ADV HEALTH SOAP NOTE week 2 MAY 2020[rated A]

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SOAP NOTES TEMPLATE S: Subjective Information the patient or patient representative told you. Initials: TJ Age: 28 Gender: Female Height: 170 cm Weight: 90 kg BP: 140/81 HR: 89 Temp: ... SPO2: 97% on room air Pain (1-10): Allergies Medication Penicillin Food no known allergies Environment cat dander and cats History of Present Illness (HPI) CC 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”. Sometimes a patient has more than one complaint. For example: If the patient presents with cough and sore throat, identify which is the CC and which may be an associated symptom Chief Complaint (CC): “I’m having these breathing problems that just aren’t getting better”. Onset: Started 2 days ago, at her cousin’s house who owns a cat. [Show More]

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