Pertinent Negatives
What are the 8 pertinent negatives for Shortness of Breath?
1. Chest Pain 2. Bilateral Lower Extremity Swelling 3. Diaphoresis 4. Palpitations 5. Recent Surgery or Travel 6. Calf Pain 7. Cough 8. Fever
What are 7 pertinent negatives for Abdominal Pain?
1. Fever 2. Dizziness 3. Blood in Stool 4. Nausea/Diarrhea/Vomiting 5. Dysuria 6. Constipation 7. Vaginal Bleeding
What are 8 pertinent negatives for altered mental status?
1. Fever 2. Headache 3. Weakness/Numbness/Tingling 4. Changes in speech, vision or hearing 5. Dysuria 6. History of Dementia or Alzheimer's 7. Illicit Drug Use 8. History of DM
What are 6 other important things to consider in HPI for Abdominal Pain?
1. GPA status for women 2. Recent Travel 3. Radiation 4. Sick Contacts 5. Recent Antibiotics 6. History of abdominal disease
What are 12 pertinent negatives to include for trauma?
1. Loss of Consciousness 2. Head Injury 3. Changes in Speech, Vision or Hearing 4. Weakness/Numbness/Tingling 5. Headache 6. Neck Pain 7. Back Pain 8. Chest Pain 9. Abdominal Pain 10. Nausea/Emesis 11. Loss of bowel or bladder control 12. Blood Thinners
What are the 7 pertinent negatives for Chest Pain?
1. Shortness of Breath 2. Bilateral Lower Extremity Weakness 3. Diaphoresis 4. Palpitations 5. Recent Surgery or Travel 6. Calf Pain 7. Loss of Consciousness
What are 10 pertinent negatives for syncope?
1. Tongue Injury 2. Weakness/Numbness/Tingling 3. Changes in Speech, Vision, or Hearing 4. Head injury 5. If there was witness 6. Chest Pain 7. Shortness of Breath 8. Palpitations 9. Diaphoresis 10. Recent Surgery
What are 7 pertinent negatives for headache?
1. Weakness/Numbness/Tingling 2. Changes in Speech, Vision, or hearing 3. Balance difficulty 4. Fever 5. Neck Pain 6. Syncope 7. Seizure
What are 5 pertinent negatives of lower back pain?
1. Weakness/Numbness/Tingling 2. Fever 3. Loss of bowel or bladder control 4. Loss of Consciousness 5. Recent trauma or injury
What are 8 pertinent negatives of dizziness?
1. Weakness/Numbness/Tingling 2. Headache 3. Changes in speech, vision, or hearing 4. Balance Difficulty 5. Fever 6. Neck Pain 7. Syncope 8. Seizure
What are 3 other important things to consider for HPI for lower back pain?
1. What has been taken for pain 2. History of pain 3. History of IV drug abuse
What are risk factors for dizziness?
CVA, TIA, HTN, DM, A-Fib, smoking
What are risk factors for syncope?
CVA, TIA, HTN, DM, A-Fib, smoking
What are risk factors of a headache?
CVA, TIA, HTN, DM, A-Fib, smoking
What are 4 other important things to note in HPI for Chest Pain?
1. Aspirin 2. Nitroglycerin 3. Radiation 4. Risk Factors
What are 4 other important things to write for HPI for Shortness of Breath?
1. Aspirin 2. Nitroglycerin 3. Radiation 4. Risk Factors
What are 4 other important facts to consider in HPI for headache?
1. Aspirin and Blood Thinners 2. Worst Headache of life 3. Type of Onset: Gradual or Sudden 4. Risk factors
What are 3 important facts to note in HPI for altered mental status?
1. Aspirin and Blood thinners 2. Psychiatric History 3. Last time patient was seen at baseline
What are 2 other facts to consider in HPI for dizziness?
1. Blood thinners 2. Risk Factors
What are 2 other facts to consider in HPI for syncope?
1. Blood thinners 2. Risk Factors
What are risk factors for Shortness of Breath?
CAD, HTN, DM, COPD, asthma, smoking, birth control
What are risk factors for Chest Pain?
CAD, HTN, DM, smoking, birth control