Sample Type / Medical Specialty: Consult - History and Phy.
Sample Name: Normal Male ROS Template - 1
An example/template for a routine normal male ROS.
(Medical Transcription Sample Report)
REVIEW OF SYSTEMS:
CONSTITUTIONAL: Patient denies fevers, chills, sweats and weight changes.
EYES: Patient denies any visual symptoms.
EARS, NOSE, AND THROAT: No difficulties with hearing. No symptoms of rhinitis or sore throat.
CARDIOVASCULAR: Patient denies chest pains, palpitations, orthopnea and paroxysmal nocturnal dyspnea.
RESPIRATORY: No dyspnea on exertion, no wheezing or cough.
GI: No nausea, vomiting, diarrhea, constipation, abdominal pain, hematochezia or melena.
GU: No urinary hesitancy or dribbling. No nocturia or urinary frequency. No abnormal urethral discharge.
MUSCULOSKELETAL: No myalgias or arthralgias.
NEUROLOGIC: No chronic headaches, no seizures. Patient denies numbness, tingling or weakness.
PSYCHIATRIC: Patient denies problems with mood disturbance. No problems with anxiety.
ENDOCRINE: No excessive urination or excessive thirst.
DERMATOLOGIC: Patient denies any rashes or skin changes.
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