Review of systems documentation

Revision as of 10:58, 25 November 2021 by Rossdonaldson1 (talk | contribs)

REVIEW OF SYSTEMS:

CONST: [] Negative for fever, body aches and chills.

HENT: []Negative for neck pain/stiffness, headache, congestion, sore throat, swelling.

EYES:[] Negative for discharge/pain or vision changes.

RESP:[] Negative for cough/hemoptysis and shortness of breath.

CV: []Negative chest pain, difficulty breathing, palpitations.

ABD:[] Negative pain, nausea, vomiting.

GU: []Negative increase frequency, dysuria, blood in urine or stool.

MUSC: []Negative for muscle aches, edema.

SKIN: []Negative rash, lesions/sores.

NEURO:[] Negative headache, dizziness, weakness.

[brackets added to be uploaded into dragon for quick editing. This ROS meets CMS standards for level 5 documentation]