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Flashcards in Review of systems lecture Deck (20):
1

Define ROS

systemic approach to symptoms that may uncover various dz states
Laundry list of questions that cover from head to toe

2

If you uncover information relevant to the pt's primary problem or cc where does that information get recorded?

HPI NOT ROS

3

What are the systemic components of ROS?

General
Skin
HEENT
Neck
Breast
Resp.
CV
GI
GU
Periph vasc.
MSK
Neuro
Heme
Endocrine
Psych

4

General questions for ROS:

Fevers
Chills
Night sweats
Weight changes
Fatigue

5

Fever: We feel cold when our temperature is _____?

rising

6

Fever: We feel hot when our temperature is _____?

Falling

7

What is our temperature regulated by?

Hypothalamus

8

Skin questions for ROS:

Rashes
Itching
Hives
Changes in moles
Lumps/bumps
Changes in hair texture
Changes in nail appearance

9

ROS for head:

Dizziness
H/A
Fainting
hx of head injury (if yes put this in hx of accident/injuries)

10

ROS for eyes:

Blurry vision
Recent changes in vision
Diplopia
Eye pain
redness
d/c
Excessive tearing or dryness
Eye injury
floaters
night vision problems

11

ROS for ears:

Difficulty hearing
discharge
ear pain
ringing in ears (tinnitus)

12

ROS for nose:

epistaxis
Pain
D/c
Frequent colds
Sinus pain
Hay fever (if yes under PMH allergies)

13

ROS for mouth and throat

Problems with teeth or pain
most recent dental visit
Problems w/ gums
bleeding gums
chronic bad breath
Hoarseness/voice changes
Frequent sore throat
Post-nasal drip
sores/lumps on mouth or tongue
dyshpagia

14

ROS neck.

Lump
pain
stiffness
thyroid problem
swollen glands

15

ROS Chest/resp.

cough
hemoptysis
discomfort
SOB
wheezing

16

ROS Heart/CV

Chest pain/discomfort
SOB-exertional or while lying flat
Paliptations
hx of heart murmur
ankle swelling
Last EKG

17

ROS breast

Last SBE
Lumps
Pain
d/c
tenderness

18

ROS GI

appetite changes
N/V/D/C
Heartburn
pain
hematemesis
hematochezia
melena
excessive gas
Hemorrhoids
jaundice
Hx of hepatitis
Hx of liver/GB dz
Rectal pain
change in bowel habits

19

What is our temperature regulated by?

Hypothalamus

20

When recording ROS in note you should list _____ responses first

Positive responses first