REVIEW OF

SYSTEMS
GENERAL (-)weight loss EARS (-) difficulty hearing/
(-)weight gain deafness
(-) loss of appetite (-) discharges
(-) vertigo
(-) chills
(-) tinnitus
(-) easy fatigability (-) pain
(-) dizziness
NOSE (-) epistaxis
SKIN (-) rash (-) discharges
(-) itching (-) mass
(-) pigmentation (-) dryness
(-) acne (-) pain
(-) pruritus
THROAT (-) soreness
(-) wound
(-) pain
HEAD (-) headache (-) ulcers
(-) head injury (-) hoarseness
(-) light headedness (-) dryness
(-) pain
NECK (-) swollen glands
(-) stiffness
(-) goiter
(-) swelling
(-) stiffness in the neck
EYES (-) pain
BREAST (-) enlargement
(-) diplopia
(-) discharges
(-) visual impairment
(-) lump/mass
(-) dryness
(-) tenderness
(-) redness
(-) darkening of areola
(-) tearing
(-) infection
RESPIRATORY (-) cough
(-) shortness of breath PERIPHERAL VASCULAR (-) pain
(-) sputum (-) loss of sensation
(-) hemoptysis (-) leg cramps
(-) varicose veins
CARDIOVASCULAR (-) orthopnea
(-) swelling
(-) dyspnea
(-) paroxysmal FEMALE GENITALIA (-) pain
nocturnal dyspnea (-) swelling
(-) palpitations (-) urethral discharge
(-) cyanosis (-) hernias
(-) syncope (-) masses
(-) ulcers
GASTROINTESTINAL (-) abdominal pain
(-) bleeding
(-) anorexia
(-) nausea/retching MUSCULOSKELETAL (-) muscle pains
(-) vomiting (-) joint pains
(-) dysphagia (-) cramps
(-) hematemesis (-) weakness
(-) indigestion (-) stiffness
(-) melena (-) history of trauma
(-) hematochezia (-) swelling
(-) heartburn (-) limitation of motion
(-) use of laxatives (-) backache
URINARY (-) dysuria PSYCIATRIC (-) history of depression
(-) polyuria (-)history of treatment
(-) dribbling
(-) hematuria
NEUROLOGIC (-) headaches
(-) syncope
(-) seizures
(-) weakness
(-) sleep disorder
(-) coordination problem
(-) sensory disturbance
(-) motor problem
(-) tremors
(-) memory problems
HEMATOLOGIC (-) anemia
(-) past transfusion
(-) transfusion reactions
ENDOCRINE (-) heat or cold
intolerance
(-) excessive sweating
(-) excessive thirst or
hunger
(-) polyuria
(-) polydipsia
(-) polyphagia