Review of Systems Flashcards

1
Q

Constitutional Sx

A
  1. Pain?
  2. Fever?
  3. Chills?
  4. Malaise?
  5. Fatigue?
  6. Night Sweats?
  7. Sleep?
  8. Patterns?
  9. Appetite?
  10. Weight Change?
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2
Q

Skin/Hair/Nails

A
  1. Rash or eruption?
  2. Bruising?
  3. itching?
  4. Pigment change?
  5. Excess Sweating?
  6. Abnormal Hair or nail growth?
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3
Q

HEENT

A
  1. Headache? location/dizziness/syncope/head injury/LOC
  2. Eyes: acuity, blurring, diplopia, photophobia, pain, redness, discharge, change in appearance, glaucoma, use of eye drops or meds, trauma
  3. Ears: hearing loss, pain, discharge, tinnitus, vertigo, hearing aids
  4. Nose: sense of smell, frequent colds, obstruction, epistazis, postnasal d/c, sinus pain
  5. 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)
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4
Q

Neck

A
  1. Swollen glands?
  2. goiter?
  3. stiffness in neck?
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5
Q

Lymph Nodes

A
  1. enlargement
  2. tenderness
  3. suppuration
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6
Q

Lungs

A
  1. Painful respiration?
  2. dyspnea? - SOB
  3. Dyspnea with exertion?
  4. cyanosis?
  5. wheezing?
  6. cough?
  7. sputum (color and quantity)?
  8. hemoptysis?
  9. night sweats?
  10. exposure to TB?
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7
Q

Breasts

A
  1. development
  2. tenderness
  3. discharge
  4. lumps
  5. galactorrhea
  6. mammograms / self exams
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8
Q

Cardiac and Vascular

A
  1. chest pain / discomfort ( causes, timing, duration)
  2. relieving factors
  3. dyspnea (at rest or exertion) le
  4. palpatations
  5. orthopnea
  6. edema
  7. HTN
  8. past MI
  9. past EKG
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9
Q

Peripheral and Vascular

A
  1. Claudication (pain in legs walking)
  2. leg cramps
  3. leg swelling (w/ tenderness or redness)
  4. leg ulcers
  5. thrombosis
  6. varicose veins
  7. thrombophlebitis
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10
Q

GI

A
  1. appetite
  2. digestion
  3. diet tolerance
  4. Dysphagia
  5. heartburn
  6. nausea
  7. vomiting
  8. abdominal pain
  9. hematemesis
  10. regularity of bowels
  11. constipation
  12. diarrhea
  13. change in color or contents
  14. blood
  15. flatulence
  16. hemorrhoids
  17. rectal pain
  18. jaundice
  19. hx of ulcers
  20. gallstones
  21. polyps
  22. tumor
  23. previous imaging
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11
Q

Urinary

A
  1. frequency of urination
  2. polyuria
  3. nocturia
  4. urgency
  5. dysuria-pain
  6. burning on urination
  7. flank or suprapubic pain
  8. hematuria
  9. dark or cloudy urine
  10. hesitancy
  11. dribbling force or caliber of stream
  12. edema of face
  13. stress incontinence
  14. hernias
  15. STI
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12
Q

Genital Female

A
  1. menses: age, regularity, duration, flow amount, dysmenorrhea, age at menarche, LMP, regularity frequency of menses, intermenstrual discharge or bleeding,
  2. itching
  3. last pap smear
  4. menopausal symptoms
  5. age of menopause
  6. bleeding post menopause
  7. libido
  8. frequency of intercourse
  9. pain during intercourse
  10. sexual difficulty
  11. infertility
  12. PREG. HX: #, term, preterm, abortions, living children, birth multiples, miscarriages, duration of preg, types of delivery, complications of pregnancy/ delivery, contraception
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13
Q

Genital MALES

A
  1. puberty onset
  2. difficulty with erection
  3. emissions
  4. testicular pain or mass
  5. scrotal pain or swelling
  6. libido
  7. infertility
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14
Q

Musculoskeletal

A
  1. joint stiffness
  2. pain
  3. restriction of movement
  4. swelling
  5. redness
  6. heat
  7. bony deformity
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15
Q

Neurological

A
  1. syncope
  2. seizures
    3, weakness or paralysis
  3. numbness
  4. tingling
  5. tremors
  6. coordination problems
  7. memory loss
  8. concentration problems
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16
Q

Psychiatric

A
  1. depression
  2. mood changes
  3. apathy
  4. concentration difficulties
  5. anxiety
  6. agitation
  7. tension
  8. suicidal thoughts
  9. irritability
  10. sleep disturbances
17
Q

Hematology

A
  1. anemia
  2. abnormal bleeding
  3. easy bruising or bleeding
  4. any known abnormality of blood cells
  5. past transfusions
  6. transfusion rxn
18
Q

Endocrine

A
  1. thyroid enlargement or tenderness
  2. heat/cold intolerance
  3. weight change
  4. diabetes / polydipsia/ polyuria
  5. numbness/ tingling of hands or feet
  6. changes in hair, hat or glove size (screen for acromegaly)
  7. skin striae
  8. dry skin
  9. constipation or diarrhea
  10. palpitations
19
Q

Diet

A
  1. appetite
  2. likes / dislikes
  3. restrictions
  4. vitamins/ supplements
  5. caffeine / day