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Patient Review of Systems Form Patient Name:___ Patient DOB: ___ Please select current or ongoing symptoms in each category. If none apply, please select None Constitutional None Chills Fatigue Fever
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How to fill out 18 review of systems

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How to fill out 18 review of systems

01
Start by reviewing the general symptoms such as fatigue, fever, weight loss, and appetite changes.
02
Proceed to review the symptoms related to the cardiovascular system such as chest pain, palpitations, and leg swelling.
03
Move on to the respiratory system and inquire about cough, shortness of breath, and wheezing.
04
Ask about gastrointestinal symptoms including abdominal pain, nausea, vomiting, and changes in bowel habits.
05
Review the genitourinary system by asking about urinary frequency, urgency, dysuria, and hematuria.
06
Inquire about musculoskeletal symptoms such as joint pain, stiffness, muscle weakness, and limited range of motion.
07
Ask about neurological symptoms including headache, dizziness, weakness, numbness, and tingling.
08
Review the psychiatric system by asking about mood changes, anxiety, depression, and sleep disturbances.
09
Conclude the review by assessing the integumentary system with questions about skin changes, rashes, lesions, and itching.

Who needs 18 review of systems?

01
Medical professionals such as physicians, nurse practitioners, and physician assistants
02
Patients undergoing a comprehensive medical evaluation or annual physical examination
03
Research studies or clinical trials requiring detailed documentation of a patient's symptoms and history
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The 18 review of systems is a comprehensive checklist used by healthcare providers to document and evaluate a patient's overall health.
Healthcare providers, such as doctors, nurses, and other medical professionals, are required to complete and file the 18 review of systems for each patient.
To fill out the 18 review of systems, healthcare providers will ask the patient a series of questions related to different body systems and document their responses.
The purpose of the 18 review of systems is to help healthcare providers assess the overall health of a patient, identify any potential issues or concerns, and make informed treatment decisions.
The 18 review of systems typically includes information about the patient's medical history, current symptoms, medications, allergies, and any relevant family history.
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