Review of Systems
Review of systems (ROS) is a systematic approach to ascertain mostly subjective symptoms associated with the different body systems.
General: Weight changes, malaise fatigue, night sweats.
Head: Headaches, tenderness, sinus problems.
Eyes: Changes in vision, photophobia, blurring, diplopia, spots, discharge.
Ears: Hearing changes, tinnitus, pain, discharge, vertigo.
Nose: Epistaxis, obstructions.
Throat: Hoarseness, soreness.
Respiratory: Chest pain, wheezing, dyspnea, cough, hemoptysis.
Cardiovascular: Chest pain, dyspnea, orthopnea (number of pillows needed to sleep comfortably), edema, claudication.
Dermatologic: Rashes, pruritus, lesions, skin cancer (epidermoid carcinoma, melanoma).
Gastrointestinal: Changes in appetite, dysphagia, nausea, vomiting, hematemesis, indigestion, pain, diarrhea, constipation, melena, hematochezia, bloating, hemorrhoids, jaundice.
Genitourinary: Changes in urinary frequency or urgency, dysuria, hematuria, nocturia, incontinence, discharge, impotence.
Gynecologic: Menstrual changes (frequency, duration, flow, last menstrual period), dysmenorrhea, menopause.
Endocrine: Polyuria, polydipsia, polyphagia, temperature intolerance, pigmentations.
Musculoskeletal: Muscle and joint pain, deformities, joint swellings, spasms, changes in range of motion.
Hematologic: Easy bruising, epistaxis, spontaneous gingival bleeding, increased bleeding after trauma.
Lymphatic: Swollen or enlarged lymph nodes.
Neuropsychiatric: Syncope, seizures, weakness (unilateral and bilateral), changes in coordination, sensations, memory, mood, or sleep pattern, emotional disturbances, history of psychiatric therapy.