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REVIEW OF SYSTEMS

GENERAL - Weight loss or Gain GI - Swallowing difficulty


- Fatigue - Heartburn
- Fever or Chills - Change in appetite
- Weakness - Nausea and Vomiting
- Trouble sleeping - Change in Bowel habits
SKIN - Rashes, Sores, Lumps - Stool color and size
- Itching, Dryness - Rectal bleeding, hemorrhoids
- Color changes - Constipation, Diarrhea
- Hair and nail changes - Abdominal pain, belching
HEENT - Yellow Eyes or Skin
Head - Headache, Head injury URINARY - Frequency, Urgency, Incontinence
- Dizziness, Lightheadedness - Polyuria, Nocturia
Eyes - Vision Loss/Changes - Blood in Urine
- Glasses or Contacts - Burning or Pain, Flank Pain
- Pain, Redness, - Changes in urinary strength
- BOV, Double vision - Dribbling
- Flashing lights, Specks, Spots - Decrease strength and caliber
- Glaucoma, cataract GENITAL - Discharges, Pain, Swelling, Sores
- Last eye exam - STI and treatment
Ears - Hearing changes, Ringing VASCULAR - Calf pain with walking
- Earache, Drainage - Leg cramping, varicose veins
- Hearing aid use - Swelling in calves, legs or feet
Nose - Stuffiness, Discharge, Itching - Color changes in fingers and toes
- Frequent cold, Hay fever MSK - Muscle or Joint Pain
- Nose bleeds - Stiffness, Arthritis, Gout
- Sinus pains - Neck or Low Back Pain
Throat - Teeth, Gums, Dentures - Redness of Joints
- Bleeding - Swelling of Joints
- Sore tongue - Trauma
- Dry mouth, sore throat NEURO - Changes in Mood, Attention, Speech
- Hoarseness - Dizziness, Fainting, Blackouts
- Thrush, Non-healing sores - Seizures
NECK - Lumps, Swollen glands, Goiter - Weakness, Paralysis
- Pain, Stiffness - Numbness, Tingling
- Lumps, Pain, Discomfort - Tremor or Involuntary movement
BREAST
- Nipple Discharge HEMA - Ease in Bruising
- Self-Exams Practices - Ease in Bleeding
- Past Transfusion
RESPI - Cough, Sputum, SOB
- Coughing out Blood ENDOCRINE - Heat or Cold Intolerance
- Wheezing - Excessive Sweating
- Painful breathing (Pleuritic) - Frequent urination
- Excessive Thirst, Hunger, Polyuria
CV - Chest pain or Discomfort
- Tightness, Palpitations PSYCH - Nervousness, Tension,
- SOB with activity - Stress, Depression
- Orthopnea - Memory Loss
- Awakening from sleep with SOB
- Swelling (hands, ankles, feet)

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