The systems review should address:
1. General health: What is the level of the patient's conditioning? Is there daily or weekly exercise?
2. Weight: Has the patient experienced weight gain or loss, for example, 10-15 pounds over the past 6 mo? If the patient is obese determine its duration and whether fluctuations in the weight affect the symptoms.
3. Rheumatoid arthritis: Determine if there is a personal or family history and if the patient is undergoing therapy at present.
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