SOAP Note – Gastrointestinal & Endocrine

Chief Complaint (CC)  “neck swelling” PMH Patient denies PSH Surgical removal of benign left breast nodule 2 years ago Drug Hx No medication at the time Allergies NKA Subjective Mild difficult to shallow, Neck feels tight, Pt states she feels Palpitations  PE B/P 158/90; Pulse 102; RR 20; Temp 99.2; Ht 5,4; wt 114; BMI […]
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Neurological & Male Genitourinary Disorders

Chief Complaint (CC) “It burns when I urinate” History of Present Illness (HPI) A 68-year-old Caucasian male who reports to have increase on the frequency of urination with urgency for the last 5 days. He also present dysuria and nocturia PMH Benning prostatic hyperplasia diagnosed 3 years ago, UTI 6 months ago, Lithotripsy left kidney […]
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