NUR 6512N Week 4 Skin Comprehensive SOAP Note
(complete) / SOAP NOTE on Striae Gravidarum.
Week 4
Skin Comprehensive SOAP Note
Patient Initials: MS Age: 27 Gender: Female
SUBJECTIVE DATA:
Chief Complaint (CC): Irregularly shaped bands and on abdominal area and itchy bumps on
upper and lower extremities
History of Present Illness (HPI): Melissa Sholts is a 27-year-old white female G1P0 35 weeks
gestation who presents to OB triage today with a complaint of itchy skin on upper and lower
extremities and dark irregular bands on the abdominal area. Patient reports that she started to
notice the dark bands on her abdomen 2 weeks ago and that they are getting darker in color and
raised. Per patient, last week she developed itchiness and small pink pimple-like spots in the
stretch marks and spread to her upper and lower extremities a week ago. “Since last week I am
having a hard time sleeping due to itchiness and I started to take over the counter Benadryl 25
mg before bed, but it does not help much”. Patient denies any history of stretch marks in the
past.
Medications:
Prenatal vitamins
Benadryl 25mg before bed
Allergies:
Denies any allergies to medications, food, environmental
Past Medical History (PMH):
Denies any chronic illness
Past Surgical History (PSH):
This study so
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, NUR 6512N Week 4 Skin Comprehensive SOAP Note
(complete) / SOAP NOTE on Striae Gravidarum.
Appendectomy as a child at 5 years old
Sexual/Reproductive History:
Heterosexual
This study so
©urc2e0w2a1s dWowanlldoaedned Ubyn1iv00e0r0s0i8ty32558064 from CourseHero.com Page 2 of
https://www.coursehero.com/file/110840201/Stretch-marks-6512docx/
(complete) / SOAP NOTE on Striae Gravidarum.
Week 4
Skin Comprehensive SOAP Note
Patient Initials: MS Age: 27 Gender: Female
SUBJECTIVE DATA:
Chief Complaint (CC): Irregularly shaped bands and on abdominal area and itchy bumps on
upper and lower extremities
History of Present Illness (HPI): Melissa Sholts is a 27-year-old white female G1P0 35 weeks
gestation who presents to OB triage today with a complaint of itchy skin on upper and lower
extremities and dark irregular bands on the abdominal area. Patient reports that she started to
notice the dark bands on her abdomen 2 weeks ago and that they are getting darker in color and
raised. Per patient, last week she developed itchiness and small pink pimple-like spots in the
stretch marks and spread to her upper and lower extremities a week ago. “Since last week I am
having a hard time sleeping due to itchiness and I started to take over the counter Benadryl 25
mg before bed, but it does not help much”. Patient denies any history of stretch marks in the
past.
Medications:
Prenatal vitamins
Benadryl 25mg before bed
Allergies:
Denies any allergies to medications, food, environmental
Past Medical History (PMH):
Denies any chronic illness
Past Surgical History (PSH):
This study so
©urc2e0w2a1s dWowanlldoaedned Ubyn1iv00e0r0s0i8ty32558064 from CourseHero.com Page 1 of
https://www.coursehero.com/file/110840201/Stretch-marks-6512docx/
, NUR 6512N Week 4 Skin Comprehensive SOAP Note
(complete) / SOAP NOTE on Striae Gravidarum.
Appendectomy as a child at 5 years old
Sexual/Reproductive History:
Heterosexual
This study so
©urc2e0w2a1s dWowanlldoaedned Ubyn1iv00e0r0s0i8ty32558064 from CourseHero.com Page 2 of
https://www.coursehero.com/file/110840201/Stretch-marks-6512docx/
