Review of systems

계통별 문진(ROS, Review of systems)은 보통 장기별 나타날 수 있는 증상들을 빠짐없이 문진하기 위함이다.

System	Examples
General Sx	weight loss, night sweats, fatigue/malaise/lethargy, sleeping difficulty, appetite, fever/chill, itch/rash, masses
Eye	visual changes, headache, eye pain, diplopia
ENT	Runny nose, epistaxis, sinus pain, stuffy ears, ear pain, tinnitus, gingival bleeding, toothache, sore throat, odynophagia)
Cardiovascular	chest pain, dyspnea, exercise intolerance, Paroxysmal nocturnal dyspnea, orthopnea, palpitation, loss of consciousness, claudication
Respiratory	cough, sputum, wheeze, hemoptysis, dyspnea, exercise intolerance
Gastrointestinal	abdominal pain, difficulty swallowing, indigestion, nausea/vomiting, diarrhea/constipation, hematemesis, hematochezia, melaena, tenesmus
Genitourinary	incontinence, dysuria, hematuria, nocturia, polyuria, hesitancy, terminal dribbling, Vaginal discharge
Musculoskeletal	pain, redness, misalignment, stiffness, joint swelling, decreased range of motion
Neurological	Visual perception, Olfaction, hearing and taste, seizure, Syncope, Seizure, headache, paraesthesia or numbness, limb weakness, poor balance, speech problems, sphincter disturbance, higher mental function
Psychiatric	depression, sleep patterns, anxiety, difficulty concentrating, body image, work and school performance, paranoia, anhedonia, Fatigue, episodes of mania, episodic Personality changes, expansive personality
Endocrine	Hyperthyroid: prefer cold weather, mood swings, sweaty, diarrhoea, oligomenorrhoea, weight loss despite increased appetite, tremor, palpitations, visual disturbances; Hypothyroid: prefer hot weather, slow, tired, depressed, thin hair, croaky voice, heavy periods, constipation, dry skin Diabetes: polydipsia, polyuria, polyphagia (constant hunger without weight gain is more typical for a type I diabetic than type II), symptoms of hypoglycemia such as dizziness, sweating, headache,hunger, tongue dysarticulation Adrenal: difficult to treat hypertension, chronic low blood pressure, orthostatic symptoms, darkening of skin in non-sun exposed places
Skin	Cyanosis, Pallor, Flushing, Petechia