Necessary Elements of a Dermatologic History and Physical Evaluation

Janet M. Cole, Deanna Gray-Miceli


Dermatology Nursing. 2002;14(6) 

In This Article

Review of Systems

General. Fever, chills, desired weight, fatigue.

Diet. Appetite, restrictions, supplements, vitamins.

Skin, hair, and nails. Rashes, pigment changes, pruritus, easy bruising; change in hair texture, quantity, distribution; nail changes.

Head and neck. Injuries, headaches, dizziness, loss of consciousness.

Eyes. Visual changes, trauma, eye diseases.

Ears. Tinnitus, hearing loss, pain, vertigo.

Nose. Congestion, nose bleeds, post-nasal drip.

Mouth and throat. Sore throat, hoarseness, ulcers; dental problems, hygiene/condition of teeth.

Gastrointestinal. Heartburn, indigestion, ulcers, pain, bowel changes, bloating.

Endocrine. Recent weight change, heat or cold intolerance, frequent thirst or urination, hair changes, increased hat, glove or shoe sizes.

Respiratory. Cough, shortness of breath, dyspnea on exertion, night sweats.

Cardiovascular. Chest pain, palpitations, edema, or claudication.

Genitourinary. Flank pain, urgency, dysuria, hematuria, or discharge.

Musculoskeletal. Joint pain, heat and swelling.

Neurologic. Weakness, fainting, change in coordination, memory loss.

Psychiatric. Anxiety, depression; changes in mood, concentration, sleep patterns, eating; suicidal thoughts.