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Soap Note Unspecified Conjunctivitis Assignment

Soap Note Unspecified Conjunctivitis AssignmentSoap Note Unspecified Conjunctivitis AssignmentStudent Name)Miami Regional UniversityDate of Encounter:Preceptor/Clinical Site:Clinical Instructor: Patricio Bidart MSN, APRN, FNP-C Soap Note # ____ Main Diagnosis ______________ PATIENT INFORMATIONName:Age:Gender at Birth:Gender Identity:Source:Allergies:Current Medications:ORDER A PLAGIARISM-FREE PAPER HEREPMH: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(Include the name of your Main Diagnosis along with its ICD10 I10. (Look at PDF example provided) Include the in-text reference/s as per APA style 6th or 7th Edition.Differential diagnosis (minimum 3)–––PLAN:Labs and Diagnostic Test to be ordered (if applicable)· –· –Pharmacological treatment:–Non-Pharmacologic treatment:Education (provide the most relevant ones tailored to your patient) Follow-ups/ReferralsReferences (in APA Style)ExamplesCodina Leik, M. T. (2014). Family Nurse Practitioner Certification Intensive Review (2nd ed.).ISBN 978-0-8261-3424-0Domino, F., Baldor, R., Golding, J., Stephens, M. (2010). The 5-Minute Clinical Consult 2010(25th ed.). Print (The 5-Minute Consult Series). Soap Note Unspecified Conjunctivitis Assignment

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