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Figure. Sample Review of Systems (ROS) Format From The Pantex Program

This document provides a sample review of systems (ROS) format from the Pantex program. The ROS format includes questions about symptoms organized by body system to screen patients for potential medical issues. It covers symptoms related to the skin, head, eyes, ears, nose/sinuses, mouth/throat, neck, respiratory/cardiac, breasts, gastrointestinal, genitourinary, musculoskeletal, neurological, hematologic, endocrine, and psychiatric systems. Patients are asked about common complaints, changes, pains, or other issues for each relevant body area to identify any medical problems that may need further attention.

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Timothy Turscak
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3K views1 page

Figure. Sample Review of Systems (ROS) Format From The Pantex Program

This document provides a sample review of systems (ROS) format from the Pantex program. The ROS format includes questions about symptoms organized by body system to screen patients for potential medical issues. It covers symptoms related to the skin, head, eyes, ears, nose/sinuses, mouth/throat, neck, respiratory/cardiac, breasts, gastrointestinal, genitourinary, musculoskeletal, neurological, hematologic, endocrine, and psychiatric systems. Patients are asked about common complaints, changes, pains, or other issues for each relevant body area to identify any medical problems that may need further attention.

Uploaded by

Timothy Turscak
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Figure. Sample review of systems (ROS) format from the Pantex program.

REVIEW OF SYSTEMS
SKIN Nipple discharge Clots in veins
Rashes BSE
Itching MUSCULOSKELETAL
Change in hair or nails RESPIRATORY/CARDIAC Pain
Shortness of breath Swelling
HEAD Cough Stiffness
Headaches Production of phlegm, color Decreased joint motion
Head injury Wheezing Broken bone
Coughing up blood Serious sprains
EYES Chest pain Arthritis
Fever Gout
Glasses or contacts Night sweats
Change in vision Swelling in hands/feet NEUROLOGIC
Eye pain Blue fingers/toes Headaches
Double vision High blood pressure Seizures
Flashing lights Skipping heart beats Loss of
Glaucoma/Cataracts Heart murmur Consciousness/Fainting
Last eye exam HX of heart Medication Paralysis
Bronchitis/emphysema Weakness
EARS Rheumatic heart disease Loss of muscle size
Change in hearing Muscle spasm
Ear pain GASROINTESTINAL Tremor
Ear discharge Change of appetite or Involuntary movement
Ringing Weight Incoordination
Dizziness Problems swallowing Numbness
Nausea Feeling of “pins and
NOSE/SINUSES Heartburn needles/tingles”
Nose bleeds Vomiting
Nasal stuffiness Vomiting blood HEMATOLOGIC
Frequent colds Constipation Anemia
Diarrhea Easy bruising/bleeding
ALLERGIES Change in bowel habits Past Transfusions
Hives Abdominal pain
Swelling of lips or tongue Excessive belching ENDOCRINE
Hay fever Excessive flatus Abnormal growth
Asthma Yellow color of skin Increased appetite
Eczema/Sensitive
(j
(jaundice/hepatitis) Increased thirst
Sensitivity to drugs, food,
Food intolerance Increased urine production
pollens, or dander Rectal bleeding/ Thyroid trouble
Hemorrhoids Heat/cold intolerance
MOUTH/THROAT Excessive sweating
URINARY Diabetes
Bleeding gums Difficulty in urination
Sore tongue Pain or burning on urination PSYCHIATRIC
Frequent urination at night Tension/Anxiety
Sore throat
Urgent need to urinate Depression/suicide ideation
Hoarseness
Incontinence of urine Memory problems
Dribbling Unusual problems
NECK
Decreased urine stream Sleep problems
Lumps
Blood in urine Past treatment with
Swollen glands Psychiatrist
UTI/stones/prostate
Goiter Change in mood/change in
infection
Stiffness attitude towards family/friends

BREAST
PERIPHERAL VASCULAR
Lumps
Leg cramps
Pain
Varicose veins

www.npjournal.org The Journal for Nurse Practitioners - JNP 685

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