ROS

Question 1

ROS Neuro

Answer 1

Changes in vision? 
loss of consciousness? 
numbness or weakness? 
dizziness or balance problems? 
headaches?

Question 2

ROS Gen

Answer 2

Fevers or chills? 
Weight loss? 
Changes in appetite?
Difficulty sleeping? 
Fatigue? Chronic pain?

Question 3

ROS MSK

Answer 3

Joint or back pain?
Limited ROM?
Joint swelling or redness?
Muscle aches?
Any bumps or lumps?
Any trauma?

Question 4

ROS GI

Answer 4

Nausea or vomiting?
Any heartburn?
Abdominal pain?
Changes in quality or quantity of stool?
Blood in stool?
Diarrhea?

Question 5

ROS OB/GYN

Answer 5

Any changes in menstruation?
Pain with menses?
Have you ever been pregnant?
Unusual vaginal burning or discharge?
Any STIs?

Question 6

ROS CV

Answer 6

Any chest pain or pressure?
Palpitations? Fainting?
Leg or calf pain?
Reduced exercise tolerance?
SOB when lying down?

Question 7

ROS Pulm

Answer 7

SOB at rest or with exertion?
Congestion, cough or wheezing?
Snoring or waking up from sleep?

Question 8

ROS Heme

Answer 8

Abnormal bleeding or bruising?

Hx of clotting problems?

Question 9

ROS Endo

Answer 9

Unusual weight gain or weight loss?
Changes in urination, thirst, hunger?
Fatigue?

Question 10

ROS ID

Answer 10

Any wounds, rashes, or ulcers?
Weakness, fever, or chills?
Any recent travel?
Any sick contacts?

Question 11

ROS child with fever

Answer 11

Irritability? sleeping and eating changes?
Rashes?
Cough? wheezing? breathing pattern?
ear pulling or discharge? 
N/V? loose stools?
changes in urine color or smell?
Sick contacts?

Question 12

ROS infant routine check

Answer 12

what are his/her eating habits?
birth and pregnancy history?
number of wet diapers per day? stools?
up to date with vaccinations?
home environment?

Question 13

ROS infant with diarrhea

Answer 13

any fevers?
is the child eating/drinking? does food make it better or worse?
crying when peeing? changes in color/smell urine?
is the child awake and responsive? How strong is his/her cry?
recent infections or antibiotics?

Question 14

ROS infant with seizures

Answer 14

any fevers?
responsive after event? incontinence?
any hx of unusual movements? 
problems with coordination?
attention? responsiveness?

Question 15

ROS child with bed wetting

Answer 15

night time vs day time?
punishment or reward?
relation to stress? relation to meals?
volume, color, smell of urine?
developmental milestones?

Question 16

ROS child with DM

Answer 16

type I or II?
on insulin? injections where?
glucose readings?
thirst? urination? hunger?
weakness? fatigue? blurry vision?
exercise? diet?

Question 17

ROS depression

Answer 17

Sleep, Interest, Guilt
Energy
Concentration, Appetite, Psychomotor
Suicidal ideation

Question 18

ROS EtOh use

Answer 18

Cut down desire
Annoyed by criticism
Guilty about use
Eye opener

Question 19

ROS mini MSE

Answer 19

Alert and oriented to place, person, time
Recall of 3 words
Attention able to spell backwards
concentration follows 3 step commands

Question 20

ROS physical abuse

Answer 20

Do you feel safe at home?
Do you have somewhere to go?
Offer support
Ensure confidentiality

Question 21

ROS sexual assault

Answer 21

Do you know who assaulted you?
Did you report the assault?
Could you describe what happened?
Were any objects used against you?
Intercourse? Did they use condoms?
Are you in pain?

Question 22

ROS pregnancy

Answer 22

last menstrual period? menarche?
contraception?
hx of STDs? last Pap smear?
changes in weight? appetite?
exercise?

Question 23

ROS schizophrenia

Answer 23

Do you see or hear things? 
how do they make you feel?
Is someone trying to control or send messages to you?
Any illicit drug use?
Reduced sleep? more energy?

Question 24

ROS substance abuse

Answer 24

What do you like? What don’t you like?
Change talk (pro or against)
Explore plans
Summarize, support

Question 25

History gathering

Answer 25

What brings you in, tell me more
Start from beginning
Anything else you’ve noticed
Tell me about other times