Review of Systems

Question 1

head (4)

Answer 1

1. pain- headache
2. dizziness
3. trauma
4. fainting

Question 2

eyes (10)

(2 common, 4 vision, GUTS)

Answer 2

1. pain
2. discharge
3. vision:
   
   1. worse?
   2. blurry?
   3. double?
   4. loss of partial?
4. glaucoma
5. use of eye drops
6. trauma
7. sensitivity to light

Question 3

ears (5)

Answer 3

1. pain
2. discharge
3. ringing
4. worsening hearing
5. vertigo

Question 4

nose (6)

Answer 4

1. pain
2. discharge
3. bloody noses
4. frequency of colds
5. congestion
6. sinus pain

Question 5

throat and mouth (6)

Answer 5

1. abscess/ ulcers
2. bleeding gums
3. dental problems
4. difficulty swallowing
5. sore throat/ tongue
6. hoarseness

Question 6

Neck (4)

Answer 6

1. decreased ROM/ stiffness
2. thyroid problems
3. swollen glands
4. pain

Question 7

general (5)

Answer 7

1. fever
2. fatigue/ malaise
3. sweating/ chills
4. weight changes
5. sleep changes

Question 8

GU (10)

Answer 8

• urine
  
  • dark
  • bloody
• urinating
  
  • painful
  • frequency
  • urgency
  • hesitancy
  • incontinence
  • nocturia
• low back pain
• hx of kidney stones/ infections

Question 9

venereal (4)

Answer 9

1. discharge
2. rash
3. ulcers
4. blisters

Question 10

skin (5)

Answer 10

1. rashes
2. eruption
3. itching
4. pigment change
5. texture change

Question 11

breasts (5)

Answer 11

• pain/ tenderness
• discharge
• lumps/ texture change
• exams
  
  • mammograms
  • regular self exams

Question 12

respiratory (7)

Answer 12

• pain (pleuritic chest pain)
• discharge (sputum)- amount and appearance
• cough
  
  • frequency
  • coughing up blood
  • type (productive/ non-productive)
• wheezing
• difficulty breathing/ SOB

Question 13

CV (10)

Answer 13

• pain
  
  • chest pain
  • claudication
• palpitations- frequency, sensations
• dyspnea
  
  • on exertion
  • paroxysmal nocturnal dyspnea
• edema
• orthopnea
• disease
  
  • hypertension
  • hyperlipidemia
  • other heart dz

Question 14

extremities

Answer 14

1. joint pain
2. reduced ROM
3. redness
4. warmth
5. swellings
6. deformity
7. prior xrays

Question 15

neuro (10)

Answer 15

1. numbness
2. paresthesias
3. weakness/ paralysis
4. tremors
5. seizures
6. dizziness/ fainting
7. falls
8. reduced coordination
9. HA
10. memory change

Question 16

psych (7)

Answer 16

1. anxiety/ nervousness
2. sadness/ depression
3. anhedonia
4. suicidal thoughts/ actions
5. mood changes
6. insomnia/ early wakening
7. memory changes

Question 17

hematologic (6)

Answer 17

1. easy bruising
2. excessive bleeding
3. clots
4. anemia
5. swollen lymph nodes
6. hx of blood transfusions

Question 18

endocrine- thyroid (6)

Answer 18

• weight change
• skin/ hair changes
• palpitations
• excessive sweating
• tremors
• sensitivity to hot/ cold

Question 19

endocrine- pancreas (3)

Answer 19

• polydypsia
• polyphagia
• polyuria

Question 20

endocrine- adrenal (4)

Answer 20

1. orthostatic hypotension
2. weakness/ fatigue
3. skin pigment changes
4. skin striae

Question 21

endocrine- gonadal (3)

Answer 21

• libido change
• infertility
• erectile dysfunction

Question 22

gynecological (11)

Answer 22

• painful periods/ cramps (dysmenorrhea)
• discharge
• itching
• LMP
• menses- schedule/ flow/ intermenstrual bleeding
• age at menarche
• age at menopause- any spotting
• hot flashes
• sexual difficulties
• libido changes
• frequency of intercourse

Question 23

GI (14)

Answer 23

• abdominal pain
• nausea/ vomiting (+ volume)
• hematemesis
• diarrhea
• stool changes- type, color
• blood in stool-
  
  • hematochezia
  • melena
• constipation
• gas/ flatulence
• indigestion/ heartburn/ reflux
• appetitie change
• food intolerance
• hernia/ hemorrhoid
• jaundice/ dark urine
• itching

Question 24

PMH

Answer 24

• allergies
• meds
• illnesses
• surgeries
• hospitalizations
• accidents/ injuries
• immunizations
• LMP

Question 25

social hx

Answer 25

• occupation
• relationship status
• sexually active
• tobacco
• ETOH
• drugs
• exercise
• diet

Question 26

HPI

Answer 26

• Onset
• Location
• Duration
• Character
• Aggravating/ alleviating factors
• Radiating
• Time of day its better or worse
• Setting- what they were doing when the sxs began