What questions should you ask about in a systems review?

Remember you should always ask about the General topics and also the RELEVANT system. There may be more than 1 relevant system e.g Cardio and respiratory normally go together.

General

Fever
Fatigue
Sleep
Weight/appetite
Skin bruising/rashes

Head

Headache
Loss of consciousness
Dizziness
Vision
Hearing
Weakness
Numbness

Loss of memory
Anxiety or depression

CVS

Chest pain
Claudication
quantify
Breathlessness
Quantify
Orthopnoea
PND
Ankle swelling
Palpitations

RS

Chest pain
Cough
Sputum
Blood?
Breathlessness
Wheeze

GIS

Appetite
Dysphagia
Nausea and Vomiting
Indigestion
Jaundice
Abdominal Pain
Bowel movements
Blood?
Pale?


Genito urinary

Dysuria (pain)
Urine frequency
Haematuria
Incontinence
Prostate
Starting, flow, dribbling
Menstruation
Onset, Timing + Regularity, Length

Women - vaginal discharge, pain on intercourse

Muscular

Pain/swelling/stiffness
Wash and dress

Climb stairs.

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