SOAP NOTE REVIEW OF SYSTEMS EXAMPLE (ROS)

In a SOAP note, the subjective section contains, the chief complaint, the HPI, medications then allergies, then PMHx, followed by family history, social history, and lastly the SOAP NOTE Review of Systems

SOAP NOTE REVIEW OF SYSTEMS example of a Complete Review of Systems (ROS):

GENERAL:  No weight loss, fever, chills, weakness or fatigue.

HEENT:  Eyes:  No visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat:  No hearing loss, sneezing, congestion, runny nose or sore throat.

SKIN:  No rash or itching.

CARDIOVASCULAR:  No chest pain, chest pressure or chest discomfort. No palpitations or edema.

RESPIRATORY:  No shortness of breath, cough or sputum.

GASTROINTESTINAL:  No anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.

GENITOURINARY:  Burning on urination. Pregnancy. Last menstrual period, MM/DD/YYYY.

NEUROLOGICAL:  No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.

MUSCULOSKELETAL:  No muscle, back pain, joint pain or stiffness.

HEMATOLOGIC:  No anemia, bleeding or bruising.

LYMPHATICS:  No enlarged nodes. No history of splenectomy.

PSYCHIATRIC:  No history of depression or anxiety.

ENDOCRINOLOGIC:  No reports of sweating, cold or heat intolerance. No polyuria or polydipsia.

ALLERGIES:  No history of asthma, hives, eczema or rhinitis.

 

SOAP NOTE REVIEW OF SYSTEMS example 2 of SOAP Note ROS Review of Systems

GENERAL:  no weight loss or gain, has fever, experiences chills, grandmother reports feeling warm on touch

HEENT:  Slight hearing loss, mild ear pain on the right ear, slight hearing loss, No sneezing, congestion, runny nose or sore throat. Eyes:  No visual loss, blurred vision

SKIN:  No rash or itching.

CARDIOVASCULAR:  No chest pain, chest pressure or chest discomfort. No palpitations or edema.

RESPIRATORY:  No shortness of breath, cough or sputum.

GASTROINTESTINAL:  No anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.

GENITOURINARY:  No Burning on urination.

NEUROLOGICAL:  headache, No dizziness, syncope, paralysis, ataxia

MUSCULOSKELETAL:  No back pain, joint pain or stiffness.

HEMATOLOGIC:  No anemia, bleeding or bruising.

LYMPHATICS:  No enlarged nodes. No history of splenectomy.

PSYCHIATRIC: No history of depression or anxiety.

ENDOCRINOLOGIC: Prominent tan, denies sweating

ALLERGIES: No history of asthma, hives, eczema or rhinitis

References

SOAP NOTE REVIEW OF SYSTEMS
SOAP NOTE REVIEW OF SYSTEMS

Takeaways

SOAP Notes are should follow a set structure. Check whether your instructor has included a template for you to use. Otherwise, you can use our guidelines. However, if you don’t have sufficient time, make use of our nursing writers.

Most nurses already have the skills and competence but struggle with getting sufficient time to do nursing assignments. We were born out of the necessity to help out continuing and practice nurses with their nursing assignments, Not because they do not know how to, but to create time for them for other important things like rest, family, and the things that make this life worth living. Let us buy you some time!

SOAP NOTE REVIEW OF SYSTEMS
SOAP NOTE REVIEW OF SYSTEMS

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