Pertinent Negatives Flashcards

Questions and Answers

What are General Pertinent Negatives?

Fever, chills, cough, N/V/D

No other complaints

Chest pain, dizziness, lightheadedness

CP, SOB, HA, fever, chills, cough, N/V/D, abdominal pain, dizziness or lightheadedness (correct)

What are the pertinent negatives for Chest Pain?

SOB, HA, fever, chills, cough, N/V/D, diaphoresis, jaw pain, back pain, lower extremity pain/swelling, recent travel, recent surgery, recent prolonged immobilization.

What do SOB pertinent negatives include?

CP, HA, fever, chills, cough, back pain, N/V/D, abdominal pain, lower extremity pain/swelling, recent travel, recent surgery, recent prolonged immobilization, hematochezia, melena, dizziness or lightheadedness

List the pertinent negatives for Abdominal Pain in females.

CP, SOB, HA, fever, chills, cough, N/V/D, changes in bowel habits, dysuria, hematuria, frequency, flank pain, or vaginal discharge Signup and view all the answers

What are the pertinent negatives for Abdominal Pain in males?

CP, SOB, HA, fever, chills, cough, N/V/D, changes in bowel habits, dysuria, hematuria, frequency, flank pain, testicular pain or penile discharge Signup and view all the answers

What are the pertinent negatives for Back Pain?

Fall/trauma, chest pain, SOB, HA, fever, chills, cough, N/V/D, bowel or bladder incontinence/retention, saddle anesthesia, paresthesias, focal weakness, sensory deficit, gait dysfunction, hematuria or dysuria. No radiation of pain into lower extremities. Signup and view all the answers

What are the pertinent negatives for Musculoskeletal Pain?

Fall, paresthesias, focal weakness, sensory deficit. Patient with full ROM in affected extremity. Signup and view all the answers

What are the pertinent negatives for Epistaxis?

HA, dizziness, lightheadedness, fever, chills, cough, N/V/D, neck pain Signup and view all the answers

What are the pertinent negatives to note after a Fall?

Chest pain, SOB, dizziness, lightheadedness, or palpitation. Patient did not hit their head, denies any LOC, HA, fever, chills, cough, N/V/D, visual changes, neck pain, dysuria, hematuria, frequency, bowel/bladder incontinence or retention, abdominal pain, or other bodily pain or injury. Signup and view all the answers

What are the pertinent negatives for Syncope/Seizure?

Prodromal chest pain, SOB, dizziness, lightheadedness or palpitations. Patient denies any CP, SOB, HA, N/V/D, fever, chills, cough, visual changes, tongue biting, bowel/bladder incontinence or head injury. Signup and view all the answers

What are the pertinent negatives for a GI Bleed?

CP, SOB, HA, fever, chills, cough, dizziness, lightheadedness, history of GI bleeding, abdominal pain, back pain, hematochezia, melena or N/V/D Signup and view all the answers

List the pertinent negatives for Kidney Stones.

CP, SOB, HA, fever, chills, cough, dysuria, hematuria, frequency, flank pain or urinary retention. No other complaints. Signup and view all the answers

Study Notes

General Pertinent Negatives

Common symptoms to assess: chest pain (CP), shortness of breath (SOB), headache (HA), fever, chills, cough, nausea/vomiting/diarrhea (N/V/D), abdominal pain, dizziness, or lightheadedness.

Chest Pain Pertinent Negatives

Evaluate for: SOB, HA, fever, chills, cough, N/V/D, diaphoresis, jaw, back, and lower extremity pain/swelling.
Assess for recent travel, surgery, or prolonged immobilization.
Confirm absence of ripping or tearing sensations in the chest, back, abdomen, or pelvis.

SOB Pertinent Negatives

Assess for CP, HA, fever, chills, cough, and back pain.
Evaluate for N/V/D, abdominal pain, lower extremity pain/swelling.
Consider recent travel, surgery, immobilization, hematochezia, melena, dizziness, or lightheadedness.

Abdominal Pain Pertinent Negatives - Female

Assess for: CP, SOB, HA, fever, chills, cough, and N/V/D.
Evaluate for changes in bowel habits, dysuria, hematuria, frequency, flank pain, or vaginal discharge.

Abdominal Pain Pertinent Negatives - Male

Evaluate for: CP, SOB, HA, fever, chills, cough, and N/V/D.
Assess for changes in bowel habits, dysuria, hematuria, frequency, flank pain, testicular pain, or penile discharge.

Back Pain Pertinent Negatives

Assess for any fall/trauma, chest pain, SOB, HA, fever, chills, cough, N/V/D.
Check for bowel or bladder incontinence/retention, saddle anesthesia, paresthesias, focal weakness, sensory deficits, gait dysfunction, hematuria, or dysuria.
Confirm no radiation of pain into lower extremities.

Musculoskeletal Pain Pertinent Negatives

Evaluate for history of fall, paresthesias, or focal weakness.
Confirm full range of motion (ROM) in the affected extremity.

Epistaxis Pertinent Negatives

Assess for: HA, dizziness, lightheadedness, fever, chills, cough, and neck pain.
Determine if the patient takes anticoagulants such as Coumadin/Warfarin or Plavix.

Fall Pertinent Negatives

Evaluate for chest pain, SOB, dizziness, lightheadedness, or palpitations.
Confirm that the patient did not hit their head.
Assess for loss of consciousness (LOC), HA, fever, chills, cough, N/V/D, visual changes, neck pain, dysuria, hematuria, frequency, bowel/bladder incontinence/retention, or abdominal pain.

Syncope/Seizure Pertinent Negatives

Assess for prodromal symptoms: chest pain, SOB, dizziness, lightheadedness, or palpitations.
Confirm absence of CP, SOB, HA, N/V/D, fever, chills, cough, visual changes, tongue biting, bowel/bladder incontinence, or head injury.

GI Bleed Pertinent Negatives

Evaluate for: CP, SOB, HA, fever, chills, cough, dizziness, lightheadedness.
Assess for history of GI bleeding, abdominal pain, back pain, hematochezia, melena, or N/V/D.

Kidney Stone Pertinent Negatives

Assess for: CP, SOB, HA, fever, chills, cough, dysuria, hematuria, frequency, flank pain, or urinary retention.
Confirm no other complaints noted.

TIA/CVA/Paresthesias/Facial Droop/Speech Changes/CIMS Pertinent Negatives

Definition and specifics not provided; refer for further context on related symptoms and evaluations.

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Description

This quiz focuses on key terms and definitions related to pertinent negatives in medical assessments. It includes various symptoms and conditions that may be associated with diagnoses such as chest pain and other ailments. Perfect for medical students and professionals looking to reinforce their understanding.