I dont know the other..

37. wants a sandwich

Don't you mean a "sammich?"

 

[Wackie]

From the CDC's National Hospital Ambulatory Medical Care Survey (2004)

Most common chief complaints:

1) Stomach & abdominal pain, cramps, and spasms
2) Chest pain and related symtoms
3) Fever
4) Back symptoms
5) Headache, pain in head
6) Cough
7) Shortness of breath
8) Vomiting
9) Pain, site no referable to a specific body system
10) Lacerations and cuts -- upper extremity

...available here:

http://www.cdc.gov/nchs/data/ad/ad372.pdf

see pages 19 and 17, respectively.

I feel this list is inaccurate. I would believe "Vomicking" but not "Vomiting".

 

[emtcsmith]

since when did "go get checked out" ever seem like a valid reason to go? If they were actually going to pay for the EMS service and ED visit then they would be smart enough to know this wasn't a reason to go.

 

[bartleby]

Heck, this could be (appropriately) added to nearly every patient, dontcha think? 😀

That would be Unspecified Psychosocial Circumstance. So infectious it's even got it's own diagnostic code (V62.89)

 

[placebo_B12]

I love the ED!

 

[waterski232002]

Top 30 chief complaints in my ED...

1) Needs Pregnancy Test
2) Needs Baby picture
3) Med Refill
4) Work note
5) Vaginal discharge
6) STD check
7) Rash
8) Suture removal
9) Wound check
10) I got the $hit kicked outta me
11) I'm drunk AND I got the $hit kicked outta me
12) Back pain x 5 years
13) Sciatica (allergies to ibuprofen, toradol, ultram)
14) Ankle pain (refuses x-ray... but a work note will do)
15) SI (but I'll change my mind if you give me a samwich)
16) Found down
17) Crack Lung
18) Vomicking
19) Fell out
20) My doc said he'd meet me here
21) Needs sugar checked
22) Sangre de la vagina
23) GSW needs second opinion
24) MVA 3 days ago
25) Needs _______ appointment (insert subspecialty of choice: heme/onc, GI, ENT, etc)
26) Abnormal labs (doesn't know which one)
27) Paronychia (brought in by ambulance)
28) Viral infection (needs antibiotics)
29) Unresponsive (reversed with Narcan)
30) Left AMA from outside hospital