Pertinent Negatives
Abd Pain
N/V/D, fever, chills, constipation, hematochezia, hematemesis, dysuria, hematuria
CP
SOB, diaphoresis, palpitations, extremity weakness/numbness, leg pain/swelling, dizziness, cough
Allergic Reaction
difficulty breathing/swallowing, skin rash, tongue swelling, voice change, SOB. Also include if any new meds have been taken
Back Pain
extremity weakness/numbness, saddle anesthesia, bowel/bladder incontinence, fever, chills
laceration
extremity weakness/numbness/paresthesias, other injury, possibility of foreign body, decreased ROM of (body part). Also make sure to include Tetanus shot status
Wound checks
fever, chills, increased warmth/erythema/swelling to the area, drainage from the site. Also include any complaints with their abx
MVC/Fall
head injury/trauma, LOC, back pain, neck pain, hip pain, abd pain, CP, HA, dizziness
SOB
leg pain/swelling, CP, cough
Psychiatric
suicidal ideations, homocidal ideations, hallucinations
If pt if Pregnant
vaginal bleeding/discharge, pelvic pain, abd pain
HA
visual disturbances, extremity weakness/numbness, dizziness, fever, chills, neck pain/stiffness