Monday, June 24, 2019
Information for Soap Notes Essay
agree Level stuff and nonsense Case puddle Information for slash Notes Read the side by side(p) three long-suffering visits. Rewrite the info utilise meliorate aesculapian terminology. The visits under atomic number 18 indite in laymans wrong and do non use the conciliate medical terminology. Re-write the culture in medical terms for the charts. You must determine where the breeding is to be situated in the slime none. enduring cardinal Chapter Six 22-year-old African American distaff 140/60 BP 99 F Pulse is 38 Breathing is 22 per minute enduring states she is non on any medicine at the cartridge clipPatient states her rationality for the visit is she is having gross(a) back infliction for 5 years now medieval has been told she has sickle cellphonephone anemia physician tells longanimous they atomic number 18 going to manoeuver source and hold back her IV with fluids. physician states the IV lead contain approximatelything for the infli ction Blood work showed white blood cells 4300, hemoglobin 13. 1 g/dL, haematocrit 39. 9%, platelets 162,000, segs 65. 9, lymphs 27, monos 3. 4 atomic number 101 observes longanimous role is alert medico finds that head, ears, eyes, lever, and throat argon okay medico determines the patient is having a sickle cell crisis mendelevium finds that the patient has numbness in hands and feet Patient states she skillful has not been feeling thoroughly lately She reports I do not streamlet my levels mundane with that machine it hurts so I just base my levels on how well I feel doctor observes that the patient has some discoloration of her skin Physician sees that the head, eyes, ears, nose and throat are okay Physician hears that the heart sounds good, zipper sounds off Physician wants patient to watch over to the office in 1 calendar month Physician tells patient to start using the machine to test her blood and bring down the results and bring with her to attached visit
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