Review of Systems Flashcards
1
Q
Constitutional Sx
A
- Pain?
- Fever?
- Chills?
- Malaise?
- Fatigue?
- Night Sweats?
- Sleep?
- Patterns?
- Appetite?
- Weight Change?
2
Q
Skin/Hair/Nails
A
- Rash or eruption?
- Bruising?
- itching?
- Pigment change?
- Excess Sweating?
- Abnormal Hair or nail growth?
3
Q
HEENT
A
- Headache? location/dizziness/syncope/head injury/LOC
- Eyes: acuity, blurring, diplopia, photophobia, pain, redness, discharge, change in appearance, glaucoma, use of eye drops or meds, trauma
- Ears: hearing loss, pain, discharge, tinnitus, vertigo, hearing aids
- Nose: sense of smell, frequent colds, obstruction, epistazis, postnasal d/c, sinus pain
- Throat and mouth: hoarseness, frequent sore throats, bleeding or swelling gums, tooth disease, soreness of tongue/buccal mucosa, ulcers, taste disturbance, dysphagia (difficulty swallowing), odynophagia (painful swallowing)
4
Q
Neck
A
- Swollen glands?
- goiter?
- stiffness in neck?
5
Q
Lymph Nodes
A
- enlargement
- tenderness
- suppuration
6
Q
Lungs
A
- Painful respiration?
- dyspnea? - SOB
- Dyspnea with exertion?
- cyanosis?
- wheezing?
- cough?
- sputum (color and quantity)?
- hemoptysis?
- night sweats?
- exposure to TB?
7
Q
Breasts
A
- development
- tenderness
- discharge
- lumps
- galactorrhea
- mammograms / self exams
8
Q
Cardiac and Vascular
A
- chest pain / discomfort ( causes, timing, duration)
- relieving factors
- dyspnea (at rest or exertion) le
- palpatations
- orthopnea
- edema
- HTN
- past MI
- past EKG
9
Q
Peripheral and Vascular
A
- Claudication (pain in legs walking)
- leg cramps
- leg swelling (w/ tenderness or redness)
- leg ulcers
- thrombosis
- varicose veins
- thrombophlebitis
10
Q
GI
A
- appetite
- digestion
- diet tolerance
- Dysphagia
- heartburn
- nausea
- vomiting
- abdominal pain
- hematemesis
- regularity of bowels
- constipation
- diarrhea
- change in color or contents
- blood
- flatulence
- hemorrhoids
- rectal pain
- jaundice
- hx of ulcers
- gallstones
- polyps
- tumor
- previous imaging
11
Q
Urinary
A
- frequency of urination
- polyuria
- nocturia
- urgency
- dysuria-pain
- burning on urination
- flank or suprapubic pain
- hematuria
- dark or cloudy urine
- hesitancy
- dribbling force or caliber of stream
- edema of face
- stress incontinence
- hernias
- STI
12
Q
Genital Female
A
- menses: age, regularity, duration, flow amount, dysmenorrhea, age at menarche, LMP, regularity frequency of menses, intermenstrual discharge or bleeding,
- itching
- last pap smear
- menopausal symptoms
- age of menopause
- bleeding post menopause
- libido
- frequency of intercourse
- pain during intercourse
- sexual difficulty
- infertility
- PREG. HX: #, term, preterm, abortions, living children, birth multiples, miscarriages, duration of preg, types of delivery, complications of pregnancy/ delivery, contraception
13
Q
Genital MALES
A
- puberty onset
- difficulty with erection
- emissions
- testicular pain or mass
- scrotal pain or swelling
- libido
- infertility
14
Q
Musculoskeletal
A
- joint stiffness
- pain
- restriction of movement
- swelling
- redness
- heat
- bony deformity
15
Q
Neurological
A
- syncope
- seizures
3, weakness or paralysis - numbness
- tingling
- tremors
- coordination problems
- memory loss
- concentration problems