The Following List Illustrates The Content of A Complete Review of Systems
The Following List Illustrates The Content of A Complete Review of Systems
The Following List Illustrates The Content of A Complete Review of Systems
General/Constitutional Average weight, weight loss or gain, general state of health, sense of well-being, strength, ability to conduct usual activities, exercise tolerance Skin/Breast Rash, itching, pigmentation, moisture or dryness, texture, changes in hair growth or loss, nail changes Breast lumps, tenderness, swelling, nipple discharge Eyes/Ears/Nose/Mouth/Throat Headaches (location, time of onset, duration, precipitating factors), vertigo, lightheadedness, injury Vision, double vision, tearing, blind spots, pain Nose bleeding, colds, obstruction, discharge Dental difficulties, gingival bleeding, dentures Neck stiffness, pain, tenderness, masses in thyroid or other areas Cardiovascular Precordial pain, substernal distress, palpitations, syncope, dyspnea on exertion, orthopnea, nocturnal paroxysmal dyspnea, edema, cyanosis, hypertension, heart murmurs, varicosities, phlebitis, claudication Respiratory Pain (location, quality, relation to respiration), shortness of breath, wheezing, stridor, cough (time of day, of productive, amount in tablespoons or cups per day and color of sputum), hemoptysis, respiratory infections, tuberculosis (or exposure to tuberculosis), fever or night sweats Gastrointestinal Appetite, dysphagia, indigestion, food idiosyncrasy, abdominal pain, heartburn, eructation, nausea, vomiting, hematemesis, jaundice, constipation, or diarrhea, abnormal stools (claycolored, tarry, bloody, greasy, foul smelling), flatulence, hemorrhoids, recent changes in bowel habits Genitourinary Urgency, frequency, dysuria, nocturia, hematuria, polyuria, oliguria, unusual (or change in) color of urine, stones, infections, nephritis, hesitancy, change in size of stream, dribbling, acute retention or incontinence, libido, potency, genital stores, discharge, venereal disease (Female) Age of onset of menses, regularity, last period, dysmenorrhea, menorrhagia, or metrorrhagia, vaginal discharge, post-menopausal bleeding, dyspareunia, number and results of pregnancies (gravida, para) Musculoskeletal Pain, swelling, redness or heat of muscles or joints, l;imitation, of motion, muscular weakness, atrophy, cramps Neurologic/Psychiatric Convulsions, paralyses, tremor, incoordination, parathesias, difficulties with memory of speech, sensory or motor disturbances, or muscular coordination (ataxia, tremor) Predominant mood "nervousness" (define), emotional problems, anxiety, depression, previous psychiatric care, unusual perceptions, hallucinations Allergic/Immunologic/Lymphatic/Endocrine Reactions to drugs, food, insects, skin rashs, trouble breathing Anemia, bleeding tendency, previous transfusions and reactions, Rh incompatibility Local or general lymph node enlargement or tenderness. -Polydipsia, polyuria, asthenia, hormone therapy, growth, secondary sexual development, intolerance to heat or cold