AR2728
Expert
I have one physician who frequently lists diagnosis under past medical history and wants to use this as his Review of Systems. Is this possible? I'm having a hard time pulling out much for a review of systems, certainly having a difficult time counting this as complete ROS. I have provided an example:
PAST MEDICAL HISTORY:
1. Right foot and ankle surgery times 7.
2. Previous left 4th toe partial amputation due to diabetic ulcer.
3. Previous back surgery with spinal fusion.
4. Previous gastritis by biopsy.
5. Previous upper and lower endoscopies.
6. Colonic polyp that was adenomatous polyp and benign.
7. Previous hysterectomy due to an ovarian tumor.
8. Previous cholecystectomy.
9. Previous ventral hernia repair.
10. Diabetes mellitus that is now insulin dependent although it is adult onset.
11. Hyperlipidemia.
12. Hypercholesterolemia.
13. Hypertension.
14. Congestive heart failure.
15. Chronic renal failure with previous severe acute renal failure secondary to dye exposure.
16. AVM of the GI tract.
17. Previous depression.
18. Previous anxiety.
19. Diabetic peripheral neuropathy.
20. Gastroesophageal reflux disease.
21. Left nasal septal deviation.
22. Cardiomegaly.
23. Chronic anemia which may well be multifactorial.
24. She has a stated history of pulmonary hypertension but she says she has never had a
coronary angiogram. She was not aware of this but it is on some of her old medical records.
25. Obstructive sleep apnea.
26. Previous vertigo.
27. Migraine headaches.
28. Irritable bowel syndrome with diarrhea dominance.
29. Herpes zoster.
30. Diverticulosis.
31. Proteinuria, unclear of what degree of nephrotic syndrome she may have but I suspect
with her other processes that she has nephrotic syndrome.
32. Aortic atherosclerosis noted on her CAT scan this admission.
PAST MEDICAL HISTORY:
1. Right foot and ankle surgery times 7.
2. Previous left 4th toe partial amputation due to diabetic ulcer.
3. Previous back surgery with spinal fusion.
4. Previous gastritis by biopsy.
5. Previous upper and lower endoscopies.
6. Colonic polyp that was adenomatous polyp and benign.
7. Previous hysterectomy due to an ovarian tumor.
8. Previous cholecystectomy.
9. Previous ventral hernia repair.
10. Diabetes mellitus that is now insulin dependent although it is adult onset.
11. Hyperlipidemia.
12. Hypercholesterolemia.
13. Hypertension.
14. Congestive heart failure.
15. Chronic renal failure with previous severe acute renal failure secondary to dye exposure.
16. AVM of the GI tract.
17. Previous depression.
18. Previous anxiety.
19. Diabetic peripheral neuropathy.
20. Gastroesophageal reflux disease.
21. Left nasal septal deviation.
22. Cardiomegaly.
23. Chronic anemia which may well be multifactorial.
24. She has a stated history of pulmonary hypertension but she says she has never had a
coronary angiogram. She was not aware of this but it is on some of her old medical records.
25. Obstructive sleep apnea.
26. Previous vertigo.
27. Migraine headaches.
28. Irritable bowel syndrome with diarrhea dominance.
29. Herpes zoster.
30. Diverticulosis.
31. Proteinuria, unclear of what degree of nephrotic syndrome she may have but I suspect
with her other processes that she has nephrotic syndrome.
32. Aortic atherosclerosis noted on her CAT scan this admission.