REVIEW OF SYSTEMS
sweats, fatigue, weakness, weight weight loss or gain, changes in appetite, trouble sleeping, recent trauma General: fevers, chills, night sweats, abscess, sunburns, dryness, pigmentation, texture, Skin: rash, itching, lesions, moles, ulcers, bruises, edema, cyanosis, diaphoresis, abscess, changes in hair growth or loss, nail changes precipitating factors), vertigo, lightheadedness, lightheadedness, dizziness, trauma, hair changes Head: headache (location, time of onset, duration, precipitating (color, texture, distribution, loss), jaw pain, sinus pain tinnitus, pain, vertigo, vertigo, drainage Ears: hearing changes, tinnitus, glasses/cont acts, double vision, blurrin blurring, g, redness, redn ess, tearing, blind spots, pain, discharge, inflammation, dry eyes, Eyes: vision changes, glasses/contacts, photophobia, glaucoma, cataracts, specks, flashing lights, trauma, last eye exam sneezing, discharge, congestion, congestion, itching, hay fever, anosmia, rhinorrhea, sinus pain Nose: nose bleeding, obstruction, sneezing, odynophagia, hoarseness, sore throat, thrush, dental Mouth/Throat : oral ulcers or sores, pain, dry mouth, sore tongue, dysphagia, odynophagia, difficulties, difficulties, gingival bleeding, dentures, last dental exam lumps, swollen glands, masses in thyroid or other areas Neck : neck stiffness, pain, tenderness, lumps, lumps/masses, tenderness, swelling, swelling, nipple discharge, change in appearance, trauma, breast-feeding, breast-feeding, self exam Breasts: pain, breast lumps/masses, Respiratory: shortness of breath, wheezing, stridor, cough (time of day, dry or wet, productive), sputum (color, amount in tablespoons or cups per day), hemoptysis, respiratory infections, asthma, bronchitis, emphysema, pneumonia, pain (location, quality, relation to respiration, pleuritic pain?), tuberculosis (or exposure to TB), fever or night sweats, clubbing, clubbing, last CXR
discomfort,tightness, rt,tightness, pressure, palpitations, palpitations, syncope, dyspnea on exertion, murmurs, irregular irregular rhythm, Cardiovascular: chest pain or discomfo orthopnea (# of pillows),platypnea, pillows),platypnea, paroxysmal nocturnal dyspnea, edema, cyanosis, hypertension, claudication odynophagia, indigestion, food intolerance, abdominal abdominal pain, heartburn, eructation Gastrointestinal: appetite changes, dysphagia, odynophagia, (belching), bloating, lactose intolerance, na usea, vomiting, hematemesis, jaundice, constipation, diarrhea, abnormal stools stools (claycolored, tarry, bloody, greasy, foul smelling), flatulence, flatulence, hemorrhoids, recent changes in bowel habits, r ectal bleeding, BRBPR, BRBPR, hematochezia (maroon-colored (maroon-colored stool), melena (black tarry stool), h epatitis urgency, frequency, burning or pain, nocturia (#/night), hematuria, polyuria, polyuria, oliguria, unusual/change in color or smell of Urinary: urgency, urine, stones, infections, nephritis, flank pain, suprapubic pain, enuresis, hesitancy, change in stream, dribbling, acute retention, incontinence libido, potency, genital sores, discharge, venereal disease, disease, hernia, penile pain, scrotal masses Genital (Male): dyspareunia, change in libido, or pain, erectile dysfunction, self exam discharge,itching, rash, genital sores, masses, venereal disease, hernia, pelvic Genital (Female):dyspareunia, change in libido, vaginal discharge,itching, pain, periods (onset, length, frequency, duration), amenorrhea, dysmenorrhea, dysmenorrhea, menorrhagia, metrorrhagia, intermenstrual intermenstrual bleeding/spotting, menopause, post-menopausal post-menopausal bleeding, vaginal dryness, last menstrual period varicositi es, leg cramps, blood clots, claudication claudicati on (calf pain w/walking) Vascular : varicosities, redness,, warmth of muscles or joints, limitation limitation of motion, muscular weakness, atrophy, cramps, Musculoskeletal: pain, swelling, redness arthritis, arthralgia, stiffness stiffness (morning?), back pain, trauma, gout, fractures, dislocations, joint deformities paralyses, tremor, syncope, dizziness, incoordination, incoordination, gait disturbances, parathesias, hyperesthesia,focal hyperesthesia,focal Neurologic : seizures, paralyses, weakness, numbness, difficulties difficulties with memory or speech, sensory or motor disturbances, ataxia, aphasia, clonus Hematologic: anemia, bleeding tendency, bruising tendency, previous transfusions and reactions, Rh in compatibility
polyuria, polyphagia, asthenia (physical weakness or lack of energy), hormone therapy, growth, change in Endocrine :polydipsia, polyuria, glove or shoe size, secondary sexual development, intolerance intolerance to heat h eat or cold, increased facial hair (female) disturbing thoughts, unusual perceptions, memory loss, Psychiatric: mood swings, anxiety, depression, nervousness, stress, disturbing hallucinations, suicidal or homicidal thoughts, previous psychiatric care
