NR511 Week 4 Soap Note Chamberlain College of Nursing

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NR511 Week 4 Soap Note Chamberlain College of Nursing Soap Note Patrick 42 years old S: Subjective Chief Complaint (CC): Abdominal History of present illness (HPI): O: Sudden abdominal pain. L.... One side of back: D: ongoing, since 5.am today. C: Worsening, pain, throbbing pain to stomach. A: shooting pain down into groin.. R: none T: Not provided. S Restless, frequent bathroom breaks, pain of 8/10 Current Medications: None, Allergies: NKDA Seasonal allergies: Hay fever. PMHx: Psoriasis Immunizations: up to date Hospitalization broken leg at age 8, requiring traction surgical hx:, Appendectomy at 10 Family Hx Parents are deceased. Mother(died at age 51 from a brain tumor. Father died at age 53 from leukemia. Has one brother in good health. Soc Hx: Works as a plumber. Sleeps 5-6 hours a night, smokes 1 ppd, No ETOH or illicit drug use CONSTITUT [Show More]

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