|
Fever or chills?
|
Night sweats?
|
|
Involuntary weight loss?
|
CONSTITUTIONAL DENIED
|
|
|
|
|
Angina or equivalents?
|
Orthopnea or PND?
|
|
Palpitations?
|
CARDIOVASCULAR DENIED
|
|
|
|
|
Hemoptysis?
|
Cough?
|
|
SOB or trouble breathing?
|
PULMONARY DENIED
|
|
|
|
|
Hematemesis?
|
Melena or BRBPR?
|
|
Abdominal pain?
|
GASTROINTESTINAL DENIED
|
|
|
|
|
Hematuria?
|
Dysuria?
|
|
Urinary urgency?
|
GENITOURINARY DENIED
|
|
|
|
|
Seizures?
|
Focal motor deficits?
|
|
Syncope?
|
NEUROLOGIC DENIED
|
|
|
|
|
Suicidal ideations?
|
Mania or hypomania symptoms?
|
|
Hallucinations?
|
PSYCHIATRIC DENIED
|
|
|
|
|
Polydipsia or polyuria?
|
Symptomatic HYPOglycemia?
|
|
Symptomatic HYPERglycemia?
|
ENDOCRINE DENIED
|
|
|
|
|
Recent trauma?
|
Joint inflammation?
|
|
Bursitis or tendinitis symptoms?
|
MUSCULOSKELETAL DENIED
|
|
|
|
|
Eye pain?
|
Acute vision changes?
|
|
Diplopia?
|
OPHTHALMOLOGIC DENIED
|
|
|
|
|
Difficulty swallowing?
|
Otalgia?
|
|
Acute hearing loss?
|
ENT DENIED
|
|
|
|
|
Recent blood clots?
|
Abnormal bleeding?
|
|
Recent transfusion?
|
HEMATOLOGIC DENIED
|
|
|
|
|
New rash?
|
Worrisome mole?
|
|
Skin infection?
|
DERMATOLOGIC DENIED
|
|
|
|
|
Otherwise Negative
|
|
