Orientation +1 - Please verify your name and date of birth
Chief Complaint +1 - Why are you at the hospital?
History of Present Illness +1 - Where is your pain?
History of Present Illness +1 - Can you describe the pain?
History of Present Illness +1 - Does anything make the pain better or worse?
History of Present Illness +1 - How long have you had the pain?
History of Present Illness +1 - On a scale of 0-10. how would you rate your pain?
Past Medical History +1 - Do you have family history of vertigo?
Functional Status and Geriatric Syndromes +1 - Do you live alone?
Functional Status and Geriatric Syndromes +2 - Do you use any walking aids at home?
Social History +2 - Do you smoke?
Social History +1 - Do you drink alcohol often?
Home Medications +1 - Do you take any medications?
Review of Systems +1 - Do you have family history of neurological disorders?
Review of Systems +1 - Do you have history of stroke?
Family History +1 - Does your family suffer from any medical conditions?
Past Medical History +1 - Do you have any allergies?
History of Present Illness +1 - Does anything aggravate your pain?
Past Medical History +1 - When were you diagnosed with hypertension?
Past Medical History +1 - When were you diagnosed with arthritis?