Review of Systems

Question 1

General ROS

Answer 1

• fever, chills
• sweats or night sweats,
• unintentional weight change (how much?)
• overall health

Question 2

ROS: Skin

Answer 2

• Rashes or Itching (pruritus)
• lesions or sores
• change in hair or nails
• changes in moisture or temperature of skin
• changes in color or texture of skin

Question 3

ROS: Hematologic

Answer 3

• any large or tender lymph nodes
• abnormal or excessive bleeding
• bruising or h/o anemia

Question 4

ROS: Head

Answer 4

• any headache or head injury

Question 5

ROS: Ears

Answer 5

• any ringing in your ears (tinnitus) or hearing loss
• drainage or ear pain

Question 6

ROS: Nose

Answer 6

• any problem with or loss of sense of smell
• any nasal discharge or nosebleeds (epistaxis)
• any obstruction

Question 7

ROS: Mouth

Answer 7

• any bleeding gums
• any lesions in mouth or gums
• lesions on your lips or tongue

Question 8

ROS: Pharynx and Larynx

Answer 8

• Any sore throats (pharyngitis) or hoarsness
• painful swallowing (odynophagia)
• any post-nasal drip or taste of acid in your mouth or throat
• any reflux

Question 9

ROS: Neck

Answer 9

• any fullness
• decrease range of motion or pain

Question 10

ROS: Respiratory System

Answer 10

• Any cough or coughing up blood
• phlegm (sputum) production
• shortness of breath (SOB, dyspnea) or wheezing
• chest pain (CP) when taking a deep breaht (pleuritic)

Question 11

ROS: Cardiovascular System

Answer 11

• any chest pain or palpatations
• light-headedness or passing out (syncope)
• swelling (edema) in your feet
• any h/o heart murmurs or blood clots/phlebitits (DVTs)
• calp pain at rest or with exercise (claudication or pseudoclaudication)
• any SOB with exertion? while lying flat?
  
  • if yes, how many pillows to prevent SOB (orthopnea)
• wake up suddenly SOB
  
  • if yes, need to sit up until it resolves? (paroxysmal noctural dyspnea)
• any change in activity tolerance

Question 12

ROS: Breast

Answer 12

• any pains, lumps or discharge
• do you do regular breast exams

Question 13

ROS: Gastrointestinal

Answer 13

• any change in appetite, feeling of fullness
• distention or abdominal pain
• hearburn (reflux, acid indigestion)
• nausea, vomiting
  
  • vomiting blood (hemataemesis) or coffe ground material
• diarrhea or constipation
• hernias
• yllowing of skin or eyes (jaundice/icterus)
• any recent changes in bowel habits (frequency, consistency or color)
• black or tarry stools
• maroon colored or blood in stool
• pain with bowel movements or hemorrhoids

Question 14

ROS: Urinary System

Answer 14

• any pain on urination (dysuria) or blood in urine (hematuria)
• need to go often [with little volume] (frequency)
• sudden, compelling urge to urinate (urgency)
• increase in volume (polyuria) or make little or no urine (oliguria)
• unable to void (retention)
• dribbling, difficulty getting the stream going (hesitancy)
• voiding multiple times at night (nocturia)
  
  • how many times?
• leaking urine (incontinence)
• tenderness in back or flank (CVA)
• h/o bladder, urinary tract infection (UTI) or stones (nephrolithiasis)

Question 15

ROS: Genital System

Answer 15

• any history of or exposure to sexually transmitted diseases or infection
• any genital lesion or rahs
• pain or discharge (vaginal)
• satisifed with sex life

Question 16

ROS: Gyn

Answer 16

• age periods started (menarche)
• ever pregnant
  
  • # pregnancies, miscarriages/abortions
• menopause
  
  • if yes, age
  • if no, any problems with period, last menstrual period (LMP)
• if sexually active: birth control method
  
  • pain with intercourse (dyspareunia)

Question 17

ROS: Male GU

Answer 17

• Rashes or sores
• discharge
• testicular lumps
• pain
• problems with erections or ejaculations

Question 18

ROS: Endocrine

Answer 18

• any weight change
• fatigue easily
• change in sleeping patterns
• behavioral changes
• sensitivity to heat or cold
• abnormal sweating
• thirst urine flow changes
• diabetes
• change in size of hands, feet, or facial features or neck
• history of thyroid problems

Question 19

ROS: Musculoskeletal

Answer 19

• any pain or tenderness of bones, joints or muscles
• any swelling or stiffness

Question 20

ROS: Neurological System

Answer 20

• any convulsions
• dizziness or weakness
• diffculty speaking (dysarthria) or swalling (dysphagia)
• tremors or weakness
• numbness or tingling (paresthesias)
• pain
• abnormal clumsiness or difficulty with balance
• bowel or bladder control issues

Question 21

ROS: Psych

Answer 21

• any changes of mood
• prolonged crying
• confusion or difficulty thinking
• memory loss
• phobias
• hallucinations
• change in behavior or agitation
• sleep disturbances
• previous emotiaonl illness or treatment