Review of Systems
Whatever system a specific condition may seem restricted to, it may be reasonable to review all the other systems in a comprehensive history. The review of systems should include all the main systems in the body that may provide an opportunity to mention symptoms or concerns that the patient may have failed to mention in the history. Start with the review of systems as following: -Cardiovascular system(chest pain, dysponea, ankle swelling, palpitations) are the most important symptoms and you can ask for a brief description for each of the positive symptoms. -Respiratory system (cough, haemoptysis, wheezing, pain localized to the chest that maight increase with inspiration or expiration). -Gastrointestinal system (change in weight, flatulence and heart burn, dysphagia, abdominal pain, vomiting, bowel habit). -Genitourinary system (frequency in urination, pain with micturition, urine color, any urethral discharge, altered bladder control like urgency in urination or incontinance, menstruation and sexual activity). -Nervous system (Headache, loss of consciousness, diziness and vertigo, speech and related functions like reading and writing skills and memory). -Cranial nerves symptoms (Vision, diplopia, facial numbness, deafness, oropharyngial dysphagia, limb motor or sensory symptoms and loss of coordination). -Endocrine system (weight loss, polydipsia, polyuria, increased appetite and irritability). -musculoskeletal system (any bone or joint pain accompanied by joint swelling or tenderness, aggavating and reliefing factors for the pain and any positive family history for joint disease). -Skin (any skin rash,recent change in cosmetics and the use of sunscreen creams when exposed to sun).
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