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Flashcards in Review of Symptoms Deck (16)
1

General ROS

Have you had any fever?
Have you had any chills?
Have you had any (night) sweats?
Have you had any weight loss or weight gain?
Have you been tired or fatigued?

2

Derm ROS

Have you noticed a rash or skin lesion?
Does it itch or burn?
Have you had any changes in moles (size, color, border irregularity)?
Have you had any changes in hair texture?
Have you had any changes in nails?

3

Head and neck ROS

Have you had any headaches? Where?
Have you had any neck pain?
Have you noticed any neck masses or “swollen glands”?
Have you had any neck stiffness?
Have you had any dizziness or lightheadedness?

4

Ears ROS

Have you had any hearing loss?
Do you use hearing aid(s)?
Have you had any ear pain or earaches?
Have you had any ringing in the ears (tinnitus)?
Have you had any discharge/blood/pus from the ears?

5

Nose and sinus ROS

Have you had any nasal discharge? What color?
Have you had any nose bleeds (epistaxis)?
Have you had any sinus pains or pressure?
Have you had any post-nasal drip?

6

Oropharynx ROS

Have you had any sores in your mouth?
Have you had any tooth or gum problems?
Have you had a sore throat?
Have you noticed any hoarseness?
Do you wear dentures?

7

Eyes ROS

Have you had a change in vision?
Do you use glasses or contact lenses?
Have you had any double vision (diplopia)?
Have you had blurred vision?
Any redness of your eyes?
Any discharge from your eyes?
Any excessive tearing or dryness in your eyes?
Have you had any trauma to your eyes?

8

Breast ROS

Have you noticed any lumps/masses
Have you had any breast pain or tenderness?
Have you had any discharge from the nipple?
Do you have any “swollen glands” under your arms?
Do you perform monthly self-exams on your breasts?

9

Lung ROS

Have you had a (new/different) cough?
Have you brought up any phlegm? What color?
Have you coughed up blood (hemoptysis)?
Have you had pain with breathing (pleuritic pain)?
Have you had shortness of breath?
Have you had any wheezing?

10

Cardiovascular ROS

Have you had any chest pain?
Have you been short of breath?
*with exertion (dyspnea on exertion)
*while lying flat (orthopnea)
*suddenly while sleeping (paroxysmal nocturnal dyspnea)
Have you had any palpitations?
Have you had any swelling in legs or feet (edema)?
Have you had any pain in the calves while walking (claudication)?

11

Abdominal ROS

Have you had any difficulty swallowing (dysphagia)?
Have you had pain on swallowing (odynophagia)?
Have you had any heartburn? (Characterize it further)
Are you having any abdominal pain?
Have you had a loss of appetite (anorexia)?
Have you had any nausea?
Have you had any vomiting?
Have you had any diarrhea?
Have you had any constipation?
Have you noticed a change in bowel habits? Have you had any black, tarry stools (melena)?
Have you had any bloody stools (hematochezia) or bright red blood per rectum (BRBPR)?
Have you noticed a change in the caliber of stool size?
Have you noticed your skin or eyes turning yellow (jaundice)?
Have you had hemorrhoids?
Have you noticed any easy bleeding or bruising?

12

Genitourinary ROS

Have you had to urinate more frequently?
Do you feel the urge to urinate more often (urgency)?
Have you had any pain or burning on urination (dysuria)?
Have you noticed any blood in urine (hematuria)?
Have you had any problem with loss of urine or bladder control (urinary incontinence)?
Do you wake up at night to urinate (nocturia)? How often?
Have you had a change in urine color or odor?
Males:
*Do you have difficulty starting your stream?
*Have you noticed any lesions on your penis?
*Have you had any penile discharge?
*Have you had any problems achieving or maintaining an erection?
*Have you noticed any scrotal or testicular masses?

13

Gynecologic ROS

Describe the frequency, regularity, discomfort and heaviness of menses
Have you any change in the discomfort/pain with menses?
Have you had spotting between menses, or any post-menopausal bleeding?
Have you had any “hot flashes”?
Have you noticed vaginal dryness?

14

MSK ROS

Have you had any pain in your joints? Which ones?
Have you noticed any joint or muscle stiffness?
Have you had any joint swelling? (Which joint?)
Have you noticed any muscle weakness?
Have you had any muscle tenderness?
Have you had any back pains? (Upper back? Lower back?)

15

Neuro ROS

Have you had any numbness (paresthesias)? Where?
Have you had any tingling (dysesthesias)? Where?
Have you had any problems with your memory?
Have you had any headaches? Where?
Have you noticed any dizziness (Vertigo)?
Have you had any problems with tremors (shaking)?
Have you had any episodes of blacking out (syncope) or loss of consciousness?
Have you had any problems with unsteadiness or balance?

16

Psych ROS

Have you had any problems with anxiety?
Have you had any problems with depression?
Ask about symptoms of depression (SIGECAPS). Do you have any:
difficulty getting to Sleep or waking up early (insomnia)?
loss of Interest in doing things (anhedonia)?
feelings of Guilt?
lack of Energy, fatigue?
problems with Concentration?
loss of Appetite (anorexia) or increase in appetite?
problems with slow thinking or moving (Psychomotor slowing)?
thoughts of Suicide?
Have you seen people or things that others did not see? (Hallucinations)