NURS 634 (NURS 634 SOAP NOTE)

NURS 634SOAP NOTE MSK-Low Back Pain latest SOAP # 4: MSK-Acute Low Back Pain Shumeka Hill, APN, PNP-AC UMASS History & Physical Examination Patient Demographics: Name: T.H. Age/race/sex: 26 Hispanic Female Clinical site: Primary Care clinic; Presents for sick visit. SUBJECTIVE DATA Chief Complaints: “My lower back has been hurting for about 2 weeks now”. History of Present Illness: Mrs. H is a 2...

Exam guide: SOAP NOTE MSK-Low Back Pain

SOAP # 4: MSK-Acute Low Back Pain APN, PNP-AC UMASS History & Physical Examination Patient Demographics: Name: T.H. Age/race/sex: 26 Hispanic Female Clinical site: Primary Care clinic; Presents for sick visit. SUBJECTIVE DATA Chief Complaints: “My lower back has been hurting for about 2 weeks now”. History of Present Illness: Mrs. H is a 26 y/o Hispanic female with a six year history of depression-controlled on...

SOAP # 3: Cardiovascular APN, PNP-AC UMASS History & Physical Examination Patient Demographics: Name: A.B. Age/race/sex: 47 Hispanic Female Clinical site: Primary Care clinic SUBJECTIVE DATA Chief Complaints: “My feet have been really swollen and painful since about Sunday. It hurts to just put on my shoes and walk for long periods of time”. History of Present Illness: Ms. B a 69 y/o female with a long-standing his...

History & Physical Examination Patient Demographics: Name: J.V. Age/race/sex: 28 Hispanic Male Clinical site: Primary Care clinic SUBJECTIVE DATA Chief Complaints: “My throat is scratchy, I’ve been sneezing non-stop, my nose has been running and congested, my eyes have been watery and itchy and I’ve been coughing for about two days now”. History of Present Illness: Mr. V presents for a sick visit with scratchy throat, sneezing, non-productive cough, rhinorrhea wi...

History & Physical Examination Patient Demographics: Name: T.T Age/race/sex: 33/Caucasian/male Clinical site: Primary Care clinic-HCM SUBJECTIVE DATA Chief Complaints “I’m here for my annual wellness exam and establishment of PCP” History of Present Illness: T.T is a 33 year old Caucasian male who presents to the primary care clinic today for a wellness exam and with a 10 year history of headache pain. He reports the headaches occur about every 3 years and last da...