T- Timing- concise vs. complete and thorough, depending on need of presenter and audience. E- Elicit- ask for feedback- more information needed? Less?

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Transcription:

Review of STAGE presentation framework (from umass.macy.edu, revised Alicia Monroe, MD from 2005 STFM) S- style organization, sequencing adequate to build a case for your diagnosis or a story T- Timing- concise vs. complete and thorough, depending on need of presenter and audience A- Audience- present to level of audience in terms of content, jargon, etc. G- Goals- have these in mind- presenting for a grade/to give information to a consultant/for patient transfer and care continuity, etc. Include needed information for the purpose at hand. E- Elicit- ask for feedback- more information needed? Less? Introduction to Review of Systems (ROS): The review of systems in many ways allows completion of information gathering and complements the HOPI both in content and in intent. Refining the use of the ROS is a matter of experience; many physicians ask a 2-3 questions in each domain routinely, but add others depending on clinical history or suspicion in a particular patient case. The openness of the physician and the attentive manner of his/her listening to patients answers to the ROS deepens rapport and increases chances of meaningful disclosure of history that will assist with the delivery of appropriate health care. Some symptoms elicited in the ROS will require further investigation (such as unexplained severe weight loss) while others (an occasional runny nose) may not need much follow up, but all should be acknowledged and their prioritization or potential severity discussed with the patient. From Module 5 DOC.COM a very complete ROS template Table 6: Review of systems. (medical terms [used in oral and written presentations] are in parentheses) 1. General Usual state of health Fever Chills Night sweats Appetite Weight change Weakness Fatigue Apathy or loss of interest

2. Skin Rashes Itching Hives Easy bruising Change in moles Loss of pigment Change in hair pattern 3. Head Dizziness Headaches Fainting Head injuries 4. Eyes Use of glasses Change in vision Double vision (diplopia) Redness (erythema) History of glaucoma Cataracts Dryness 5. Ears Hearing loss Use of hearing aid Ringing (tinnitus) Nose Nosebleeds (epistaxis) Loss of smell (anosmia) 6. Mouth and Throat Bleeding gums ful swallowing (odynophagia) Difficulty swallowing (dysphagia)

Hoarseness Tongue burning (glossodynia) Tooth pain 7. Neck Goiter Stiffness 8. Chest Cough Shortness of breath (dyspnea) Sputum production Coughing blood (hemoptysis) Wheezing 9. Breasts Milky discharge (galactorrhea) Bleeding from the nipple Self-examination Breast feeding history 10. Cardiac Chest pain Palpitations or fluttering in the chest Shortness of breath (dyspnea) on exertion lying flat (orthopnea) awakening from sleep (paroxysmal nocturnal dyspnea) Swelling of feet or other regions (edema) 11. Vascular in legs, calves, thighs, hips, buttocks when walking (claudication) Leg swelling Blood clots (thrombophlebitis) Ulcers 12. Gastrointestinal Loss of appetite Nausea Vomiting (emesis)

Vomiting blood (hematemesis) Swallowing difficulty/pain Heartburn (dyspepsia) Abdominal pain Constipation Diarrhea Change in stool color/caliber Black, tarry stools (melena) Rectal bleeding (hematochezia) Hemorrhoids 13. Urinary Frequent urination (frequency) Awakening at night to urinate (nocturia) Infrequent urination Abrupt urge to urinate (urgency) Difficulty starting stream Incontinence or loss of control of urination Blood in urine (hematuria) on urination (dysuria) 14. Female Genital Lesions/discharge/itching Age of first menstrual period (menarche) Interval between menses Duration of menses Amount of flow Last menses Bleeding between periods Pregnancies Abortions/miscarriages Libido ful intercourse Orgasm function Age at menopause Menopausal symptoms Postmenopausal bleeding 15. Male Genital Lesions/discharge Erectile function Orgasm function

Testis swelling/pain Libido Hernia 16. Neuropsychiatric Fainting Paralysis Numbness Tingling Tremors Loss of memory Mood changes Sleep Nervousness Speech disorders Dizziness or vertigo Poor balance (ataxia) Hallucinations Seizures 17. Hematologic anemia easy bruising or bleeding past transfusions and any reactions to those 18. Musculoskeletal Weakness Muscle pain Stiffness Arthritis Gout

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