– Complete SOAP Notes, History Questions, Physical Exam &
Management Plan chamberlain college of nursing .
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, C: 18 y/o M
Chief complaint is a short 1-2 statement or word phrase from patient and
should be listed in “quotes” “I feel awful, I’m exhausted. I have body aches
and just feel really tired.”
HPI: pertinent s/s; +/- ROS/prior episodes/recent travel/ill contacts 18 month, an 18-yr-
old male presented to the clinic with co persistent dry cough, sore throat, right ear pain,
fatigue, heada He reports he has exercised induced asthma which has been la receive his
annual flu vaccine. PMHx child/adult