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Week 11 Soap Note, Pamela Dallas
Pamela Dallas
Regis College
Nu 650 Soap Note Wk 11
Dr.McFarland
Week 11 Soap Note, Pamela Dallas
Pamela Dallas
Regis College
Nu 650 Soap Note Wk 11
Dr.McFarland
Exam (elaborations)
Nu 650 Soap Note Wk 11
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Pages
4
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A+
Uploaded on
29-04-2024
Written in
2023/2024
Patient: SJ Age: 37 Gender: female DOB: 7/14/83 Allergies: NKDA Subjective: HPI: Patient presents today for new patient visit. Patient denies any pains, shortness of breath, and chest pain. Patient reports little interest or pleasure in doing things, nearly every other day of feeling down, depressed, or hopeless. Patient also reports headache. PMH: Headaches, anxiety, ulcer, and depression Surgical History: c-section 2001 Hospitalization: denies past hospitalization Family History: Mother & father alive, 2 brothers that are healthy, 1 son and 1 daughter Social History: sexually active and lives by herself, daughter is in college and son is incarcerated. Smokes marijuana every day and drink alcohol (liquor) every day. Patient reports mom just was diagnosed with stage 4 breast cancer and son is in prison. She doesn’t have time to think for herself. Reports marijuana and alcohol relaxes her. Current Medications: None
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- April 29, 2024
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- Written in
- 2023/2024
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nu 650 soap note wk 11
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