symptomchiefcomplaint.docVIP

Symptom / Chief Complaint Exclusions for Self-Treatment Headache Severe head pain Persists 10 days w/ or w/o treatment Last trimester of pregnancy 7 years old High fever or signs of serious infection History of liver disease or consumption of 3 alcoholic drinks per day HA assoc. w/ underlying pathology (Secondary HA) Symptoms consistent w/migraine, but no formal diagnosis of migraine HA Fever 6 months w/ rectal temp ≥104oF or equivalent 6 months w/ rectal temp ≥101oF Symptoms of infection Risk for hyperthermia Impaired oxygen utilization: severe COPD, respiratory distress, heart failure Impaired immune function: cancer, HIV CNS damage: head trauma, stroke Children w/history of febrile seizures or seizures Musculoskeletal Injuries and Disorders Severe pain Pain lasting 2 weeks Pain continuing 10 days after treatment Increased intensity or change in character of pain Pelvic or abdominal pain N/V, fever, or other signs/symptoms of systemic infection or disorder Visually deformed joint, abnormal movement, weakness in any limb, or suspected fracture Third trimester of pregnancy ≤7 years old Vaginal and Vulvovaginal Disorders Pregnancy 12 years old Fever or pain in the lower abdomen, back or shoulder Predisposing medications to VVC: corticosteroids, antineoplastics Predisposing medical conditions to VVC: DM, HIV infection Recurrent VVC: 3 vaginal infections in a year or vaginal infection in past 2 months Severe vaginal dryness or dysparenuia Unlocalized symptoms Vaginal dryness or dysparenuia not relieved by personal lubricants Disorders Related to Menstruation Severe dysmenorrheal and/or menorrhagia Dysmenorrhea symptoms inconsistent w/ primary dysmenorrheal History of PID, infertility, irregular menstrual cycles, endometriosis, ovarian cysts Use of IUD Allergy to aspirin or NSAIDs, intolerance to NSAIDs Warfarin, heparin or lithium use Active GI disease: PUD, GERD, ulcerative colitis Bleeding disorder Severe PMS or PMDD Uncertain pattern of symptoms, particula