Review of systems lecture Flashcards
Define ROS
systemic approach to symptoms that may uncover various dz states
Laundry list of questions that cover from head to toe
If you uncover information relevant to the pt’s primary problem or cc where does that information get recorded?
HPI NOT ROS
What are the systemic components of ROS?
General Skin HEENT Neck Breast Resp. CV GI GU Periph vasc. MSK Neuro Heme Endocrine Psych
General questions for ROS:
Fevers Chills Night sweats Weight changes Fatigue
Fever: We feel cold when our temperature is _____?
rising
Fever: We feel hot when our temperature is _____?
Falling
What is our temperature regulated by?
Hypothalamus
Skin questions for ROS:
Rashes Itching Hives Changes in moles Lumps/bumps Changes in hair texture Changes in nail appearance
ROS for head:
Dizziness
H/A
Fainting
hx of head injury (if yes put this in hx of accident/injuries)
ROS for eyes:
Blurry vision Recent changes in vision Diplopia Eye pain redness d/c Excessive tearing or dryness Eye injury floaters night vision problems
ROS for ears:
Difficulty hearing
discharge
ear pain
ringing in ears (tinnitus)
ROS for nose:
epistaxis Pain D/c Frequent colds Sinus pain Hay fever (if yes under PMH allergies)
ROS for mouth and throat
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
ROS neck.
Lump pain stiffness thyroid problem swollen glands
ROS Chest/resp.
cough hemoptysis discomfort SOB wheezing