REVIEW OF SYSTEMS

SYSTEMS
General Survey/Constitutional Symptoms:

FINDINGS
(-) Fatigue
(-) Body malaise
(-) Fever

Head

(-) weight loss

(-) Headaches
(-) Dizziness

Ears

(-) Fainting
(+) Difficulty of hearing (right)

Eyes

(+) Stuffy ear

(+) Blurring of vision
(+) Astigmatism
(-) pain

Nose

(-) discharge
(-) Bleeding
(-) Discharge
(-) Obstruction

Mouth/Throat

(-) Post nasal drip

(+) Dental braces
(+)Taste
(-) Sores
(-) Hoarseness

Cardiovascular

(-) Gum bleeding

(-) Palpitations
(-) Chest pain

Respiratory

(-) Varicose veins

(+) Smoking
(-) Difficulty of breathing
(-) Wheezing
(-) Coughing

Breast

(-) Sputum
(+) Left masses
(+) Right mass
(+) Axilla mass (right)
(+) Pain

Gastrointestinal

(-) Discharge
(+) change in appetite
(+) Constipation
(+) Black stool
(-) Hemorrhoids
(-) Nausea
(-) Vomiting
(-) Painful swallowing
(-) Abdominal pain

Genitourinary

(-) Change in Bowel habits

(-) Dysuria

Muscloskeletal

(-) Discharge
(-) Swelling
(-) Pain

Integumentary

(-) Range of motion

(+) Paleness
(+) Slightly dry skin

Neurological

(+) Pale nail bed color

(-) Fainting
(-) Convulsions
(-) Numbness
(-) Coordination problems
(-) Speech problems

Psychiatric

(-) Depression
(+) Anxiety
(+) Change in sleeping pattern

Endocrine
Reproductive
Hematologic/Lymphatic

(-) Body Image changes

(+) Excessive sweating
(+) Dysmenorrhea
(+) Low hemoglobin level
(+) Low hematocrit level

Allergic/Immunologic

(+) Taking ferrous sulfate

(-) Rash/itch
(-) Allergy to any food
(-) Allergy to any medications