Patient Information | NAME: | Sharon Doe | Today’s DATE: | _11__ / 29_ / 2012_ | CLIENT: | * Established Client | * New Client | GENDER: | * Male | X Female | MEDICAL RECORD #: | | Hispanic‚ Latino‚ or Spanish Origin | X Non- Hispanic | * Hispanic: (origin: ) | RACE: | * American Indian or Alaska Native | * Asian | X Black/ African American | * Native Hawaiian / Other Pacific Islander | * White
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The SOAP note is the accepted method of medical record entries for the military. S: (subjective) - What the patient tells you. O: (objective) - Physical findings of the exam. A: (assessment) - Your interpretation of the patients condition. P: (plan) - Includes the following: 1. Medical treatment: includes use of meds‚ use of bandages‚ etc. 2. Additional diagnostics: which if any test which still might be needed. X-ray MRI ect.. 3. Special instructions‚ handouts‚ use
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Cellulitis (sel-u-LI-tis) is a common‚ potentially serious bacterial skin infection. Cellulitis appears as a swollen‚ red area of skin that feels hot and tender‚ and it may spread rapidly. Skin on lower legs is most commonly affected‚ though cellulitis can occur anywhere on your body or face. Cellulitis may affect only your skin’s surface‚ or cellulitis may also affect tissues underlying your skin and can spread to your lymph nodes and bloodstream. Left untreated‚ the spreading infection may
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Axia Material SOAP Note Create three SOAP notes using correct medical terminology from the patient information in Appendix C. * Organize the information correctly * Format the SOAP notes * Revise language where necessary Post your paper as a Microsoft® Word attachment. Patient One – Chapter 6 Soap Notes Date: | 09/26/2011 | Chart: | 001 | Age: | 22 | Name: | Jane Doe | Date of Birth: | 02/11/89 | Sex: | F | S: | Patient has sever lower back pain that
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SOAP Note Create three SOAP notes using correct medical terminology from the patient information in Appendix C. • Organize the information correctly • Format the SOAP notes • Revise language where necessary Post your paper as a Microsoft® Word attachment. Patient One – Chapter 6 Soap Notes Date: Sat‚ Aug 27‚ 2011 04:05 pm Chart #: 1234-567-1234 Age: 22 Name: Susan Smith Date of Birth: 03/11/89 Sex : F S: Patient says she has been having acute back discomfort over the
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Cellulitis is a common‚ potentially serious bacterial infection. Cellulitis appears as a swollen‚ red area of the skin that feels hot and tender to touch. It can spread rapidly to other parts of the body. Cellulitis can affect only the skins surface‚ or it can affect tissues underlying the skin and can spread to lymph nodes and even the bloodstream. Cellulitis occurs when bacteria‚ most commonly streptococcus and staphylococcus enter through breaks in the skin. One of the most serious infections
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Assessment: Heart Failure: Mr. Jones with past medical history of MI‚ and be came to clinic today complaining of DOE that began 6 months ago. Currently he developed edema on his low extremities‚ and he gained 13 lbs recently. His LVEF is less than 20%. His SOB is worsening in last 4 days‚ which he has a difficulty to breathe after 30 feet of walking. According to the ACC/AHA guidelines‚ his hemodynamic subset is class II‚ which he has a warm and wet due to his sign and symptoms of edema‚ ascites
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Janice Angelica Ms Padilla AP Language 25 August 2013 SOAP: MLK “I Have a Dream” speech Martin Luther King’s speech was not nearly a “cry” but a declaration to the change he wanted to see within the United States. In his speech‚ he speaks of his dreams where both white and black citizens can get along without the barricade of “prejudice”. He speaks of states that continue to accept slavery such as Mississippi‚ Alabama‚ Georgia‚ and Louisiana. His subject is slavery‚ but he also talks
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SOAP INTRODUCTION * SOAP stands for Simple Object Access Protocol * SOAP is a communication protocol * SOAP is for communication between applications * SOAP is a format for sending messages * SOAP communicates via Internet * SOAP is platform independent * SOAP is language independent * SOAP is based on XML * SOAP is simple and extensible * SOAP allows you to get around firewalls * SOAP is a W3C recommendation SOAP‚ originally defined as Simple Object
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26 year old Native American female admitted with the diagnosis of Cellulitis. Her chief complaint of fever and vomiting that started at 1600 on 11/2/2016 with pain‚ swelling and redness in the right and left forearm. Patient reported shooting up Opana and using cocaine in the last 12 hours. Patient cleans her needles with Clorox and believes she may have injected Clorox into her right forearm. She also reports pain in the left forearm as well. The patient has no known drug allergy‚ no past medical
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