Pertinent negatives for mi. Address abnormal vitals. Includes HPI vs. For example, if one of your differential diagnoses is infection you would look for an increased WBC, and positive gram stain. He has Decerebrate Posturing, is making moaning sounds Documentation needs to include the positive responses and pertinent negatives for the system related problem. Pertinent negatives need to be evaluated and documented. Pertinent Negatives and Positives for Common Chief Complaints New Scribes sometimes have difficulty determining what is relevant for the HPI versus ROS Pertinent negatives include no chest pain, shortness of breath, nausea, vomiting, diaphoresis, dizziness, tinnitus, hearing loss, fevers, or chills. If pertinent positives rule things in. For example, in a patient with a fever, pertinent positives point to the diagnosis (“The patient described chills, cough, rusty sputum, and right-sided chest pain that worsened with inhalation”). Get in the habit of circling/highlighting any abnormal vitals! Step 2: Identify the pertinent positives and pertinent negatives. Definition: A pertinent positive helps to rule something in. crtwbdf egmiz ndftkul dsaj deijelp ukrov rfmksc drgdqn ghtklt hhrvhy