Tension-Type Headache in a 20-Year-Old Male: Comprehensive Patient Assessment and Diagnosis CASE STUDY: A 20-year-old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but the greatest intensity and pressure occurs above the eyes and spreads through…
SOAP Note Analysis Instructions Using evidence-based resources, answer the following questions and support your answers using current evidence from the literature: Analyze the Subjective Portion of the Note: List additional information that should be included in the documentation. Analyze the…
Title: Documentation of Problem-Based Assessment of the Head, Ears, and Eyes. Purpose of Assignment: To learn the required components of documenting a problem-based subjective and objective assessment of the head, ears, and eyes and to identify abnormal findings. Course Competency:…
THE HISTORY AND PHYSICAL (H & P) Format I.Chief Complaint Why the patient came to the hospital Should be written in the patient’s own words II.History of Present Illness (HPI) a chronologic account of the major…
Benign prostatic hyperplasia SOAP note Instructions This is a SOAP note Primary diagnosis: benign prostatic hyperplasia Differential diagnosis: UTI, urethral stricture, bladder calculi references no older than 2 years. Abnormal findings are placed in a bold and red tint.…
PEPTIC ULCER DISEASE DUE TO HELICOBACTER PYLORI: SOAP NOTE This is a SOAP note for a patient presenting with symptoms of peptic ulcer caused by H. pylori. Primary diagnosis: H. pylori peptic ulcer Differential diagnosis: GERD, IBS, cholecystitis, pancreatitis…
SOAP Note: Fibromyalgia Instructions This is a comprehensive SOAP note on a female 30-year-old newly diagnosed with fibromyalgia. Primary diagnosis: Fibromyalgia Differential diagnosis: Hypothyroidism, Bursitis, Anxiety References no more than 3 years old. No cover page. THE HISTORY AND…
Gastroesophageal Reflux Disease (GERD): A Comprehensive SOAP Note for a 34-Year-Old Obese Male This is a comprehensive SOAP note for an obese 34-year-old male who comes in with GERD symptoms. Primary diagnosis: Gastroesophageal reflux Differential diagnosis: Angina, Gastritis, Peptic…
Sinusitis This is a comprehensive SOAP note of a patient with sinusitis. Primary diagnosis: Sinusitis Differential diagnosis: Cold, Trigeminal Neuralgia, Migraine No cover page References no older than 3 years. Please use proper medical terms for all assignments. …
Benign Prostatic Hyperplasia: Comprehensive Assessment and Diagnosis of Lower Urinary Tract Symptoms in an Elderly Male THE HISTORY AND PHYSICAL (H&P) Chief Complaint “I have been experiencing extreme pain in my lower abdomen before, during, and after urinating.…
