행위

Review of systems

Jin (토론 | 기여)님의 2017년 9월 26일 (화) 11:51 판
(차이) ← 이전 판 | 최신판 (차이) | 다음 판 → (차이)

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