[Solved] Chief Complaint Hpi

[Solved] Chief Complaint Hpi

choose a case or disorder and Create a Focused SOAP Note/case presentation of a child or Adolescent. Use the attached template.

Subjective:

CC (chief complaint): 

HPI

Substance Current Use: 

Medical History: 

· Current Medications

· Allergies

  • Reproductive Hx

ROS

· GENERAL: 

· HEENT: 

· SKIN: 

· CARDIOVASCULAR: 

· RESPIRATORY: 

· GASTROINTESTINAL: 

· GENITOURINARY: 

· NEUROLOGICAL: 

· MUSCULOSKELETAL: 

· HEMATOLOGIC: 

· LYMPHATICS: 

· ENDOCRINOLOGIC: 

Objective:

Diagnostic results

Assessment:

Mental Status Examination: 

Diagnostic Impression: 

PRIMARY DIAGNOSIS(reason you chose this)

3 DIFFERENTIAL DIAGNOSIS(reasons these are ruled out)

Reflections:

Case Formulation and Treatment Plan: 

Five or more recent references

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