ROS Overview

Question 1

What are in the General Survey of ROS?

Answer 1

Usual weight, recent weight change, fatigue, fever, sleep patterns or insomnia

Question 2

Skin ROS

Answer 2

Rashes, lumps, lesions, itching, dryness, color change, changes in hairs, nails.

Question 3

Head ROS

Answer 3

Headaches, head injury.

Question 4

Eyes ROS

Answer 4

Vision, glasses or contact lenses, last eye examination, pain, redness, excessive tearing, double vision, spots, specks, flashing lights, glaucoma (damage to the eye’s optic nerve), cataracts (clouding of the lens of the eye, normally clear)

Question 5

Ears ROS

Answer 5

Hearing acuity (hearing loss overtime), tinnitus (ringing/buzzing of the ear), vertigo, earaches, infection, discharge

Question 6

Nose/Sinuses ROS

Answer 6

Frequent colds, nasal stuffiness, discharge, itching, hay fever, nosebleeds, sinus trouble.

Question 7

Mouth/Throat

Answer 7

Condition of the teeth, bleeding gums, last dental exam, sore tongue, frequent sore throats, hoarseness.

Question 8

Neck ROS

Answer 8

Lumps in the neck, swollen glands, goiter (enlarge thyroid), pain, stiffness in the neck

Question 9

Breasts/Axilla

Answer 9

Lumps, pain or discomfort, nipple discharge, self-examination

Question 10

Respiratory ROS

Answer 10

Cough, sputum (color, quantity), displeasure, hemoptysis (coughing up blood), wheezing, asthma, bronchitis, emphysema (block airflow and make it difficult to breathe), pneumonia (inflamed air sacs, may contain fluid), tuberculosis, pleurisy (inflamed tissues that line the lungs and chest cavity), last chest x-Ray.

Question 11

Cardiac ROS

Answer 11

heart failure, high blood pressure, rheumatic fever, heart murmurs, chest pain or discomfort, palpitations (strong or irregular heartbeat due to agitation, exertion, or illness), orthopnea (shortness of breath occurs when lying flat causing patient to sit up), paroxysmal nocturnal dyspnea (wake up at night, frighten because you can’t breathe), edema (excess water collecting in cavities or tissues of the body), past EKGs or other tests.

Question 12

Gastrointestinal ROS

Answer 12

Trouble swallowing, heartburn, change in appetite, nausea, vomiting, regurgitation, vomiting of blood, indigestion, frequency of bowel movements, color and size of stools, change in bowel habits, rectal bleeding, black tarry stools, hemorrhoids, constipation, diarrhea, abdominal pain, food intolerance, excessive belching or passing of gas, jaundice, liver or gallbladder problems, hepatitis.

Question 13

Genitourinary ROS

Answer 13

Frequency of urination, polyuria (freq. production of dilute urination, diabetes), nocturia (urination at night), burning or pain in urination, hematuria (blood in urine), urgency, reduced caliber or force of stream, hesitancy, incontinence (no control you pee all over yourself), urinary retention, stones

Question 14

Peripheral vascular

Answer 14

Intermittent claudication (cramping in pain that is induced by exercise) caused by obstruction of the arteries, leg cramps, varicose veins, clots in the veins, Raynaud’s disease (some areas of body feel numb and cool in certain circumstances).

Question 15

Musculoskeletal ROS

Answer 15

Muscle or joint pain, stiffness, arthritis, gout, backache (if any describe the location and associated symptoms- swelling redness, pain tenderness, stiffness, weakness, limitation of motion or activity).

Question 16

Neurologic ROS

Answer 16

Fainting, blackouts, seizures, weakness, paralysis, numbness, tingling, tremors, or other involuntary movements, change in attention span.

Question 17

Psychiatric ROS

Answer 17

Nervousness, tension, mood changes (including depression), any suicidal ideation or attempts, changes in memory.

Question 18

Hematologic ROS

Answer 18

Anemia, easy bruising or bleeding, past transfusions/transfusion reactions.

Question 19

Endocrine ROS

Answer 19

Thyroid trouble, heat or cold intolerance, excessive sweating, diabetes, excessive thirst or hunger, polyuria (produce a large volume of dilute urine).

Question 20

Male Genitourinary Added ROS

Answer 20

Hernias, penile discharge or lesions, testicular pain or masses, STIs and their treatments, exposure to HIV, precautions against HIV and STIs.

Sexual interest, orientation, function, satisfaction/problems, method of contraception.

Question 21

Female Genitourinary ROS

Answer 21

Age at menarche, regularity, frequency, and duration of menses, amount of bleeding, bleeding between period or after intercourse, Last me trial period (LMP), dymenorrhea (painful during mense), premenstrual tension.

Age at menopause, menopausal symptoms, post menopausal bleeding, vaginal discharge, itching, lesions, lumps STIs, and their treatments, exposure to HIV, precautions against HIV and STIs.

Number of pregnancies, number and type of deliveries, number of abortions (spontaneous and induce), complications of pregnancy, methods of contraceptions.

Sexual interest, orientation, function, satisfaction,/ problems clouding dypareunia (difficult or painful sexual intercourse