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Review of Systems REVIEW OF SYSTEMS NAME:_____________________________DATE:________________ PLEASE CIRCLE ALL THAT APPLY: GENERAL: NONE Fever Chills Sweats Weakness Fatigue Decreased activity Feeling hot Feeling cold Appetite loss Night sweats Weight gain Weight loss _________________________________________________________________ EYE: NONE Recent visual problem Yellow eyes Discharge Blindness Blurring Double vision Dry eyes Excessive tearing Impaired vision Glasses Pain in eyes from light Visual disturbances EARS, NOSE, MOUTH, AND THROAT: NONE Bleeding gums Decreased hearing Dental cavities Trouble swallowing Drooling Ear pain Frequent infections Hoarse voice Jaw pain Nasal congestion Sinus pain Sore throat Taste disturbance Tinnitus Vertigo Nasal discharge Nose bleeds? If yes, where? Left nostril Right nostril Both nostrils _________________________________________________________________ RESPIRATORY: NONE Shortness of breath Cough Sputum production Coughing blood Wheezing Sleep apnea Shortness of breath with exercise Labored respirations Chest pain with breathing Snoring Device use? CPAP BiPAP CARDIOVASCULAR: NONE Calf pain Chest pain Palpitations Decreased heart rate Increased heart rate Pain in legs while walking Poor circulation Decreased exercise tolerance Peripheral edema Leg swelling Varicose veins _________________________________________________________________ GASTROINTESTINAL: NONE Nausea Vomiting Diarrhea Constipation Heartburn Belching Bloating Vomiting blood Abdominal distention Change in bowel habits Change in stool color Change in stool consistency Unable to control stool evacuation Difficulty swallowing Feeding problems Hemorrhoids Loss of appetite Jaundice Black stool Rectal pain Abdominal pain? If yes, where? Right Left Upper Lower Last bowel movement? Today Yesterday #_________Days ago Unknown Rectal bleeding? None Bright Dark URINARY: NONE Burning urination Blood in urine Change in urine stream Excessive urination Frequent UTI’s Urinary frequency Urinary hesitance Urinary incontinence Urinary retention Urinary urgency Vaginal discharge _________________________________________________________________ PLEASE TURN OVER—————> REVIEW OF SYSTEMS- continued PLEASE CIRCLE ALL THAT APPLY: HEMA/LYMPH: NONE Anemia Bruising tendency Bleeding problems Swollen lymph glands Swollen extremity ENDOCRINE: NONE Excessive thirst Excessive urination Cold intolerance Heat intolerance Excessive hunger Hot flashes High sugars Low sugars IMMUNOLOGIC: NONE Chemotherapy High dose steroids Immunocompromised Recurrent fevers Recurrent infections Malaise Transplant _________________________________________________________________ MUSCULOSKELETAL: NONE Back pain Neck pain Joint pain Muscle pain Muscle cramp Muscle spasm Muscle weakness Pain in legs while walking Decreased range of motion Joint redness Joint stiffness Joint swelling Joint warmth Restless leg Trauma _________________________________________________________________ INTEGUMENTARY: NONE Rash Itching Abrasions Burns Dryness Skin lesion Keloid No other significant skin complaints Breast: Lump Mass (Left/right/both) Nipple discharge (Left/right/both) Redness (Left/right/both) Breast pain: Mild severity Moderate severity Severe _________________________________________________________________ NEUROLOGIC: NONE Alert & oriented Abnormal balance Confusion Numbness Tingling Altered sensations Dizziness Headache Loss of coordination Memory loss Seizure Speech problems Spots flashing before eyes Ringing in ears Tremor Vertigo PSYCHIATRIC: NONE Anxiety Depression Mania Suicidal Delusional Hallucinations Behavioral changes Change in personality Attention disorder Memory difficulties .
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