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Review of Systems Template

This document provides a review of systems that covers all major body systems. It lists common symptoms to inquire about for the constitutional, eyes, ears nose and throat, cardiovascular, respiratory, gastrointestinal, genitourinary (both female and male), musculoskeletal, integumentary, neurological, psychiatric, endocrine, hematologic/lymphatic, and allergic/immunologic systems. For each system, it outlines several key symptoms, complaints, or relevant medical history points to address.

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Jessica Nishikawa
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34K views1 page

Review of Systems Template

This document provides a review of systems that covers all major body systems. It lists common symptoms to inquire about for the constitutional, eyes, ears nose and throat, cardiovascular, respiratory, gastrointestinal, genitourinary (both female and male), musculoskeletal, integumentary, neurological, psychiatric, endocrine, hematologic/lymphatic, and allergic/immunologic systems. For each system, it outlines several key symptoms, complaints, or relevant medical history points to address.

Uploaded by

Jessica Nishikawa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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R"E"V"I"E"W"""""O"F""""S"Y"S"T"E"M"S"

CONSTITUTIONAL:"fever,&chills,&weight&loss&or&gain,&weakness&
EYES:"vision&loss,&vision&change,&pain,&double&vision,&redness,&glasses&or&contacts,&glaucoma,&cataracts,&last&
eye&doctor&appointment&
ENT!

EARS:!hearing&changes,&ringing&in&ears,&dizziness,&discharge,&pain!
NOSE:!congestion,&runny&nose,&sinus&pain,&allergies&
THROAT:"sore&throat,&hoarseness,&voice&changes,&mouth&sores,&dentures,&last&dental&visit&

CARDIOVASCULAR:!chest&pain&or&discomfort,&tightness,&palpitations,&racing&heart,&short&of&breath&with&
activity,&difficulty&breathing&lying&down,&swelling,&sudden&awakening&from&sleep&short&of&breath,&high&
blood&pressure,&high&cholesterol,&heart&attack,&leg&cramping&&
RESPIRATORY:!cough,&sputum,&coughing&up&blood,&wheezing,&short&of&breath,&painful&breathing&
GASTROINTESTINAL:"problems&swallowing,&heartburn,&indigestion,&change&in&appetite,&nausea,&vomiting,&
diarrhea,&constipation,&change&in&bowel&habits,&blood&in&stool,&last&colonoscopy!
FEMALE!GENITOURINARY:!urinary&frequency,&urgency,&incontinence,&burning&or&pain,&blood&in&urine.&
Vaginal&discharge,&pain&with&intercourse,&date&of&last&menstrual&cycle,&sexual&practices,&OB&history&@
GTPAL=&gestation,&term,&preterm,&abortion,&living&
MALE!GENITOURINARY:&decreased&force&of&urine&stream,&hesitance,&frequency,&urinating&at&night,&penile&
discharge,&erectile&dysfunction,&change&in&libido,&sexual&practices&
MUSCULOSKELETAL:!muscle&or&joint&pain,&stiffness,&back&pain,&redness&or&swelling&of&joints,&injuries,&any&
joint&replacement&surgeries&
INTEGUMENTARY:"(breast/skin)"rashes,&lumps,&itching,&hair&or&nail&changes,&changing&or&new&moles,&
breast&pain,&breast&lumps,&breast&changes"
NEUROLOGICAL:"headache,&head&injury,&dizziness,&fainting,&seizures,&tremor,&tingling,&numbness,&memory&
loss,&balance&problems,&falls&
PSYCHIATRIC:&depression,&anxiety,&stress,&nervousness,&excessive&worry,&decreased&need&for&sleep,&
diminished&interest&in&activities,&feelings&of&hopelessness,&suicidal&or&homicidal&thoughts&
ENDOCRINE:!heat&or&cold&intolerance,&sweating,&frequent&urination,&unexplained&weight&loss,&excessive&
hunger&or&thirst&
HEMATOLOGIC/LYMPHATIC:!easy&bruising,&excessive&bruising,&easy&bleeding,&anemia,&blood&disease,&&&
cancer,&enlarged&glands&or&lymph&nodes,&blood&transfusions&
ALLERGIC/IMMUNOLOGIC:!eczema,&medication&or&environmental&allergies,&hives,&hay&fever,&rheumatoid&
arthritis,&lupus,&psoriasis&
"

!!

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