Episodic/Focused SOAP Note Example

Sherman Tremaine a 54-year-old male Focused SOAP Note

Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations. Review the video, Case Study: Sherman Tremaine. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is […]

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Date: March 28th, 2023

CC (Chief Complaint): Abdominal pain and bloating

S: CC (Chief Complaint): Abdominal pain and bloating HPI (History of Present Illness): The patient, a 32-year-old female, presents with a complaint of abdominal pain and bloating for the past 5 days. She describes the pain as dull and aching, mostly located in the lower abdomen, but also present in the upper and mid-abdomen. The […]

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Date: March 28th, 2023

JF a 32-year-old female presents with complaints of fever

Patient Information: JF, a 32-year-old female, presents with complaints of fever, cough, and shortness of breath. S. CC (chief complaint): Fever, cough, and shortness of breath. HPI: JF reports feeling unwell for the past week, with symptoms that started as a mild cough and progressed to fever and shortness of breath. She describes her cough […]

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Date: March 28th, 2023

RM a 45-year-old male, presents with acute chest pain

Patient Information: RM, a 45-year-old male, presents with acute chest pain. S. CC (chief complaint): Acute chest pain. HPI: RM reports sudden onset of chest pain while at rest. The pain is located in the center of his chest and feels like pressure or tightness. He describes it as an 8 out of 10 in […]

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Date: March 28th, 2023

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