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Review of Systems Checklist Sheet, Cheat Sheet of Nursing

Florida Institute of Technology (FIT)Nursing

A cheat sheet for nurses to cross check everything by inspecting the patient

Typology: Cheat Sheet

2020/2021

Uploaded on 04/26/2021

anala
anala 🇺🇸

4.3

(15)

259 documents

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CHECKLIST: Review of Systems
Checklist:
General-
□ Weight loss or gain
□ Fatigue
□ Fever or chills
□ Weakness
□ Trouble sleeping
------------------------------------ ---------------------------------------------------------------------------------
Skin-
□ Rashes
□ Lumps
□ Itching
□ Dryness
□ Color changes
□ Hair and nail changes
------------------------------------ ---------------------------------------------------------------------------------
Head-
□ Headache □ Head injury
------------------------------------ ---------------------------------------------------------------------------------
Ears-
□ Decreased hearing
□ Ringing in ears (tinnitus)
□ Earache
□ Drainage
------------------------------------ ---------------------------------------------------------------------------------
Eyes-
□ Vision
□ Glasses or contacts
□ Pain
□ Redness
□ Blurry or double vision
□ Flashing lights
□ Specks
□ Glaucoma
□ Cataracts
□ Last eye exam
------------------------------------ ---------------------------------------------------------------------------------
Nose-
□ Stuffiness
□ Discharge
□ Itching
□ Hay fever
□ Nosebleeds
□ Sinus pain
------------------------------------ ---------------------------------------------------------------------------------
Throat-
□ Teeth
□ Gums
□ Bleeding
□ Dentures
□ Sore tongue
□ Dry mouth
□ Sore throat
□ Hoarseness
□ Thrush
□ Non-healing sores
□ Last dental exa m
------------------------------------ ---------------------------------------------------------------------------------
Neck-
□ Lumps
□ Swollen glands
□ Pain
□ Stiffness
------------------------------------ ---------------------------------------------------------------------------------
Breasts-
□ Lumps
□ Pain
□ Discharge
□ Self-exams
□ Breast-feeding
------------------------------------ ---------------------------------------------------------------------------------
Respiratory-
□ Cough (dry or wet,
productive)
□ Sputum (color and
amount)
□ Coughing up blood
(hemoptysis)
□ Shortness of breath
(dyspnea)
□ Wheezing
□ Painful breathing
pf2

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CHECKLIST: Review of Systems

Checklist:

General- □ Weight loss or gain □ Fatigue □ Fever or chills □ Weakness □ Trouble sleeping

Skin- □ Rashes □ Lumps □ Itching □ Dryness □ Color changes □ Hair and nail changes

Head- □ Headache □ Head injury

Ears- □ Decreased hearing □ Ringing in ears (tinnitus) □ Earache □ Drainage

Eyes- □ Vision □ Glasses or contacts □ Pain □ Redness □ Blurry or double vision □ Flashing lights □ Specks □ Glaucoma □ Cataracts □ Last eye exam

Nose- □ Stuffiness □ Discharge □ Itching □ Hay fever □ Nosebleeds □ Sinus pain

Throat- □ Teeth □ Gums □ Bleeding □ Dentures □ Sore tongue □ Dry mouth □ Sore throat □ Hoarseness □ Thrush □ Non-healing sores □ Last dental exam

Neck- □ Lumps □ Swollen glands □ Pain □ Stiffness

Breasts- □ Lumps □ Pain □ Discharge □ Self-exams □ Breast-feeding

Respiratory- □ Cough (dry or wet, productive) □ Sputum (color and amount) □ Coughing up blood (hemoptysis) □ Shortness of breath (dyspnea) □ Wheezing □ Painful breathing

Cardiovascular- □ Chest pain or discomfort □ Tightness □ Palpitations □ Shortness of breath with activity (dyspnea) □ Difficulty breathing lying down (orthopnea) □ Swelling (edema) □ Sudden awakening from sleep with shortness of breath (Paroxysmal Nocturnal Dyspnea)

Gastrointestinal- □ Swallowing difficulties □ Heartburn □ Change in appetite □ Nausea □ Change in bowel habits □ Rectal bleeding □ Constipation □ Diarrhea □Yellow eyes or skin (jaundice)

Urinary- □ Frequency □ Urgency □ Burning or pain □ Blood in urine (hematuria) □ Incontinence □ Change in urinary strength

Genital- Male- □ Pain with sex □ Hernia □ Penile discharge □ Sores □ Masses or pain □ Erectile dysfunction □ STD’s Female- □ Pain with sex □ Vaginal dryness □ Hot flashes □ Vaginal discharge □ Itching or rash □ STD’s

Vascular- □ Calf pain with walking (Claudication) □ Leg cramping

Musculoskeletal- □ Muscle or joint pain □ Stiffness □ Back pain □ Redness of joints □ Swelling of joints □ Trauma

Neurologic- □ Dizziness □ Fainting □ Seizures □ Weakness □ Numbness □ Tingling □ Tremor

Hematologic- □ Ease of bruising □ Ease of bleeding

Endocrine- □ Head or cold intolerance □ Sweating □ Frequent urination (polyuria) □ Thirst (polydypsia) □ Change in appetite (polyphagia)

Psychiatric- □ Nervousness □ Depression □ Memory loss □ Stress