ROS

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Author:
bigfootedbertha
ID:
92539
Filename:
ROS
Updated:
2011-06-30 13:38:14
Tags:
ROS
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Description:
ROS
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  1. Eyes
    • DEDSPINSBM
    • Double vision
    • Excessive tearing
    • Discharge
    • Sensitivity to Light
    • Pain
    • Injection
    • Narrowing Visual field
    • Spots
    • Blurred vision
    • Meds
  2. Head
    • HHHFL
    • HA
    • Hx surgery/tumor
    • Hx trauma
    • Fainting
    • Lightheadedness
  3. Mouth and Pharynx
    • DDBBSSHEFIG
    • Dentist
    • Dysphagia
    • Brushing/flossing
    • Bleeding Gums
    • Sores
    • Sore tongue
    • Hoarseness
    • Excessive Salivating and dryness
    • Freq sore throats
    • Injury/pain
    • Growths
  4. Psychiatric
    • SHHED
    • Suicidal attempts
    • Hallucinations
    • Homicidal attempts
    • Excessive tension/anxiety
    • Depression
  5. PVS
    • BUNCHVAC
    • Blood clots
    • Ulcerations
    • Night pain
    • Cramping
    • Varicose veins
    • Achiness while walking
    • Color changes in hands or feet
  6. Male genitalia
    • PPSSSTTD
    • Prostate Disease
    • PSA
    • Self testicular disease
    • Scrotum changes
    • Testicular masses
    • Testicular/penile pain
    • Discharge
  7. Sex habits
    • SCLEEFINGM
    • STI
    • Change in sex drive
    • Last act
    • Erection
    • Ejaculate
    • Frequency
    • Intercouse nature
    • Gender
    • number
    • Monogamous
  8. Obstetrical
    • NATC
    • Number of pregnancies
    • Abortions
    • Type of Delivery
    • Complications post partum
    • complications delivery
  9. Ears
    • DIVETD
    • Discharge
    • Injury
    • Vertigo
    • Ear pain
    • Tinnitus
    • Decreased hearing
  10. Skin
    • CCCLITER
    • Change in mole, skin, nails
    • Lesions
    • Itching
    • Texture
    • Easy bruising
    • Rash
  11. Endocrine
    • EIEIV
    • Excessive nervousness
    • Increased glove/shoe size
    • Excessive body hair
    • Increased hunger/thirst
    • Unusual sensitivity to hot/cold
  12. Hematologic
    • BBBA
    • Blood type
    • Blood transfusions
    • Bleeding in skin
    • Anemia
  13. Nose/Sinuses
    • CHIPSED
    • Colds
    • Hay fever
    • Injury
    • Pain
    • Sneezing
    • Epistaxis
    • Discharge/congestion
  14. Cardiovascular
    • POISSED
    • Palpitations
    • Orthopnea
    • Irregular HB
    • Swelling
    • Sweating
    • EKG
    • Difficulty breathing
  15. Respiratory
    • CCCBSTW
    • CXR
    • Cough
    • Chest Pain
    • SOB
    • Sputum
    • TB
    • Wheezing
  16. Breasts
    • DENTM
    • Discharge
    • Exam
    • Nipple/skin changes
    • Tenderness
    • Mass
  17. Neck
    • SGPILL
    • Stiffness
    • Goiter
    • Pain
    • Injury
    • Lumps/swollen glands
    • Limitations to movement
  18. Family Hx
    • HEART LUNGS BRAIN OTHER
    • Heart: HD, HTN, MI, CAD
    • Lung: Bronchitis, asthma, emphysema, TB
    • Brain: Stroke, depression, anxiety, substance abuse
    • Other: Ca, DM, liver/kidney/thyroid
  19. Neuro
    • NPDNTLOCSSCCMM
    • Numbness/tingling
    • Paralysis
    • Disorientation
    • Nightmares
    • Tremor
    • Loss of consciousness/coordination
    • Speech
    • Sleep
    • Concentration
    • Clumsiness
    • Memory
    • Mood
  20. MSS
    • JDGEMLBBM
    • Joint pain
    • deformity
    • gout
    • edema
    • muscle pain
    • limitation of movement
    • back pain
    • bone infection
    • morning stiffness
  21. GI
    • DBOT
    • Digestion: dyspepsia, heart burn, borborygmus, gas/belching
    • Bowels: color, constipation, pain, frequency, tenesmus
    • Overall: Jaundice, N/V/A, hemorroids
    • Tests: barium enema, colonoscopy, GI studies
  22. Urinary
    • UOU
    • Urinary: CLUND
    • -change in habits, lumbar pain, urgency, difficulty starting/stopping, # times/day
    • Other: KUCK
    • -kidney stones, UTI, catheter, KUB
    • Urine: ENDCHIP
    • -excessive, nocturia, dysuria, color, hematuria, incomplete, pyuria
  23. Female GYN
    • Period: CLIMMP
    • -cycle length, last MP, irregular bleeding, menopause, menarche, pain
    • Vagina: DIPS
    • -discharge, itching, pain, sores/lumps
    • Sex: FABCAMPIN
    • -change in sex drive, act, monogomous, pain, intercouse nature, number of partners

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