Medical Hx/ ROS Flashcards
1
Q
PMH (7)
A
- allergies
- meds
- medical illnesses
- surgeries/ hospitalizations
- accidents/ injuries
- obgyn
- immunizations
2
Q
FH (4)
A
heart disease, HTN, DM, CA
3
Q
SH (6)
A
- tobacco
- ETOH
- IV/ rec drugs
- relationship status
- exercise/ hobbies/ education
- occupation
4
Q
General ROS (5)
A
fever/ chills fatigue/ malaise sweats sleep weight
5
Q
Skin ROS (3)
A
rash
itching
pigmentation/ texture change
6
Q
Head ROS (4)
A
HAs
syncope/ LOC
trauma/ injury
dizziness
7
Q
Eyes ROS (9)
A
decreased acuity/ vision field loss blurring diplopia pain glaucoma trauma discharge photophobia eye drops
8
Q
Ears ROS (5)
A
hearing acuity discharge pain tinnitus vertigo
9
Q
Nose ROS (6)
A
freq of colds congestion discharge epistaxis postnasal drip sinus pain
10
Q
Throat and mouth ROS (6)
A
ST/ tongue hoarseness diff swallowing bleeding gums abscess dental problems
11
Q
Neck ROS (4)
A
swollen glands
stiffness/ pain
thyroid problems
limited ROM
12
Q
Breasts ROS (5)
A
pain/ tenderness lumps discharge mammograms self exams
13
Q
Respiratory ROS (6)
A
cough (freq, type) sputum (amount, appearance) hemoptysis wheezing CP dyspnea
14
Q
Cardiac ROS (9)
A
pain dyspnea/ OE orthopnea (pillows) PND (paroxysmal nocturnal dyspnea- awaken at night w/ SOB) palpitations (sensation/ freq) edema claudication (pain in legs) HTN hyperlipidemia
15
Q
GI ROS (13)
A
abd pain appetite change food intolerance N/V constipation/ diarrhea hernia/ hemorrhoids indigestion/ heartburn/ reflux hematemesis change in stool color/ type hematochezia/ melena jaundice/ color of urine pruritus gas
