Review of systems lecture Flashcards

1
Q

Define ROS

A

systemic approach to symptoms that may uncover various dz states
Laundry list of questions that cover from head to toe

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2
Q

If you uncover information relevant to the pt’s primary problem or cc where does that information get recorded?

A

HPI NOT ROS

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3
Q

What are the systemic components of ROS?

A
General
Skin
HEENT
Neck
Breast
Resp.
CV
GI
GU
Periph vasc.
MSK
Neuro
Heme
Endocrine
Psych
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4
Q

General questions for ROS:

A
Fevers
Chills
Night sweats
Weight changes
Fatigue
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5
Q

Fever: We feel cold when our temperature is _____?

A

rising

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6
Q

Fever: We feel hot when our temperature is _____?

A

Falling

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7
Q

What is our temperature regulated by?

A

Hypothalamus

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8
Q

Skin questions for ROS:

A
Rashes
Itching
Hives
Changes in moles
Lumps/bumps
Changes in hair texture
Changes in nail appearance
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9
Q

ROS for head:

A

Dizziness
H/A
Fainting
hx of head injury (if yes put this in hx of accident/injuries)

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10
Q

ROS for eyes:

A
Blurry vision
Recent changes in vision
Diplopia
Eye pain
redness
d/c
Excessive tearing or dryness
Eye injury
floaters
night vision problems
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11
Q

ROS for ears:

A

Difficulty hearing
discharge
ear pain
ringing in ears (tinnitus)

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12
Q

ROS for nose:

A
epistaxis
Pain
D/c
Frequent colds
Sinus pain
Hay fever (if yes under PMH allergies)
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13
Q

ROS for mouth and throat

A
Problems with teeth or pain
most recent dental visit
Problems w/ gums
bleeding gums
chronic bad breath 
Hoarseness/voice changes
Frequent sore throat
Post-nasal drip
sores/lumps on mouth or tongue
dyshpagia
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14
Q

ROS neck.

A
Lump
pain
stiffness
thyroid problem 
swollen glands
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15
Q

ROS Chest/resp.

A
cough
hemoptysis
discomfort
SOB
wheezing
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16
Q

ROS Heart/CV

A
Chest pain/discomfort
SOB-exertional or while lying flat
Paliptations
hx of heart murmur
ankle swelling
Last EKG
17
Q

ROS breast

A
Last SBE
Lumps
Pain
d/c 
tenderness
18
Q

ROS GI

A
appetite changes
N/V/D/C
Heartburn 
pain
hematemesis
hematochezia
melena
excessive gas
Hemorrhoids
jaundice 
Hx of hepatitis
Hx of liver/GB dz
Rectal pain
change in bowel habits
19
Q

What is our temperature regulated by?

A

Hypothalamus

20
Q

When recording ROS in note you should list _____ responses first

A

Positive responses first