Paget Disease of the Nipple-SOAP Note Instructions This is a soap note to be done on a female patient with a primary diagnosis of Paget Disease of the Nipple Differential diagnosis: Eczema, and psoriasis. INCLUDE ICD 10 CODE WITH DIAGNOSIS…
GYNHistory and Physical Template ChiefComplaint: HPI – First sentence should include age, parity, LMP and present problem (details about cc andotherrelevant information). MenstrualHistory Menarche,duration,flowandcyclelengthofmenses,IMB(intermenstrual bleeding), or contact bleeding, dysmenorrheal, PMS,climacteric GynecologicHistory Breasthistory–historyofbreastdisease,breastfeeding,theuseofSBE(Self Breast Exam),last mammogram(if applicable) Previousgynsurgery(caninclude…
Case Study: Chlamydia, Trichomoniasis ,Bacterial Vaginosis Instructions Review the Learning Resources for this week, with a focus on the media program related to basic microscope skills. Also, consider revisiting the media programs found in Week 1 Learning Resources. Carefully review…
Case Study: Missed Period Instructions Juanita Morales is a 47-year-old G5. P5 LC 6, Hispanic female who presents to the office complaining of lower abdominal cramping, and urinary leakage for past day. She states the abdominal cramping, suprapubic, started several…
Episodic/Focused SOAP Note Template Patient Information: Initials, Age, Sex, Race S. CC (chief complaint): This is a brief statement identifying why the patient is here in the patient’s own words, for instance, “headache,” not “bad headache for 3 days.”…
Case Study: Postmenopausal Bleeding Instructions Thelma Smith is a 58-year-old African American female who presents to the office with the complaint of brown discharge for several days last week. Her medical history is remarkable for type 2 diabetes somewhat controlled…
Instructions Attached: –SOAP Example to use as a guide – SOAP Template to fill out for this assignment. Instructions: -Choose one skin condition graphic to document your assignment in the SOAP note (Subjective, Objective, Assessment, and Plan). – Use the…
Week 4 Skin Comprehensive SOAP Note Template Patient Initials: _______ Age: _______ Gender: _______ SUBJECTIVE DATA: Chief Complaint (CC): History of Present Illness (HPI): Medications: Allergies: Past Medical History (PMH): Past…
Comprehensive SOAP Exemplar Purpose of the Comprehensive SOAP exemplar: To demonstrate what each section of the SOAP note should include. Remember that Nurse Practitioners treat patients in a holistic manner and your SOAP note should reflect that premise. …
Cognitive Decline in an Elderly Patient Instructions Case study: Forgetfulness A 70-year-old female comes to your clinic with complaints of forgetfulness. She noticed it about a year ago and it has progressively gotten worse. She sometimes forgets what she is…
