Medical screening: ROS Flashcards
1
Q
General health
A
- fatigue - malaise - loss of appetite - fever/chills/sweats - nausea/vomiting - unexplained wt change (5% over month) - numbness/paresthesia - weakness - change in mentation -dizzy - insomnia - irritability
2
Q
Cardiovascular system
A
- dyspnea (SOB) - orthopnea (supine SOB) - palpitations - pain/sweats - fatigue - syncope - peripheral edema - persistent cough - chest pain / heaviness - limb pain with activity - swelling hands/feet - discolored or painful feet - pulsating or throbbing pain anywhere (esp in back or abdomen) - nocturia - sudden wt gain
3
Q
Pulmonary system
A
- Dyspnea (SOB) - orthopnea (supine SOB) - onset/change of cough - sputum - hemoptysis (coughing up blood) - Stridor (whistling) - wheezing - hoarsness - altered breathing pattern
4
Q
Integumentary system
A
- recent rashes, etc - unusual hair loss of breakage - inc hair growth - nail bed changes - itching
5
Q
Gastrointestinal system
A
- abdominal pain - difficulty swallowing - heartburn / indigestion - specific food intolerance - nausea / vomiting - blood in vomit - change in appetite - wt change - rectal bleeding - skin rash followed by joint pain - bowel dysfunction
6
Q
Urinary system
A
- frequency, nocturia - hesitancey, urgency - incontinence, dribbling - reduced force of urine stream - difficulty initiating urination - color - dysuria (pain) - burning, bleeding - flank pain
7
Q
Male Reproductive system
A
- urethral discharge - impotence - pain with intercourse - testicular pain, swelling - genital lesions - infertility
8
Q
Female reproductive system
A
- vaginal discharge, itching - pain with intercourse - change in menstruation - date of late period - number or pregnancies / deliveries - surgeries - menopause - spotting, bleeding post monopause
9
Q
Musculoskeletal/Neurologic system
A
- joint pain, swelling, warmth, red, stiffness, deformity - vision or hearing changes - vertigo - paresthesias - changes in muscle tone - weakness, atrophy - abnormal DTR - problems with balance/coordination - involuntary movements (tremors, clonus) - radicular pain - seizures or loss of consciousness - memory loss, mentation, cognition - paralysis - mood swing, hallucination - gross movement patterns - asymmetric facial features
10
Q
Cancer
A
- constant, intense pain, especially bone pain at night - unexplained wt loss (10% in 10-14 days) - loss of appetite - excessive fatigue - unusual lump/s etc - unusual or prolonged bleeding - change in bowel or bladder habits - chronic cough or hoarsness - rapid onset of digital clubbing (10-14 days) - proximal muscle weakness, esp when accompanied by DTR change
11
Q
Psychological / Depression (>5 symptoms/ >2 weeks)
A
- depressed / mood changes - psychomotor agitation constitutional - sleep disturbance - wt gain/loss - fatigue - feeling of worthlessness - diminished interest - diminished ability to concentrate - suicide ideation - stress levels - changes in personal habits
12
Q
Immunological system
A
- skin or nail bed - fever or other symptoms - lymph node - anaphylactic reaction - muscle or joint stiffness - sleep
13
Q
Endocrine system
A
- polyuria - fruity breath odor - unexplained weakness, fatigue - sleep disturbances - cramps - BLAHHHHHHHHHHHHHHHH
14
Q
Hepatic/Biliary system
A
- change in tase/smell - anorexia - ascites - asterixis (muscle tremors) - change in urine color - change in skin color - skin changes
15
Q
Hematologic system
A
- skin color or nail bed changes - bleeding: nose, gums, easy bruising, melena - hemarthrosis, muscle hemorrhage, hematoma - fatigue, dyspnea, weakness - rapid pulse, palpitations - confusion, irritability - headaches
