Phase II Assessment Flashcards
1
Q
H&P Category Rundown
A
ID, CC, HPI, Other Active Problems, PMH, PSH, Meds, Allergies, FH, SH, ROS (13x2), PE (9), Assessment, Plan
2
Q
ROS
A
Constitutional Vision ENT CV Pulmonary GI GU MSK Neuro Hem Endo Psych Skin
3
Q
PE Core
A
Vitals General Assessment HEENT CV Pulmonary Abdominal MSK (Upper and Lower) Neuro Skin, Hair, Nails
4
Q
Constitutional ROS
A
Weight Loss Fever or chills Fatigue Weakness Trouble Sleeping
5
Q
Vision ROS
A
Vision Loss/Changes Glasses or contacts Pain Redness Blurry or double vision Flashing lights
6
Q
ENT ROS - Ears
A
Decreased hearing
Ringing in ears
Earache
Drainage
7
Q
ENT ROS - Nose
A
Stuffiness Discharge Itching Nosebleeds Sinus pain
8
Q
ENT ROS - Throat
A
Bleeding Dentures Sore tongue Dry mouth Sore throat Hoarseness Difficulty swallowing Pain with swallowing
9
Q
ENT ROS - Neck
A
Lumps
Swollen glands
Stiffness
10
Q
Pulmonary ROS
A
Cough Sputum Coughing up blood Shortness of breath Wheezing Painful breathing
11
Q
CV ROS
A
Chest pain or discomfort Tightness Palpitations Fainting Difficulty breathing lying down Leg Swelling Sudden awakening with SOB Calf pain with walking Leg cramping
12
Q
GI ROS
A
Swallowing difficulties Heartburn Change in appetite Nausea Change in BMs Rectal bleeding Constipation Diarrhea
13
Q
GU ROS
A
Frequency Urgency Burning or pain Blood in urine Incontinence Change in urinary strength
14
Q
MSK ROS
A
Muscle/Joint pain Stiffness Back pain Redness of joints Swelling of joints Trauma
15
Q
Neurologic ROS
A
Headaches Seizures Dizziness Fainting Weakness Numbness Tingling Tremors
