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Review of the system mayuncover problems that thepatient has overlooked,particularly in areas unrelated topresent illness.
"ome clinicians do the review ofthe systems durin the physicale#amination, askin about ears,for e#ample as they e#aminethem.
"tandard series of review$of$systemquestions
%eneral
"kin
&ead, eyes, ears, nose, throat '&(()*+!
)eck
reast
Respiratory
-ardiovascular
%astrointestinal
eripheral vascular/rinary
%enital
usculoskeletal
sychiatric
)euroloic
&ematoloic
(ndocrine
General!
/sual weiht, recent weihtchane, any clothes that fit moretihtly or loosely than before.
eakness, fatiue, or
ever
Skin!
rashes, lumps, sores, itchin,dryness, chanes in color
chanes in hair or nails
chanes in sie or color of moles
Head, eyes, ears, nose, throat(HEE!"!&ead! headache, head in4ury, diiness, lihtheadedness
(yes! vision, lasses or contact lenses, last e#amination, pain,redness, e#cessive tearin, double or blurred vision, spots,specks, flashin lihts, laucoma, cataracts.
(ars!hearin, tinnitus, vertio, earaches, infection, dischare.5f hearin is decreased, use or nonuse of hearin aids.
)ose and sinuses! frequent colds, nasal stuffiness, dischare,or itchin, hay fever, nosebleeds, sinus trouble
*hroat 'or mouth and pharyn#+! condition of teeth and ums,bleedin ums, dentures, if any, and how they fit, last dentale#amination, sore tonue, dry mouth, frequent sore throats,hoarseness.
Respiratory!
-ouh
"putum 'color, quantity+
&emoptysis,
6yspnea
heein,
leurisy
7ast chest #$ray.
8ou may wish to include asthma, bronchitis,emphysema, pneumonia, and tuberculosis
%ardiovas#&lar!heart trouble
hih blood pressure
rheumatic fever
heart murmurs
chest pain or discomfort
alpitations
dyspnea, orthopnea, paro#ysmal nocturnaldyspnea
(dema
result of past electrocardiorams or othercardiovascular test.
Gastrointestinal!trouble swallowin, heartburn, appetite, nausea.
owel movements, stool color and sie, chane inbowel habits, pain with defecation, rectal bleedinor black or tarry stool, hemorrhoids, constipation,diarrhea.
9bdominal pain, food intolerance, e#cessivebelchin or passin of as.
:aundice , liver, or allbladder trouble, hepatitis.
Peripheral vas#&lar!
intermittent claudication, lecramps, varicose veins, past clotsin the veins, swellin in calves,les, or feet,
color chane in finertips or toesdurin cold weather,
swellin with redness ortenderness.
'rinary!frequency of urination
polyuria
nocturia
urency
burnin or pain durin urination
hematuria
urinary infections
kidney or flank pain
kidney stones
ureteral colic
suprapubic pain, incontinence
in males! reduced caliber or force of the urinary stream,hesitancy, dribblin
Genital!
ale!
&ernias
dischare from or sores on the penis
testicular pain or masses
scrotal pain or swellin
history of se#ually transmitted disease and theirtreatment.
"e#ual habits, interest, function, satisfaction
birth control methods, condom use and problems
-oncerns about &5; infection
emale!
ae at menarche, reularity, frequency, and duration ofperiods, amount of bleedin, bleedin between periodsor after intercourse, last menstrual period,dysmenorrhea, premenstrual tension
9e at menopause, menopausal symptoms, postmenopausal bleedin.
5f the patient was born before 1<=1, e#posure todiethylstilbestrol '6("+ from maternal use durinprenancy 'linked to cervical carcinoma+.
;ainal dischare, itchin, sores, lumps, se#uallytransmitted diseases and treatments.
)umber of prenancies, number and type of deliveries,number of abortion 'spontaneous and induced+,complications of prenancy, birth$control methods.
"e#ual preference, interest, function, satisfaction, anyproblems, includin dyspareunia. -oncerns about &5;infection.
M&s#&loskeletal!muscle or 4oint pain, stiffness, arthritis, out,
backache.
5f present, describe location of affected 4oints or muscles,any swellin, redness, pain, tenderness,
stiffness, weakness, or limitation of motion or activity,include timin of symptoms 'e.. mornin or evenin+,duration, any history of trauma.
)eck or low back pain.
:oint pain with systemic features such as fever, chills,rash, anore#ia, weiht loss, or weakness.
Psy#hiatri#!
nervousness, tension, mood,includin depression, memorychane, suicide attempts, ifrelevant.
e&roloi#!
-hanes in mood, attention, orspeech, chanes in orientation,memory, insiht, or 4udment,headache, diiness, vertio,faintin, blackouts, seiures,weakness, paralysis, numbness orloss of sensation, tinlin or >pinsand needles?, tremors or otherinvoluntary movements, seiures.