37 y/o G3P2 Asian female return to clinic for her 26 weeks OB visit and Pap smear results.
Tested positive for Trichomonas; include all the relevant information pertaining to this diagnosis. Make up the rest of information. Every section should be completed in detail. Include 2 credible resource.
Submit 1 Mini-SOAP note on a patient that you saw in clinic this week. Submit as a Word Document. See example template below for required format.
Review the rubric for more information on how your assignment will be graded.
Demographic Data
Age, and gender (must be HIPAA compliant)
Subjective
History of Present Illness (HPI) in paragraph form (remember OLDCART: Onset, Location, Duration, Characteristics, Aggravating/Alleviating Factors, Relieving Factors, Treatment)
Past Med. Hx (PMH): Medical or surgical problems, hospitalizations, medications, allergies, immunizations, and preventative health maintenance as applicable
Objective
Include all diagnoses that apply for this visit
Plan
Tx Plan: (meds)
Referral/Follow-up