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Normal ROS Template – 4

REVIEW OF SYSTEMS
GENERAL: Negative for any nausea, vomiting, fevers, chills, or weight loss.
NEUROLOGIC: Negative for any blurry vision, blind spots, double vision, facial asymmetry, dysphagia, dysarthria, hemiparesis, hemisensory deficits, vertigo, ataxia.
HEENT: Negative for any head trauma, neck trauma, neck stiffness, photophobia, phonophobia, sinusitis, rhinitis.
CARDIAC: Negative for any chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, peripheral edema.
PULMONARY: Negative for any shortness of breath, wheezing, COPD, or TB exposure.
GASTROINTESTINAL: Negative for any abdominal pain, nausea, vomiting, bright red blood per rectum, melena.
GENITOURINARY: Negative for any dysuria, hematuria, incontinence.
INTEGUMENTARY: Negative for any rashes, cuts, insect bites.
RHEUMATOLOGIC: Negative for any joint pains, photosensitive rashes, history of vasculitis or kidney problems.
HEMATOLOGIC: Negative for any abnormal bruising, frequent infections or bleeding.

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