Chronic GVHD review of systems
No. . | System/others . | Inquire/description . |
---|---|---|
1 | Skin | Skin feels tight or hard, increased dryness, pruritus, or looks different (ie, new rash, papules, discoloration, shining scar-like, scaly)? |
2 | Sweat glands | Inability to sweat or to keep body warm? |
3 | Skin appendages | Loss of hair (scalp or body including bows or lashes), or nail changes (ridges or brittle, loss)? |
4 | Fasciae/joints | Stiffness or pain in the wrists, fingers, or other joints? |
5 | Eyes | Eye dryness, sensitivity to wind or dry environments (air conditioning), pain? |
6 | Mouth | Oral dryness, taste alterations, sensitivities (spicy/carbonate drinks, toothpaste), ulcers/sores, pain? |
7 | Esophagus | Foods or pills gets stuck upon swallowing? |
8 | Lungs | Cough, dyspnea (on exertion or rest) or wheezes? |
9 | Genital tract | Vaginal dryness, pain, dyspareunia (female); pain or dysuria due to stenosis of urethra (male)? |
10 | Weight loss | Unexplained weight loss or inability to gain weight (pancreatic insufficiency or hypercatabolism)? |
No. . | System/others . | Inquire/description . |
---|---|---|
1 | Skin | Skin feels tight or hard, increased dryness, pruritus, or looks different (ie, new rash, papules, discoloration, shining scar-like, scaly)? |
2 | Sweat glands | Inability to sweat or to keep body warm? |
3 | Skin appendages | Loss of hair (scalp or body including bows or lashes), or nail changes (ridges or brittle, loss)? |
4 | Fasciae/joints | Stiffness or pain in the wrists, fingers, or other joints? |
5 | Eyes | Eye dryness, sensitivity to wind or dry environments (air conditioning), pain? |
6 | Mouth | Oral dryness, taste alterations, sensitivities (spicy/carbonate drinks, toothpaste), ulcers/sores, pain? |
7 | Esophagus | Foods or pills gets stuck upon swallowing? |
8 | Lungs | Cough, dyspnea (on exertion or rest) or wheezes? |
9 | Genital tract | Vaginal dryness, pain, dyspareunia (female); pain or dysuria due to stenosis of urethra (male)? |
10 | Weight loss | Unexplained weight loss or inability to gain weight (pancreatic insufficiency or hypercatabolism)? |