NR511 KATIE 65 YO FEMALE (CC Coughing
Harvard University
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Exam (elaborations) (SOAP NOTE) NR511 KATIE 65 YO FEMALE (CC Coughing
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Exam (elaborations) (SOAP NOTE) NR511 KATIE 65 YO FEMALE (CC Coughing 
Patient states “I began coughing 1 week ago and its worse at night. My chest is starting to 
hurt from all of the coughing”. She also is c/o fatigue and getting “winded” while walking daily 
and no energy to attend her exercise classes. 
HPI: 
O: 1 week 
L: Chest 
D: 1 week (Have you had these symptoms in the past? If so, what months or seasons?) 
C: Fatigue, winded, pain in chest (Is your cough dry or productive...
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