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Neck pain
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History [ ← HPC template ]
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Pertinent negatives [ ← Pertinent negatives template ]
– No injury – No nocturnal pain – No progressive symptoms
– No Lhermitte’s phenomenon – No arm weakness – No hand clumsiness – No paraesthesia
– No gait problems – No urinary symptoms – No bowel dysfunction – No saddle anaesthesia – No leg weakness
– No weight loss – No anorexia – No general malaise – No fever – No night sweats
– No history of cancer – No history of TB – No immunosuppression – No osteoporosis
Safety netting [ ← Safety netting template ]
– Discussed and advised to observe for specific red flags – new weakness/’clumsiness’ – altered gait – bladder or bowel dysfunction – saddle anaesthesia – nocturnal, persistent or progressive symptoms – lymphadenopathy – systemic symptoms (fever, night sweats, weight loss)
– Understands to call or seek immediate medical review if any concerns
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