Abnormal Bleeding ……. Allergic Reaction ….. Recurrent Infection ……. Painful Urination …… b. Frequent Urination …… c. Urgency ……. Definition: Similar to other review of systems, a checklist review of systems also relies on numerous questions being referenced from an inventory of body systems. The only difference between the checklist review of systems and the others is in the structure.
Instead, of a patient encircling or writing Y or N beside the affliction, the checklist relies on the patient checking the box with the correct ailment. An example of a typical checklist review of systems is created according the template structure mentioned below:. Examples: Apart from the example mentioned above, you can also develop a review of systems according to your needs. For example, a lot of healthcare providers develop their review of systems based on the disease inflicting a particular organ system.
For example, a heartcare treating a patient with cardiovascular diseases would include only cardiovascular systems. An example of this would be:. Another example of this could be a patient opting for a diabetic review of systems. The template for the same is given below:. Definition: The Psychiatric Review of Systems is another useful screening tool which is employed quite frequently by psychiatrists to identify patients with psychiatric disorders.
It follows a similar approach where patients are asked a series to determine their mental health. These questions are referenced from a variety of subjects relating to psychology. A few of these psychiatric disorders include:. Application Techniques: For each of the psychological disorders, the psychiatrist uses a common application technique.
Following the suit, he or she uses the review of systems as a screening tool wherein each positive reply from the patients leads them to a detailed set of diagnostic questions. A few useful techniques which psychologists use from time-to-time are:. Applying such techniques while conducting a psychiatric review of systems allows the psychiatrist to receive accurate results in a rapid manner. Such results can be incorporated in the standard history of the patient to be used in accompaniment with any physical examination that might be conducted in the future.
The Important Systems: While performing the review of systems, it is important that psychiatrists go all the major organ systems starting from the head to the toe of the patient. Due to this, it is often difficult to remember abstract symptoms. The mnemonic can be expanded to:. An example of a typical psychiatric review of systems is created according the template structure mentioned below:. Definition: A nursing review of systems also functions by employing mannerisms in which a patient has to answer several questions which give the nurse a rough idea of the medical history of the patient.
In such a review of systems, it is impertinent that the nurse remembers that an acute problem in one area of the body can also result in problems for other body systems. Due to this, they should always keep looking for correlations while performing the review of systems.
These systems are:. Your email address will not be published. She denies any urinary symptoms. Remainder of her review of systems is as noted in the history of present illness.
Eyes: The patient denies any double or blurred vision or eye pain. SKIN: The patient does have erythema on the skin. He has pain on the skin, particularly the antecubital fossa and forearm. He does have swelling of the forearm. He specifically denies any substance abuse.
Her appetite has been poor. She has had difficulty going to sleep and staying asleep, and she has been very fatigued and tired. She does feel hot at times, never had a fever, just feels hot. Vision is negative. She has had a sore throat and cold in the last 2 weeks. Her last Pap was done by myself approximately 3 or 4 months ago. She gets headaches a couple times a week. She has otherwise been well without abdominal pain, chest pain, shortness of breath, polyuria, polydipsia, heat or cold intolerance, fatigue, recent weight changes, rashes, lesions.
Further review is otherwise negative. Complains of chronic headaches. No asthma, tuberculosis, hemoptysis, productive cough or any respiratory distress. There is no congenital heart abnormality or rheumatic fever history. No palpitations or chest pain. The patient did suffer myocardial infarction in the past.
At that time, he underwent a PTCA and stenting procedure to the right coronary artery system. There is no nausea, vomiting, constipation, diarrhea, melena, peptic ulcer disease, gastrointestinal problems or kidney or liver problems. There are no prostate problems. Complains of no dysuria, hematuria or frequency. There is no diabetes or thyroid problem. There are no musculoskeletal disorders or history of gout. There are no hematological problems or blood dyscrasias. There are no bleeding tendencies or thrombosis history.
He has had no recent fever, malaise, changes in appetite or changes in weight. All other systems are negative, except as noted in the HPI. The remainder of her review of systems is reviewed and negative. The patient has recent fatigue. Eyes: Uses glasses.
No blurry vision or loss of vision. ENT: No loss of hearing, sinus drainage, or difficulty swallowing. Cardiovascular: Chest pain as noted in the history of present illness. Palpitations as noted in the history of present illness. Respiratory: The patient has shortness of breath. No pneumonia or pulmonary problems. GI: No ulcers, diarrhea, or constipation. GU: No dysuria, frequency, or kidney problems. Musculoskeletal: No joint pain, arthritis, or muscle pain.
Skin: No rash, lesions or itching. Neurologic: No stroke, seizure, or nerve damage. Psychiatric: No depression, mood swings, or other mental disorder. Endocrine: The patient with diabetes. No hypo or hyperthyroidism. Hematologic: No anemia, thrombocytopenia, or bleeding disorders. Eyes: The patient denies diplopia, scotomata, eye pain, eye discharge, photophobia, or exophthalmos. Ears: The patient denies otalgia, otorrhea, otorrhagia, tinnitus, or vertigo. Nose: The patient denies epistaxis or rhinorrhea.
Mouth: The patient denies bleeding gingivae, ulcerations, glossodynia, or dysgeusia, although complains of xerostomia. Throat: The patient denies sore throats or hoarseness. Cardiovascular: The patient denies chest pain, palpitations, syncope, night cramps, or orthostasis. Respiratory: The patient denies cough, sputum production, hemoptysis, dyspnea, wheezing, pleurisy, or hiccups. Gastrointestinal: The patient complains of xerostomia. The patient denies odynophagia, dysphagia, hematemesis, melenemesis, abdominal pain, abdominal fullness, hematochezia, melena, pruritus, or jaundice.
Genitourinary: The patient denies flank pain, dysuria, stranguria, hematuria, or pyuria. Endocrine: The patient denies polydipsia, polyuria, or polyphagia. She does complain of lethargy and denies hyperactivity, denies galactorrhea, gynecomastia, or flushing.
Muscles: The patient complains of weakness, although denies myalgia. Neurologic: The patient denies headache, loss of consciousness, or seizure. Dermatologic: The patient denies hyperpigmentation, rash, or photosensitivity. She had some stomach pain earlier, now feels better after having bowel movement this evening. She denies difficulty eating, chewing, or swallowing. She denies headache, nausea, vomiting, chest pain, shortness of breath, or abdominal pain. She denies any night sweats or any significant weight loss.
HEENT: She complains of facial swelling, especially around the periorbital region and her lips, with crusting and serosanguineous discharge. SKIN: She has macular lesions on her back, legs, and arms. She denies any nausea, vomiting, diarrhea, or constipation. The patient is gravida 2, para 1. She does admit to generalized weakness and poor appetite and also impaired memory.
Hearing is poor. Respiratory: She has history of cough and wheezing on and off. Cardiovascular: She used to get chest pain and CHF and cardiac arrhythmia as above, including atrial and ventricular. She has pacemaker now. GI: Appetite normal. Bowels constipated. No hematemesis or melena. She has diverticulosis of the colon. Genitourinary: She has some incontinence and also history of UTI.
Musculoskeletal: She has chronic low back pain due to disk disease. No history of photophobia, diplopia or color blindness. No history of nasal trauma, rhinitis or epistaxis. No history of tenderness or lesions of the oral cavity. No history of paresthesias, weakness, difficulty with coordination or balance.
Negative for nasal problems. Positive for dry throat. Negative for coronary artery disease. Negative for thyroid dysfunction. The patient is receiving radiation therapy currently. ROS Examples 1. The patient has mild fatigue. No blurry vision or loss of vision. ENT: No loss of hearing, sinus drainage, difficulty swallowing. No heart attack or palpitations.
No diarrhea or constipation. SKIN: No rashes or itching. No mood swings or other mental disorder. No thyroid disorders. No thrombocytopenia or bleeding disorders. No recent fever, chills, or severe weight changes.
He states he has gained some weight recently. No jaundice, rash, itching, lumps, or cellulitis.
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