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CC: “My nose is swollen where I have my piercing” HPI: The 36 year old Hispanic female patient reports redness and swelling with pus filled acne at site of left nostril piercing. She has not used medication at site of piercing, denies fever and chills. Medications: (list with reason for med ) None PMH Allergies: NKA Medication Intolerances: None Chronic Illnesses/Major traumas: Denies Hospitalizations/Surgeries- Breast augmentation

CC: “I’m have been having palpitations since waking this morning” HPI: A 73-year-old Caucasian male patient arrives at the office, describing a sudden onset of palpitations that woke him from sleep. The patient denies chest pain, but expresses discomfort due to the palpitations. Additionally, he reports mild shortness of breath, particularly exacerbated during exertion. Medications: (list with reason for med ) Glimipiride 5 mg daily -Diabetes Lisinipril 40mg once a day- Hypertension ...

CC: “I have been having white cottage like vaginal discharge and itching” HPI: A 32-year-old Hispanic female, presents with a chief complaint of white cottage-like vaginal discharge and itching persisting for the past week. She describes the discharge as a novel occurrence and notes no associated foul odor. The patient reports a regular menstrual history, denies recent changes in hygiene or sexual activity, and is in a monogamous relationship. She has not used any vaginal products or medica...

CC: “I have been having knee pain for 6 months” HPI: A 70-year-old Middle Eastern female presents today with a chief complaint of persistent knee pain that has been troubling her for the last 6 months. According to the patient, the pain initially started gradually and has progressively worsened over time. She describes the pain as a dull ache, primarily localized to the medial aspect of the right knee. The patient notes that the pain is exacerbated during weight-bearing activities, such as ...

CONPH NSG6340/NSG6440 Subjective, Objective, Assessment, Plan (SOAP) Notes/CONPH NSG6340/NSG6440 Subjective, Objective, Assessment, Plan (SOAP) NotesCONPH NSG6340/NSG6440 Subjective, Objective, Assessment, Plan (SOAP) NotesCONPH NSG6340/NSG6440 Subjective, Objective,

CC: ““Having fever, runny nose, sneezing and cough” HPI: Mother reports that pt has been experiencing a fever, runny nose, sneezing, and cough for the past 3 days. The fever has been fluctuating, reaching up to 102°F. The cough is mostly dry and occurs intermittently throughout the day. No history of sore throat, ear pain, or shortness of breath. Medications: None Previous Medical History: None Allergies: NKA Medication Intolerances: None Chronic Illnesses/Major traumas: None Hos...

CC: Swollen ear for 2 days HPI: The patient reports experiencing swelling in his right ear for the past 2 days. The swelling began suddenly and has progressively worsened. He describes the ear as feeling warm to the touch and mildly painful, especially when lying on that side or touching the ear. There is no significant discharge from the ear, but he has noticed some redness in the area. The patient denies any recent trauma or injury to the ear. He also denies experiencing fever, hearing los...

CC: “I have been having white cottage like vaginal discharge and itching” HPI: The patient reports experiencing white, cottage cheese-like vaginal discharge and itching for the past 5 days. She denies any foul odor, fever, or abdominal pain. The patient states that the symptoms began after completing a course of antibiotics for a sinus infection. Medications: Previous Medical History: None Allergies: NKA Medication Intolerances: None Chronic Illnesses/Major traumas: None Hospitaliza...

CC: “Here for a follow-up after recent lab work.” HPI: The patient is a 42-year-old male who returns for follow-up after his annual physical examination. He reports no new symptoms since his last visit. He continues to take his medications as prescribed and has made some efforts to improve his diet and physical activity, though he admits consistency has been challenging. Medications: Atorvastatin 20 mg daily, Lisinopril 10 mg daily Previous Medical History: HTN, Hyperlipidemia Medicati...

CC: Runny nose, congestion, sore throat, and cough for 5 days HPI: The patient reports a runny nose, nasal congestion, sore throat, and a non-productive cough that started 5 days ago. The symptoms have progressively worsened, and he now experiences mild headaches and fatigue. He denies any fever, chills, or shortness of breath. He has not taken any medication for his symptoms. Medications: Previous Medical History: None Allergies: NKA Medication Intolerances: None Chronic Illnesses/Major...