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patients should have progress notes written every 4 hours in latent labor and every 2 hours in ... Document using regular soap note. ... WELL WOMAN EXAM.


GROWTH CHART: Following growth curve well in all parameters. ASSESSMENT /PLAN: * Healthy 4-month old infant. - Follow up at 6 months of age, or sooner ...


Feb 4, 2021 ... ... in Adults, Well Woman Exam, Well Male Exam, Health Maintenance in Women, ... Start screening for men and women at age 20 years old.


RTC as needed for support and well-woman care. ... She noticed the lump when doing a breast self-exam for Breast Cancer ... Has not had this problem in the past, has been using s...


Feb 23, 2020 ... Learn the basics for writing a SOAP note for medical school or becoming an ... Physical exam findings: Head ... Healthy, well-nourished female.


S is an 82 year old woman with a history of dementia who is admitted for hyperkalemia and acute renal failure.” Concise statement that describes the patient's age, ...


Document a clear, concise SOAP note for patients with com- mon hematologic ... mammogram and well-woman exam were 3 years ago, and both were normal.


Sep 6, 2016 ... Both mother and grandmother did not note any changes in Cortez's ... General: Patient is a well-developed, well-nourished infant in no ...


The students have granted permission to have these H&Ps posted on the website as examples. H&P 1 “77 yo woman – swelling of tongue and difficulty breathing ...


L is a 60-year-old woman who comes to see you for a follow-up of her hypertension. She only complains of mild fatigue. On physical exam, her BP is well ...