ROS frustrations

Never ask about a headache in your ROS. All ED patients have a headache. Seriously. That question is NEVER answered no.

I love the "Any pain or bleeding?" question. It gets you
Neuro - Headache
Cardiac - Chest pain
Eyes - Eye pain
ENT - Sore throat
GI - Abd pain
GU - Flank pain, pelvic pain, penile pain
MS - Joint pain

Pulmonary- Hemoptysis
GI- Hematemesis/hematochezia
ENT- Epistaxis
GU- Vag bleed
Heme- Easy bruising or bleeding
and maybe even Psych- Cutting behavior

That's 9 right there! I also like asking my questions in such a way that they are more likely to be answered no.

For instance, "Any pain, bleeding, fever, or desire to kill someone else?" Or "Any pain, bleeding, fever, or penile discharge?" "Any pain, bleeding, fever, or STD symptoms?"

You would think more people would learn this art in residency, but I've seen way too many attendings with the computer in front of them asking one question at a time, 3 questions per organ system, 12 organ systems. Click, click, click, click. Ugh. If that's what you want your practice to be.....

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ROS frustrations