To structure this portion of the note, you can use another mnemonic: OLD CHARTS, as in what would you find if you looked at the patient's old chart. 1  Onset. 2  Location. 3  Duration. 4  CHaracter (sharp, dull, etc) 5  Alleviating/Aggravating factors. 6  Radiation. 7  Temporal pattern (every morning, all day, etc) 8  Symptoms associated.
Rat urine poses such a significant health risk that Abolish Pest Control recommends the use of biohazard suits, complete with gloves and respirators, when removing it. Waste removal experts focus on attics as the main nesting area, using vacuum cleaners equipped with special filters.
Difficulty in breathing and symptoms of heart failure may also be observed. Phosphide rat poisons (most often zinc phosphide) cause similar side effects in humans and animals. Tightness in the chest (in humans), difficulty breathing and cough; fluid in the lungs and irregular heartbeat may all be in evidence.