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Questions and Answers
What is the review of systems?
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?
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?
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?
How to phrase questions during the review of systems?
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What are general ROS question components?
What are general ROS question components?
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What are general ROS question components regarding the Skin?
What are general ROS question components regarding the Skin?
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What are general ROS question components regarding the Head?
What are general ROS question components regarding the Head?
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What are general ROS question components regarding the Eye?
What are general ROS question components regarding the Eye?
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What are general ROS question components regarding the Ears?
What are general ROS question components regarding the Ears?
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What are general ROS question components regarding the Nose/Sinuses?
What are general ROS question components regarding the Nose/Sinuses?
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What are general ROS question components regarding the Throat/Mouth?
What are general ROS question components regarding the Throat/Mouth?
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What are general ROS question components regarding the Neck?
What are general ROS question components regarding the Neck?
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What are general ROS question components regarding the Breasts?
What are general ROS question components regarding the Breasts?
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What are general ROS question components regarding the Respiratory System?
What are general ROS question components regarding the Respiratory System?
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What are general ROS question components regarding the Cardiovascular System?
What are general ROS question components regarding the Cardiovascular System?
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What are general ROS question components regarding the GI System?
What are general ROS question components regarding the GI System?
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What are general ROS question components regarding the Urinary System?
What are general ROS question components regarding the Urinary System?
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What are general ROS question components regarding the Male Genitals?
What are general ROS question components regarding the Male Genitals?
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What are general ROS question components regarding the Female Genitals?
What are general ROS question components regarding the Female Genitals?
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What are general ROS question components regarding the Vascular System?
What are general ROS question components regarding the Vascular System?
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What are general ROS question components regarding the Musculoskeletal System?
What are general ROS question components regarding the Musculoskeletal System?
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What are general ROS question components regarding the Neurological System?
What are general ROS question components regarding the Neurological System?
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What are general ROS question components regarding the Hematological Systems?
What are general ROS question components regarding the Hematological Systems?
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What are general ROS question components regarding Psychiatry?
What are general ROS question components regarding Psychiatry?
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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
Skin-Related Inquiries
- Questions about the skin should address:
- Rashes
- Lumps
- Itching sensations
- Dryness
- Color changes
- Hair or nail alterations
Head-Related Inquiries
- Focus should be on:
- Frequency and intensity of headaches
- History of head injuries
Eye-Related Inquiries
- Key elements include:
- Vision quality
- Use of corrective lenses
- Recent eye examinations
- Eye pain, redness, and any episodes of double vision
Ear-Related Inquiries
- Important areas to cover:
- Hearing degradation
- Experience of tinnitus
- Earaches and any discharge
Nose/Sinus-Related Inquiries
- Essential questions cover:
- Nasal stuffiness
- Discharge characteristics
- Itching and incidents of nosebleeds
- Sinus pain
Throat/Mouth-Related Inquiries
- Focus on:
- Dental health (condition of teeth, bleeding gums)
- Last dental exam
- Sore throat or dry mouth
Neck-Related Inquiries
- Address:
- Presence of lumps
- Swollen glands
- Thyroid enlargement (goiter)
- Neck pain or stiffness
Breast-Related Inquiries
- 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.