Sample Type / Medical Specialty: General Medicine
Sample Name: Normal ROS Template - 4
Negative for any nausea, vomiting, fevers, chills, or weight loss.
(Medical Transcription Sample Report)
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.
general medicine, review of systems, trauma, neck, dyspnea, rashes, nausea, vomiting,
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this would be due to the preference of the dictating physician. All names and dates have been
changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or
place or anything else to real world is purely incidental.