A patient with appendicitis reports gastric or periumbilical pain that over the past 4 hours has localized to the right upper quadrant. The patient denies nausea, vomiting, anorexia, or a low-grade fever
What term characterizes lack of nausea, vomiting, anorexia, and low-grade fever? a. chief complaint c. aggravating factors
b. associated manifestations d. pertinent negatives
D
Negative findings, also called pertinent negatives, are those manifestations expected in the patient with a suspected pathology, but which are denied by the patient. Nausea, vomiting, anorexia, and a low-grade fever are signs and symptoms that might be present with appendicitis. The chief complaint is the sign or symptom that caused the patient to seek health care. Associated manifestations are the signs and symptoms that accompany the chief complaint. Those factors that worsen the severity of the chief complaint are the aggravating factors.
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