Review of Systems

I. Review of Systems

A. General
(-) fever
(+) weight change
(-) weakness
(+) fatigue
(+) trouble sleeping
B. Skin
(-) change in color/pigmentation
(-) rashes
(-) lumps

C. HEENT
1. Head
(-) headache
(-) dizziness
(-) vertigo
2. Eyes
(+) blurry vision
(-) glaucoma
(-) cataract
(+) glasses or contacts
3. Ears
(-) discharge
(-) tenderness
(-) lesions
(-) wet wax in both ears
(+) tinnitus
(-) infection
4. Nose, sinuses
(-) nasal discharge
(-) pain
(-) tenderness
(+) stuffi ness
5. Throat/Mouth
(-) hoarseness of voice
(-) dentures
(+) bleeding gums
(-) dry mouth
(-) sore throat
D. Neck
(-) lumps
(-) pain
(-) tenderness
(-) swollen glands
E. Breast
(-) lumps
(-) pain
(-) discharge

F. Respiratory
(+) cough
(+) sputum
(-) shortness of breath
(-) hemoptysis
(-) wheezing

G. Cardiovascular
(-) palpitations
(+) orthopnea
(+) swelling (edema)
(-) chest pain
(-) chest tightness
(-) sudden awakening from sleep with shortness of breath

H. Gastrointestinal
(-) nausea
(-) vomiting
(-) diarrhea
(-) constipation
(-) pain
(+) change appetite

I. Genitourinary
(-) polyuria
(-) dysuria
(-) hematuria
(-) flank pain
(-) incontinence
(-) oliguria

J. Peripheral and Vascular

(-) varicose veins
(-) leg cramps
(-) color change in fingertips/toes

K. Musculoskeletal
(-) muscle/joint pain
(-) stiffness
(-) edema
L. Neurologic
(-) numbness
(-) paralysis
(-) dizziness
(-) headache
(-) change in mood, attention, speech

M. Hematologic
(-) anemia
(-) easy bruising/bleeding

N. Endocrine
(+) temperature intolerance
(-) excessive sweating
(-) excessive thirst