Posted: February 15th, 2022
Soap Note Unspecified Conjuntivitis
(Student Name)
Miami Regional University
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Date of Encounter:
Preceptor/Clinical Site:
Clinical Instructor: Patricio Bidart MSN, APRN, FNP-C
Soap Note # ____ Main Diagnosis ______________
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PATIENT INFORMATION
Name:
Can I Change Instructions for Dissertation Help or Thesis Writing After Ordering?
You can absolutely reach out to your academic writer using our simple, user-friendly chat feature. It’s there so you can add details, clarify instructions, or tweak adjustments for editing your research paper or dissertation according to your grading rubric—even after you’ve submitted "help me with thesis writing or dissertation help" and they’ve started working on your project.
Age:
Gender at Birth:
Gender Identity:
Source:
Allergies:
Current Medications:
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PMH:
Immunizations:
Preventive Care:
Surgical History:
Family History:
Social History:
Sexual Orientation:
Nutrition History:
Subjective Data:
Chief Complaint:
Symptom analysis/HPI:
The patient is …
Review of Systems (ROS) (This section is what the patient says, therefore should state Pt denies, or Pt states….. )
CONSTITUTIONAL:
NEUROLOGIC:
HEENT:
RESPIRATORY:
CARDIOVASCULAR:
GASTROINTESTINAL:
GENITOURINARY:
MUSCULOSKELETAL:
SKIN:
Objective Data:
VITAL SIGNS:
GENERAL APPREARANCE:
NEUROLOGIC:
HEENT:
CARDIOVASCULAR:
RESPIRATORY:
GASTROINTESTINAL:
MUSKULOSKELETAL:
INTEGUMENTARY:
ASSESSMENT:
(In a paragraph please state “your encounter with your patient and your findings ( including subjective and objective data)
Example : “Pt came in to our clinic c/o of ear pain. Pt states that the pain started 3 days ago after swimming. Pt denies discharge etc… on examination I noted this and that etc.)
Main Diagnosis
(Get custom essay samples and course-specific study resources via course hero homework for you service - Include the name of your Main Diagnosis along with its ICD10 I10. (Look at PDF example provided) Get custom essay samples and course-specific study resources via course hero homework for you service - Include the in-text reference/s as per Ace homework tutors - APA style 6th or 7th Edition.
Differential diagnosis (minimum 3)
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PLAN:
Labs and Diagnostic Test to be ordered (if applicable)
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Pharmacological treatment:
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Non-Pharmacologic treatment:
Education (provide the most relevant ones tailored to your patient)
Follow-ups/Referrals
References (in Ace homework tutors - APA Style)
Examples
Codina Leik, M. T. (2014: 2024 - Essay Writing Service | Write My Essay For Me Without Delay). Family Nurse Practitioner Certification Intensive Review (2nd ed.).
ISBN 978-0-8261-3424-0
Domino, F., Baldor, R., Golding, J., Stephens, M. (2010 - Essay Writing Service: Write My Essay by Top-Notch Writer). The 5-Minute Clinical Consult 2010 - Essay Writing Service: Write My Essay by Top-Notch Writer
(25th ed.). Print (The 5-Minute Consult Series).