ROS

Question 1

General

Answer 1

Anything that you have noticed in terms of how you have been feeling overall?
Any fevers or chills at all recently?
Any fatigue or feeling run down at all?
Any weight loss or weight gain that is unexpected?

Question 2

Head and ears

Answer 2

Any pain or discomfort around here?

Any things youve noticed with your head?

Such as headaches or vision problems, dizziness?

Question 3

Chest

Answer 3

Have you been having an problems with your chest or your breathing?

Any coughing, wheezing, tightness or pain?

Question 4

Abdomen

Answer 4

I know we talked alot about your stomach and nausea.

Have you had any blood in your stool (dark like the color of my pen here, or diarrhea?

Question 5

Genitourinary

Answer 5

Have you noticed anything unusual when you urinate?

Any pain with urination? has your urine looked a different color, or spelled differently?

Question 6

Gynecologic

Answer 6

From a gynecologic standpoint any problems there?
Any vaginal bleeding or discharge?
Any trouble during intercourse?

Question 7

skin

Answer 7

have you noticed any skin problems, like all over?
I see, so no new lumps or bumps or rashes?
Have you noticed any bruising or unintentional or prolonged bleeding

Question 8

musculoskeletal

Answer 8

any problems with any of your bones or joints or muscles?
Any pain that radiates? any crunching or popping with mvts?
any soreness? or aching

Question 9

PSychiatric

Answer 9

I just want to ask a couple questions about your mental well being, would that be ok?
How would you describe your mood?
You dont feel like your mood is off or ur sad or down?
Do you ever feel anxious or overly worried about things?
HAve you had any hallucinations or suicidal thoughts?

Question 10

Vision

Answer 10

flashing lights, blurry, pain redness

Question 11

nose

Answer 11

Have you been experiencing anything out of the ordinary with your nose?

stuffiness, discharge, pressure pain

Question 12

Throat

Answer 12

How has your throat been?

Any trouble swallowing or sore throat?

Question 13

neck

Answer 13

anything bothering your neck? stiffness, swollen glands? lumps?

Question 14

Cardiovascular

Answer 14

any wierd feeling off your heart?

racing? skipped beats?, lightheadedness?