Review of System

Question 1

What questions do you ask for the General part of the ROS?

Answer 1

Any recent fever, chills or night sweats?
Have you gained or lost a lot of weight without trying lately?
Have you felt unusually tired or sleepy lately?

Question 2

What questions do you ask for the Skin part of the ROS?

Answer 2

Any areas of skin dry and/or itchy?
Any rashes, bumps, sores anywhere?
Do you bruise easily?
Any moles that are changing in shape, color, or size?
Any changes in you hair or nails?

Question 3

What questions do you ask for the Head part of the ROS?

Answer 3

Have you been dizzy or feel like the room is spinning?
Have you fainted or passed out recently?
Do you have headaches?
Are they more or less frequent than normal?
Any history of head injury?

Question 4

What questions do you ask for the Eyes part of the ROS?

Answer 4

Have you had any problems with your eyes lately?
Blurry vision, pain, watery eyes, redness, or itching?
How is your vision?
Do you wear glasses or contact lenses?

Question 5

What questions do you ask for the Ears part of the ROS?

Answer 5

Have you had problems with your ears like any ringing in your ears, pain, or hearing problems?
Have you had any problems with ear infections?
Have you ever had tubes placed in your ears?

Question 6

What questions do you ask for the Nose part of the ROS?

Answer 6

Any trouble with your nose like nosebleeds, change in mucus or frequent sneezing?
Any problems with a stuffy or runny nose?

Question 7

What questions do you ask for the Mouth and Throat part of the ROS?

Answer 7

Any recent sore throat or sores in your mouth?
Any problems with your teeth or gums, like pain, bleeding, or loose teeth?
Any recent hoarseness in your voice?

Question 8

What questions do you ask for the Neck part of the ROS?

Answer 8

Notice any new lumps or bumps? Anything feel sore, painful, or stiff? Is there any pain when you move your neck in any direction?

Question 9

What questions do you ask for the Chest/Respiratory part of the ROS?

Answer 9

Do you have any trouble catching your breath or feel short of breath?
Do you have any trouble breathing after walking a little ways?
How far can you walk before needing to stop?
Do you ever have pain when you take a deep breath?
Any new cough or coughing anything up? What does it look like?
Have you ever had a positive test for TB?
Have you been exposed to anyone with TB?

Question 10

What questions do you ask for the CV part of the ROS?

Answer 10

Do you ever have any chest pains? (then ask about nature of CP & associated symptoms)
Do you ever feel like your heart is racing or skipping beats?
Any shortness of breath at rest or with small amounts of exertion?
Can you lay flat in bed, or does that make you short of breath?
If not, how many pillows do you need?
Do you ever wake up at night short of breath?
Have you ever been told that you have a heart murmur?
Have you ever had Rheumatic fever?

Question 11

What questions do you ask for the Vascular part of the ROS?

Answer 11

Do you have any pain in your legs or hips when you walk? If yes, does it get worse the farther you walk?
Any problems with your legs like hair loss or sores that won’t heal?
Any swelling?
Do you have veins that stick our or cause you any problems?

Question 12

What questions do you ask for the Breasts part of the ROS?

Answer 12

Have you noticed any lumps, pain, tenderness or discharge from your nipples? Any areas of color changes on your breasts?
If 40+: Haver you ever had a mammogram? When was your last mammogram?

Question 13

What questions do you ask for the GI part of the ROS?

Answer 13

Any problems with your stomach or belly lately? Like nausea, vomiting, diarrhea, pain or constipation? Any heartburn?
How about bowel habits?
Have they changed recently or have you noticed blood or black colored stools?
Do you use anti-acids? Do you use laxatives?
Have you ever had gallstones?
Have you ever had hepatitis?

Question 14

What questions do you ask for the Genitourinary (GU) part of the ROS?

Answer 14

Have you had any changes in the amount of times you go to the bathroom in a day?
Do you have to get up at night and go to the bathroom?
Do you feel like you need to go but when you get there you can’t?
Any pain when you urinate?
Any blood in your urine?
Any pain in your lower back or sides?

Question 15

What questions do you ask for the Musculoskeletal part of the ROS?

Answer 15

Have you had any recent muscle cramps? What about muscle weakness or stiffness?
Has there been a change in how far or how much your can move your arms, legs, fingers, or toes?
What about pain or stiffness in your knees, hands, back or hips?

Question 16

What questions do you ask for the Neurologic/Psych part of the ROS?

Answer 16

Have you noticed any new tingling or numbness in your fingers, toes, arms, or legs?
Any unusual memory loss? Any dizziness or loss of balance? Do you feel like you are steady on your feet when you walk? Have you had any falls?
Any mood changes? Do you feel down or depressed? Have you lost interest or pleasure in doing things? In specific instance: Do you ever see things or hear things other people can’t

Question 17

What questions do you ask for the Male/Female Genitalia part of the ROS?

Answer 17

Any sexual problems? Loss of sex drive?
Any pain with sex?
Any itching, rash, or discharge? Any lesions or sores? Any hernias?
Females: Do you have menstrual periods? When was your last menstrual period? When was your last Pap smear?