Review of Systems

Question 1

General

Answer 1

Fever
Chills
Night sweats
Weakness
Fatigue
Weight change

Question 2

Skin

Answer 2

Skin, hair, nail changes.
Discoloration.
Lesions.
Erythema.
Mass/nodule.
Rash.
Jaundice.
Wounds.
Pruritis.
Ecchymosis.
Dryness.

Question 3

Eyes

Answer 3

Changes in vision.
Tearing.
Itching.
Pain.
Discharge.
Vision loss.
Scotomata.
Diplopia.
Lesions.

Question 4

ENT

Answer 4

Ear pain. 
Rhinorrhea.
Dental pain.
Odynophagia.
Ear discharge.
Congestion.
Oral lesions.
Hearing loss.
Nasal/sinus pain.
Gingival bleeding.
Tinnitus.
Epistaxis.
Voice changes.
Pharyngitis.

Question 5

Neck

Answer 5

Pain.
Stiffness.
Swelling.
Nodules.

Question 6

Breasts

Answer 6

Pain.
Mass/nodules.
Skin changes.
Nipple discharge.

Question 7

Cardio-pulmonary

Answer 7

Chest pain.
Dyspnea/SOB.
Cough.
Palpitations.
DOE.
Sputum.
Syncope.
Orthopnea.
Hemoptysis.
Edema.
PND.
Cyanosis.
Claudication.
Wheezing.
Snoring.

Question 8

GI

Answer 8

Abdominal pain.
Constipation.
Flatulence.
Nausea.
Diarrhea.
Dyspepsia.
Vomiting.
Melena.
Heartburn.
Hematemesis.
Hematochezia.
Anorexia.
Last BM.

Question 9

GU

Answer 9

Dysuria.
Incontinence.
Frequency.
Hesitancy.
Urgency.
Flank pain.
Hematuria.
Nocturia.

Question 10

Male GU

Answer 10

Rash.
Lesions.
Discharge.
Scrotal mass/swelling.

Question 11

Female GU

Answer 11

Rash.
Dyspareunia.
Lesions.
Dysmenorrhea.
Discharge.
Menopause.
Pruritis.
Spotting.
Pelvic pain.
Contraception.

Question 12

MSK

Answer 12

Joint pain.
Myalgias.
Stiffness.
Swelling.
Instability.
Decreased ROM.

Question 13

Neurologic

Answer 13

Numbness.
Confusion.
Headache.
Paresthesia.
Tremors.
Aura.
Extremity weakness.
Gait/coordination.
Paralysis.
Atrophy.
Aphasia.
Dizziness.

Question 14

Endocrine.

Answer 14

Polyuria.
Polydipsia.
Polyphagia.
Heat/cold intolerance.

Question 15

Psychiatric

Answer 15

Depression.
Suicidal ideas.
Anxious.
Sleep.
Trauma.