|
ROS
|
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GENERAL
|
GENERAL ROS
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GENERAL assessment findings
• • •
|
General WNL?
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General Comments
|
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SKIN
|
SKIN ROS
|
|
SKIN findings
• • •
|
Skin WNL?
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Skin Comments
|
|
|
HEENT
|
HEENT ROS
|
|
HEENT findings
• • •
|
HEENT WNL?
|
|
HEENT Comments
|
|
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NECK
|
NECK ROS
|
|
NECK findings
• • •
|
Neck WNL?
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Neck Comments
|
|
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BREASTS
|
BREAST ROS
|
|
BREAST findings
• • •
|
Breasts WNL?
|
|
Breasts Comments
|
|
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CARDIOVASCULAR
|
CARDIOVASCULAR ROS
|
|
CARDIOVASCULAR findings
• • •
|
Cardiovascular WNL?
|
|
CV Comments
|
|
|
Cardiac Test Results
|
Was patient tested TODAY?
|
|
ECG
|
ECG testing
|
|
ECG RESULTS
|
ECG Date
|
|
ECG comments
|
|
|
RESPIRATORY
|
RESPIRATORY ROS
|
|
RESPIRATORY findings
• • •
|
Respiratory WNL?
|
|
Resp Comments
|
|
|
LAST CHEST X-RAY
|
|
|
GI
|
GI ROS
|
|
GI findings
• • •
|
GI WNL?
|
|
GI Comments
|
|
|
Change in Stool?
|
Change in STOOL
|
|
Stool COLOR
|
BRISTOL STOOL CHART
• • •
|
|
STOOL Comments
|
|
|
GU
|
GU ROS
|
|
URINARY findings
• • •
|
Urinary WNL?
|
|
Urinary Comments
|
|
|
GENITAL (MALE)
|
GENITAL (MALE) ROS
|
|
Genital (MALE) findings
• • •
|
Genital (MALE) WNL?
|
|
Genital (MALE) Comments
|
|
|
Sexual HABITS
|
|
|
Sexual INTEREST
|
|
|
Sexual FUNCTION
• • •
|
|
|
Taking PSYCH MEDS
|
|
|
CURRENT Viagra / Levitra / Cialis USE
|
|
|
GENITAL (FEMALE)
|
GENITAL (FEMALE) ROS
|
|
Genital (FEMALE) findings
• • •
|
Genital (FEMALE) WNL?
|
|
Genital (FEMALE) Comments
|
|
|
PERIPHERAL VASCULAR
|
PERIPHERAL VASC ROS
|
|
PERIPHERAL VASCULAR findings
• • •
|
Periph. Vasc. WNL?
|
|
Periph. Vasc. Comments
|
|
|
MUSCULOSKELETAL
|
MSK ROS
|
|
MSK findings
• • •
|
MSK WNL?
|
|
MSK Comments
|
|
|
LOCATION of Joints/Muscles
|
|
|
NEUROLOGICAL
|
NEURO ROS
|
|
NEURO findings
• • •
|
Neurological WNL?
|
|
Neuro Comments
|
|
|
ENDOCRINE
|
ENDOCRINE ROS
|
|
ENDOCRINE findings
• • •
|
Endocrine WNL?
|
|
Endo Comments
|
|
|
PSYCH
|
PSYCH ROS
|
|
PSYCH findings
• • •
|
Psychiatric WNL?
|
|
Psychiatric Comments
|
|
