Review of Systems Flashcards

1
Q

what is the purpose of review of systems?

A
  • check the past and present health of each system
  • check for any data “omitted” in the current illness section
  • determine health promotion practices
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2
Q

health history components

A
  • biographical data
  • reason for seeking care,
  • current health/history of current illness,
  • past health,
  • family history,
  • review of systems (subjective), functional assessment
  • ADLs
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3
Q

what is the order of the ROS exam?

A

approximately head to toe

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4
Q

what should you avoid during ROS?

A

avoid medical terms

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5
Q

which 5 systems are covered in detail for ROS?

A

neurological, musculoskeletal, cardiac and peripheral vascular, respiratory, abdominal

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6
Q

general overall health

A
  • how do you feel overall?

- any recent changes to overall health status?

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7
Q

skin, hair, nails

A

eczem, moles, pruritus, bruising
health promotion: sunscreen used? amount of sun exposure? skin care for diabetic feet

  • nails: change in shape, colour, brittleness?
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8
Q

head

A

headaches, head injury, dizziness, health promotion: use of helmets? vision and difficulty? blurred or double vision? pain?
health promotion: eye exams? can you afford exams and glasses?

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9
Q

ears

A

earaches, infections? discharge? hearing loss? hearing aids?
health promotion: protection from environmental noise?

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10
Q

nose and sinuses

A

colds, discharge, hay fever, smell

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11
Q

mouth and throat

A

bleeding gums, toothache, altered taste, dysphagia,

health promotion: dental care? can you afford it?

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12
Q

neck

A

limitations of motion, pain, swelling

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13
Q

breasts and axilla

A

surgery, lumps, nipple discharge, tenderness,

health promotion: mammograms? BSE?

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14
Q

respiratory

A

history of lung disease (asthma, pneumonia, wheezing)? how much activity produces shortness of breath? any cough or sputum?
health promotion: ask about date of chest x-ray

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15
Q

cardiovascular

A

any pain? palpitations? SOB? amount of exertion that trigger SOB? hyper tension, dyspnea, anemia, coronary artery disease,
health promotion: has the pt ever had an EKG o other test?

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16
Q

peripheral vascular

A

coldness, numbness, tingling, varicose veins, thrombophlebitis, ulcers,

health promotion: does pt’s work involve long-term sitting/standing?
- pts w/ vascular system issues should be advised to avoid crossing legs at the knees and to wear support hose

17
Q

gastrointestinal

A

ask about appetite, food intolerance, nausea, bowel movements, etc.,
health promotion: inquire about laxative use, antacids, and diet

18
Q

urinary

A

colour, incontinence, UTIs, nocturia,

health promotion: measures to avoid UTI

19
Q

genitalia/sexual

A

male: testicular pain, discharge, STI
health promotion: testicular self-examination?
female: menstrual history, STI
health promotion: pap smear

20
Q

sexual health

A

will depend on rapport w/ pt and purpose of history,

health promotion: is person in relationship? contraception? exposure to STI?

21
Q

musculoskeletal

A

ask about arthritis, gout, pain and deformity, history of back pain, muscle aches, stiffness,
health promotion: how does the pt manage activities of daily living, assess fall prevention in older adults

22
Q

neurological

A

seizures, strokes, numbness, tingling, coordination, mental health,
health promotion: ask about interpersonal relationships

23
Q

hematological

A

excessive bruising, blood transfusions, bleeding tendency

24
Q

endocrine

A

diabetes? intolerance to heat and cold? health promotion: foot care if diabetic, properly fitting shoes

25
Q

True or false: if the current illness section covered one body system in detail you do not need to repeat all the data in that section (ROS)

A

true