Colorectal Surgery
Review of Systems

HEENT is normocephalic, eyes appear equal, round, reactive to light and accommodation, tympanic membranes are clear, neck is supple, no evidence of bruits, and nose is clear.

GENERAL - No signs of weight loss, Loss of appetite, Fever, or Chills. No previous problems with anesthesia.

INTEGUMENT - No change in pigmentation, hair loss, pruritus, bruising, or enlarged lymph nodes.

HEENT - No signs of headaches, migraines, vertigo, blurring vision, decreased vision, diplopia, deafness, tinnitus, epistax dyspnea on exertion, bronchitis, pneumonia, asthma, COPD, hemoptysis, tuberculosis, chronic cough, or sleep apnea.

CARDIOLOGY - No signs of chest pain, chest pain with exertion, chest pain with out exertion, chest pain radiating, chest pain non-radiating, palpitations / arrhythmias, orthopnea, paroxysmal nocturnal dyspnea, claudication, history of myocardial infarction, or dysphagia.

GASTROINTESTINAL - No signs of nausea, vomiting, hematemesis, history of hepatitis, indigestion, GERD, history of possible ureteral damage, inflammation bowel disease, irritable bowel syndrome, hematochezia, hemorrhoids, pain on defecation, constipation, diarrhea, change in bowel habits; caliber of stool, change in stool color, change in frequency, or abdominal pain.

GENITOURINARY - No signs of dysuria, pyuria, hematuria, pneumaturia, nocturia, hesitancy, incontinence, bph, history of kidney stones, or history of venereal disease.

MUSCULOSKELETAL - No signs of arthritis, joint swelling, muscle pain, or muscle weakness .

NERVROS - No signs of back problems, Neuropathy, Seizure disorder, indications of CVA, or TIA.

MENTAL - No signs of depression, hallucinations, drug dependencies, alcohol dependencies, or sleep disorders.

ENDOCRINE - No signs of Type I Diabetes, Type II Diabetes, Hypothyroidism, Hyperthyroidism, or Impotence.

HEMATOPOIETIC - No signs of anemia or abnormal bleeding

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