Review of Systems Flashcards
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Questions and Answers

What is the review of systems?

A screening device to uncover potentially significant symptoms not otherwise elicited; this requires a head-to-toe (cephalo-caudal) assessment.

Where does the review of systems go?

Usually performed as the last part of the medical history.

How to get started on the review of systems?

"I'd like to ask you some general questions about your health to make sure that I haven't missed anything."

How to phrase questions during the review of systems?

<p>Ask a general question about each system followed by more specific yes/no questions as needed.</p> Signup and view all the answers

What are general ROS question components?

<p>Weight Loss/Gain, Fatigue, Fever/Chills, Weakness, Trouble sleeping.</p> Signup and view all the answers

What are general ROS question components regarding the Skin?

<p>Rashes, Lumps, Itching, Dryness, Color Changes, Changes in Hair or Nails.</p> Signup and view all the answers

What are general ROS question components regarding the Head?

<p>Headaches, Head injuries.</p> Signup and view all the answers

What are general ROS question components regarding the Eye?

<p>Vision, Glasses/Contact lenses, Last Eye Exam, Pain, Redness, Double Vision, Blurred Vision, Flashing lights, Glaucoma, Cataracts.</p> Signup and view all the answers

What are general ROS question components regarding the Ears?

<p>Decreased hearing, Tinnitus, Earaches, Discharge.</p> Signup and view all the answers

What are general ROS question components regarding the Nose/Sinuses?

<p>Stuffiness, Discharge, Itching, Hay Fever, Nosebleeds, Sinus Pains.</p> Signup and view all the answers

What are general ROS question components regarding the Throat/Mouth?

<p>Condition of teeth, Bleeding gums, Dentures, Last dental exam, Sore tongue, Dry Mouth, Sore throat, Hoarseness.</p> Signup and view all the answers

What are general ROS question components regarding the Neck?

<p>Lumps, Swollen Glands, Goiter (enlarged thyroid), Pain, Stiffness.</p> Signup and view all the answers

What are general ROS question components regarding the Breasts?

<p>Lumps, Pain, Discharge, Self Breast Exams, Currently nursing a child.</p> Signup and view all the answers

What are general ROS question components regarding the Respiratory System?

<p>Cough, Sputum color/amount, Hemoptysis, Dyspnea, Wheezing, Painful breathing, Exposure to TB.</p> Signup and view all the answers

What are general ROS question components regarding the Cardiovascular System?

<p>Chest pain/tightness, Palpitations, Dyspnea, Orthopnea, Paroxysmal Nocturnal Dyspnea, Edema, Excessive Sweating.</p> Signup and view all the answers

What are general ROS question components regarding the GI System?

<p>Trouble swallowing, Heartburn, Loss of Appetite, Nausea, Changes in bowel habits, Blood in Stool, Dark Tar Stools, Constipation, Diarrhea, Abdominal Pain, Jaundice.</p> Signup and view all the answers

What are general ROS question components regarding the Urinary System?

<p>Frequency of urination, Nocturia, Urgency, Burning/Pain, Hematuria, Infections, Kidney Stones, Incontinence, Hesitancy.</p> Signup and view all the answers

What are general ROS question components regarding the Male Genitals?

<p>Hernias, Penile Discharge, Sores, Testicular Mass/Pain, Erectile Dysfunction, Condom Use, STDs.</p> Signup and view all the answers

What are general ROS question components regarding the Female Genitals?

<p>Periods, Onset, Length, Frequency, Duration, Dysmenorrhea, Pregnancies, Vaginal Discharge, Itching/Rashes, STDs, Birth Control.</p> Signup and view all the answers

What are general ROS question components regarding the Vascular System?

<p>Claudication, Leg Cramps, Varicose Veins, Blood Clots.</p> Signup and view all the answers

What are general ROS question components regarding the Musculoskeletal System?

<p>Muscle/Joint Pain, Stiffness, Gout, Back Pain, Swelling of Joints, Onset of symptoms, Trauma.</p> Signup and view all the answers

What are general ROS question components regarding the Neurological System?

<p>Dizziness, Lightheadedness, Fainting, Seizures, Weakness, Paralysis, Numbness, Tingling, Tremors.</p> Signup and view all the answers

What are general ROS question components regarding the Hematological Systems?

<p>Easy Bruising, Easy Bleeding, Anemias, Blood Clots, Transfusion history.</p> Signup and view all the answers

What are general ROS question components regarding Psychiatry?

<p>Nervousness, Depressed Mood, Memory Loss, Stress, Disturbing Thoughts.</p> Signup and view all the answers

Study Notes

Overview of Review of Systems (ROS)

  • A ROS is a screening tool designed to identify significant symptoms not captured during initial assessments.
  • Conducted through a head-to-toe (cephalo-caudal) examination.

Timing and Format of ROS

  • Typically performed as the concluding segment of a medical history.
  • Can be administered in written form for patients to complete prior to their visit.
  • Experienced practitioners may conduct it during a physical examination.

Initiating the Review of Systems

  • Begin with an introduction to the assessment, emphasizing the importance of thoroughness.
  • Patients may feel overwhelmed by the questions, hence the need to reassure them of their significance.

Questioning Technique

  • Start with general inquiries concerning each bodily system.
  • Follow up with specific yes/no questions as needed, for example, "Are you having any trouble with your vision?"

General Components of ROS

  • Key inquiries include:
    • Weight changes
    • Fatigue levels
    • Presence of fever/chills
    • General weakness
    • Sleep difficulties
  • Questions about the skin should address:
    • Rashes
    • Lumps
    • Itching sensations
    • Dryness
    • Color changes
    • Hair or nail alterations
  • Focus should be on:
    • Frequency and intensity of headaches
    • History of head injuries
  • Key elements include:
    • Vision quality
    • Use of corrective lenses
    • Recent eye examinations
    • Eye pain, redness, and any episodes of double vision
  • Important areas to cover:
    • Hearing degradation
    • Experience of tinnitus
    • Earaches and any discharge
  • Essential questions cover:
    • Nasal stuffiness
    • Discharge characteristics
    • Itching and incidents of nosebleeds
    • Sinus pain
  • Focus on:
    • Dental health (condition of teeth, bleeding gums)
    • Last dental exam
    • Sore throat or dry mouth
  • Address:
    • Presence of lumps
    • Swollen glands
    • Thyroid enlargement (goiter)
    • Neck pain or stiffness
  • Questions include:
    • Lumps or pain in breasts
    • Nipple discharge
    • Status of self-exams and nursing

Respiratory System Inquiries

  • Important questions entail:
    • Cough characteristics
    • Sputum details
    • Dyspnea and wheezing
    • Pain during breathing
    • Exposure to tuberculosis

Cardiovascular System Inquiries

  • Highlight:
    • Symptoms like chest pain and palpitations
    • Dyspnea during exertion or when lying flat
    • Signs of edema or excessive sweating

Gastrointestinal System Inquiries

  • Key components include:
    • Swallowing difficulties
    • Symptoms of heartburn and nausea
    • Changes in bowel habits and stool characteristics

Urinary System Inquiries

  • Essential areas cover:
    • Urination frequency and urgency
    • Painful urination
    • Presence of blood in urine or infections

Male Genital System Inquiries

  • Should include:
    • Hernias, penile discharge, and sores
    • Testicular issues
    • Sexual health questions

Female Genital System Inquiries

  • Important questions should cover:
    • Menstrual history (periods, dysmenorrhea)
    • Pregnancy history and vaginal concerns

Vascular System Inquiries

  • Focus on:
    • Symptoms of claudication and leg cramps
    • Presence of varicose veins and blood clots

Musculoskeletal System Inquiries

  • Key topics include:
    • Joint/muscle pain and stiffness
    • Trauma history and symptoms onset

Neurological System Inquiries

  • Essential questions involve:
    • Dizziness, fainting spells, and seizures
    • Weakness, paralysis, numbness, and tremors

Hematological System Inquiries

  • Address:
    • Instances of easy bruising or bleeding
    • History of anemia and blood transfusions

Psychiatric Inquiries

  • Important psychological assessments include:
    • Anxiety and depressed mood
    • Memory issues and stress levels
    • Presence of disturbing thoughts

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Description

This quiz consists of flashcards that focus on the Review of Systems, a crucial component in medical history assessment. It covers definitions and the importance of conducting this systematic approach in patient evaluations. Perfect for students and professionals in the healthcare field to reinforce their understanding.

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