Question

1. A 9-year old female presents with her mother complaining of a dry cough that “wakes up everyone in the house” each night for the last 2 weeks. Denies prior hx of the same.

What could be the review of system (ROS) in soap charting.?

Answer 1

A 9-year old female presents with her mother complaining of a dry cough that “wakes up everyone in the house” each night for the last 2 weeks. Denies prior hx of the same. What could be the review of system (ROS) in soap charting?

The Subjective, Objective, Assessment and Plan (SOAP) chart is a commonly used technique used by health care professionals for doing documentation in a structured and systematic way. Review of Systems (ROS) is a system centered list of questions that helps to identify symptoms not else stated by the patient. In the aforementioned patient’s case, ROS includes the following

System	Elements of examination
Health in General	Energy loss, weight gain or weight loss, loss of appetite, fever, night sweats, dehydration
Respiratory system	History of duration of cough, nature of cough, wheeze/tightness, abnormal Chest x-ray, pulmonary function test result, shortness of breath, night sweats, prolonged cough, wheezing, prior tuberculosis or asthma history, pleurisy, Tachypnea
Cardiovascular system	Complaint of chest pain, chest tightness, Tachycardia/bradycardia
Integumentary system	Examination for rash, itching, skin lesion, clammy skin, change in existing skin texture
Ears,Nose,Mouth& Throat	Hearing problems, numbness, running nose, ringing sensation in ears, mouth sores, sinus issues , ear ache, nasal bleeds, sore throat, facial pain
Neurological	Head congestion, head ache, visual problems