• Review of the System ( for the past 6 months ) Physical assessment

General Weight loss fatigue anorexia

Night Sweats Chills fever
Fever weakness

The patient experienced fever due to her maculopapular rash.

Skin Itch
Itch Rash
Rash Lesion Bruising
Bleeding Color Change
Rash – the patient has maculopapular rash
Itch – Skin covered with confluent bumps which causes Itchiness

Eyes Pain Discharge Itch Vision Loss Diplopia

Excessive tearing glasses/contact lens Date of last exam:
No noted abnormalities in this area

Ears Earaches Discharges Tinnitus hearing loss

No noted abnormalities in this area

Nose Obstruction Discharges

Discharges Epistaxis

Discharges – the patient has Cough and the presence of sputum

Throat and Mouth Sore Throat bleeding gums toothache Dentures

No noted abnormalities in this area

Neck and head Swelling Dysphagia Hoarseness

No noted abnormalities in this area

Chest Cough
Cough Sputum:Amount
sputum: Amountand
andcharacter
Character Hemoptysis
Wheeze Pain on respiration Dyspnea
Cough – The patient usually experienced cough if she’s exposed to
dust.
Sputum – The patient has a cough, so a formation of sputum may
occur. Sputum is yellow in color
Cardiovascular Precordial pain Palpation Dyspnea on exertion
Paroxysmal nocturnal Dyspnea Orthopnea
Edema thrombophlebitis Claudication
No noted abnormalities in this area

Gastrointestinal Heartburn Nausea vomiting Bloating

Diarrhea Food intolerance change in BM excessive gas or indication
Constipation Melena
jaundice Hemorrhoids Hernia

No noted abnormalities in this area

Genitourinary Heartburn Nausea vomiting Bloating
Diarrhea Food intolerance change in BM excessive gas or indication
Constipation Melena
jaundice Hemorrhoids Hernia
No noted abnormalities in this area

Extremities Joint pains varicose veins claudication

back pain edema stiffness Deformities
No noted abnormalities in this area

Endocrine Hot flashes Hair loss temperature Intolerance

Polydipsia goiter
No noted abnormalities in this area

Neurology Numbness tingling tremor fainting

headaches muscle weakness ataxia
unconsciouness paralysis/paresis memory loss
dizziness seisure
No noted abnormalities in this area

Psych Anxiety Depression sexual problem Insomia Nightmares

No noted abnormalities in this area

Others
Finger Spelling Alphabet
Finger spelling (or dactylology) is the representation of the letters of a writing system,
and sometimes numeral systems, using only the hands. These manual alphabets (also
known as finger alphabets or hand alphabets), have often been used in deaf education,
and have subsequently been adopted as a distinct part of a number of sign languages
around the world. Historically, manual alphabets have had a number of additional
applications — including use as ciphers, as mnemonics, and in silent religious settings.

Importance of Finger Spelling Alphabet

• Finger Spelling shows ease in understanding

• Finger Spelling allows letters to be signed instead of phrases
• Conjunctions, prepositions and other grammar requirements are not prioritized