*Reference* Review ofSystems/ Medical

Review Of Systems:
--Constitutional: C/O
 Fatigue
 Fever
 Chills
 Malaise
 Generalized Weakness
 Diffuse Pain
 Sleeping Problems
 Night Sweats
 Weight Changes
. Denies:
--Head: C/O
 Headaches
 Dizziness
 Syncope
 Sinus Pain
 Loc
. Denies
--Eyes: C/O
 Vision Loss
 Blurriness
 Blind Spots
 Floaters
 Diplopia
 Photophobia
 Eye Pain
 Halos
 Erythemia
 Drainage
 Change In Appearance
 Dryness
--Ears: C/O
 Ear Pain
 Tinnitus
 Hearing Loss
 Fullness In Ears
 Vertigo
 Frequent
Infections
--Nose: C/O
 Loss Of Smell
 Obstruction
 Epistaxis
 Congestion
 Tenderness
 Lesions
--Mouth & Throat: C/O
 Hoarseness
 Change In Voice B
 Sore Throat
 Bleeding In Mouth
 Hemoptysis
 Swollen Gums
 Recent Abscess
 Recent Extractions
 Soreness In Mouth
 Soreness In Tongue
 Ulcers
 Change In Taste
 Change In Voice
--Neck: C/O
 Neck Pain
 Stiffness
 Edema
--Cardiac: C/O
 Chest Pain
 Dyspnea
 Orthopnea
 Palpitations
 Shortness Of Breath W/ Activities
 Loss Of Consciousness
 Paroxysmal Nocturnal Dyspnea
 Need To Elevate Head At Night Due To Sob
--Vascular: C/O
 Claudication
 Color Changes In Extremities
 Parathesias
 Coldness In Extremities
 Tendency To Bruise
--Respiratory: C/O
 Pain W/ Respiration
 Cyanosis
 Coughing
 Wheezing
 Sputum
 Shortness Of Breath
 Exercise Intolerance W/ Activity
--Gastrointestinal: C/O
 Appetite Changes
 Heartburn
 Dysphagia
 Abdominal Pain
 Nausea
 Vomiting
 Diarrhea
 Change In Stools
 Flatulence
 Anorexia
 Hematemesis
 Intolerance To Foods
 Painful Bowel Movements
 Bloating
 Cramping
 Bright Red Blood Per Rectum
 Foul Smelling Dark Black Tarry Stools
 Tenesmus
--Endocrine: C/O
 Thyroid Tenderness
 Thyroid Enlargement
 Excessive Thirst
 Excessive Hunger/Excessive Urination
 Heat Intolerance
 Cold Intolerance
 Unexplained Weight Changes
 Changes In Face Or Body Hair
 Striae
 Increased Hat Or Glove Size
Mood Swings
 Sweaty
 Oligomenorrhoea
 Tremor, Palpitations
 Visual Disturbances
 Feeling Slow
 Feeling Tired
 Depression Thin Hair
 Croaky Voice
 Heavy Periods
 Dry Skin
 Orthostatic Symptoms, Darkening Of Skin In Non-Sun Exposed Places
--Hematological/Lymphatic: C/O
 Anemia
 Purpura
 Petechia
 Prolonged Or Excessive Bleeding After Dental Extraction/Injury
 Bruising
 Blood Clots
 Enlarged Lymph Nodes
 Tender Lymph Nodes
--Genitourinary: C/O
 Dysuria
 Urinary Frequency
 Urinary Urgency
 Hematuria
 Flank Pain
 Suprapubic Pain
 Nocturia
 Polyuria
 Dark Or Discolored Urine
 Hesitancy
 Terminal Dribbling
 Loss Of Force Of Stream
 Loss Or Urine W/ Laughing, Coughing, Sneezing, Exercise, Position Changes
 Loss Of Sensation
 Loss Of Control
Reproductive (Female): C/O
 Change In Cycle Duration & Frequency
 Vaginal Bleeding Irregularities
 Vaginal Discharge
 Vaginal Pain
 Menstrual Pain
 Changes In Sexual Arousal Or Libido
 Infertility
 Painful Intercourse
. Gravida 
 Para 
 Abortus 
. Lmp: 
Reproductive (Male): C/O
 Difficulty W/ Erection
 Difficulty W/ Sexual Arousal
 Lack Of Stamina
 Difficulty W/ Emissions
 Testicular Pain
--Musculoskeletal: C/O
 Joint Pain Or Tenderness
 Joint Swelling
 Muscles Pain
 Rom Changes
 Bony Deformity
 Misalignment
--Neurological: C/O
 Change In Sight
 Changes In Smell
 Change In Hearing
 Changes In Taste
 Change In Sensation
 Faints
 Fits
 Funny Turns
 Headache
 Paraesthesias
 Numbness
 Paralysis
 Limb Weakness
 Poor Balance
 Loss Of Coordination
 Speech Problems
 Seizures
 Tremors
 Memory Loss
--Psych: C/O
 Depression
 Change In Sleep Patterns
 Anxiety
 Difficulty Concentrating
 Difficulty Paying Attention
 Change In Body Image
 Changes In Work & School Performance
 Paranoia
 Anhedonia
 Lack Of Energy
 Episodes Of Mania
 Episodic Change In Personality
 Sexual Or Financial Binges
 Irritability
 Tension
 Suicidal Thoughts
 Homicidal Thoughts
--Breasts: C/O
 Breast Pain/Soreness
 Discharge
 Lumps
Constitutional/General:
Confirms:
Fatigue
Fever
Chills
Malaise
Generalized Weakness
Diffuse Pain
Sleeping Problems
Night Sweats
Weight Changes
Denies:
Head:
Headaches
Dizziness
Syncope
Sinus Pain
Loc
Eyes:
Vision Loss
Blurriness
Blind Spots
Floaters
Diplopia
Photophobia
Eye Pain
Halos
Erythemia
Drainage
Change In Appearance
Dryness
Ears:
Ear Pain
Tinnitus
Hearing Loss
Fullness In Ears
Vertigo
Frequent Infections
Nose,Mouth, & Throat:
Loss Of Smell
Obstruction
Epistaxis
Congestion
Tenderness
Lesions
Hoarseness
Change In Voice B
Sore Throat
Bleeding In Mouth
Hemoptysis
Swollen Gums
Recent Abscess
Recent Extractions
Soreness In Mouth
Soreness In Tongue
Ulcers
Change In Taste
Change In Voice
Skin:
Diagnosed Skin Conditions
New Lesions
Rashes
Discoloration
Hair Changes
Neck:
Neck Pain
Stiffness
Edema
Cardiac:
Chest Pain
Dyspnea
Orthopnea
Palpitations
Shortness Of Breath W/ Activities
Loss Of Consciousness
Paroxysmal Nocturnal Dyspnea
Need To Elevate Head At Night Due To Sob
Claudication
Color Changes In Extremities
Parathesias
Coldness In Extremities
Tendency To Bruise
Respiratory:
Pain W/ Respiration
Cyanosis
Coughing
Wheezing
Sputum
Shortness Of Breath
Exercise Intolerance W/ Activity
Gastrointestinal:
Appetite Changes
Dysphagia
Abdominal Pain
Vomiting
Diarrhea
Change In Stools
Flatulence
Anorexia
Hematemesis
Intolerance To Foods
Painful Bowel Movements
Bloating
Cramping
Bright Red Blood Per Rectum
Foul Smelling Dark Black Tarry Stools
Tenesmus
Endocrine:
Thyroid Tenderness
Thyroid Enlargement
Excessive Thirst
Excessive Hunger/Excessive Urination
Heat Intolerance
Cold Intolerance
Unexplained Weight Changes
Changes In Face Or Body Hair
Striae
Increased Hat Or Glove Size
Sweaty
Oligomenorrhoea
Tremor, Palpitations
Visual Disturbances
Feeling Slow
Feeling Tired
Depression Thin Hair
Croaky Voice
Heavy Periods
Dry Skin
Orthostatic Symptoms, Darkening Of Skin In Non-Sun Exposed Places
Hematological/Lymphatic:
Anemia
Purpura
Petechia
Prolonged Or Excessive Bleeding After Dental Extraction/Injury
Bruising
Blood Clots
Enlarged Lymph Nodes
Tender Lymph Nodes
Genitourinary:
Dysuria
Urinary Frequency
Urinary Urgency
Hematuria
Flank Pain
Suprapubic Pain
Nocturia
Polyuria
Dark Or Discolored Urine
Hesitancy
Terminal Dribbling
Loss Of Force Of Stream
Loss Or Urine W/ Laughing, Coughing, Sneezing, Exercise, Position Changes
Loss Of Sensation
Loss Of Control
Reproductive (Female):
Change In Cycle Duration & Frequency
Vaginal Bleeding Irregularities
Vaginal Discharge
Vaginal Pain
Menstrual Pain
Changes In Sexual Arousal Or Libido
Infertility
Painful Intercourse
Gravida (Been Pregnant):
Para (Full Term):
Premature Births:
Abortus (Non Viable Pregnancies):
Last Mestral Period:
Pregnant: 
Reproductive (Male):
Difficulty W/ Erection
Difficulty W/ Sexual Arousal
Lack Of Stamina
Difficulty W/ Emissions
Testicular Pain
Hernias
Musculoskeletal:
Joint Pain Or Tenderness
Joint Swelling
Muscles Pain
Rom Changes
Bony Deformity
Misalignment
Integument:
Pruritis
Stria
Wounds
Pigmentation Changes
Acanthosis Nigricans
Nodules
Lumps/Bumps
Excessive Dryness
Texture Changes
Eruptions
Neurological:
Change In Sight
Changes In Smell
Change In Hearing
Changes In Taste
Change In Sensation
Faints
Fits
Funny Turns
Headache
Paraesthesias
Numbness
Paralysis
Limb Weakness
Poor Balance
Loss Of Coordination
Speech Problems
Seizures
Tremors
Memory Loss
Change In Sleep Patterns
Difficulty Concentrating
Difficulty Paying Attention
Change In Body Image
Changes In Work & School Performance
Paranoia
Anhedonia
Lack Of Energy
Episodes Of Mania
Episodic Change In Personality
Sexual Or Financial Binges
Tension
Suicidal Thoughts
Homicidal Thoughts
Social:
Change In Home
Relationships
Employment
Substance Use
Exercise
Exposure
Function:
Change In Activities Of Daily Living
Memory
Capacity
Breasts:
Breast Pain/Soreness
Discharge
Lumps


Adult Medical Hx
 Not Applicable
 Abortion
 Alcoholism
 Arthritis
 Asthma
 Brain Injury
 Cancer, Nos
 Chronic Pain
 Constipation
 Copd
 Crohn's Disease
 Dental Disorders
 Emphysema
 Epilepsy
 Fibromyalgia
 Hepatitis
 Hypertension
 Hiv Infection
 Irritable Bowel Syndrome
 Motor Neuron Disease
 Obesity
 Renal Disease
 Shingles
 Sleep Disorder
 Std
 Stroke/Cva
 Tuberculosis
 Thyroid Disorders
Childhood Medical Hx
 Chicken Pox
 Ear Infections
 Ear Tubes
 Eating Disorder
 Encopresis
 Enuresis
 Measles
 Mononucleosis
 Mumps
 Polio
 Rheumatic Fever
 Rubella
 Scarlet Fever
 Smallpox
 Whooping Cough