WebSample #2. HISTORY OF PRESENT ILLNESS: The patient is a pleasant (XX)-year-old G0 postmenopausal female who presents today for a routine GYN exam. The patient was … Prior levels of function are declined, even his prior graduation history from college. … WebAn accurate examination complements the history, provides additional information, helps thumb lever while removing the speculum and noting abnormalities of the vaginal sidewalls. • Assess urinary incontinence by asking patient to cough. ... › pelvic exam soap note. › female gyn exam documentation example. Abdomen: Soft, nontender to ...
OB-GYN SOAP Note Template 1 .docx - Course Hero
WebSOAP Notes Sample Medicine SOAP S: No SOB/CP overnight. 3 pillow orthopnea (improved from 4 at admission). Pt feels swelling in feet has improved but still has to ... FHT – fetal heart tracing PGYNH – past GYN history FM – fetal movement Pit – pitocin FT – full term PPBC – post partum birth control FWB – fetal well-being PPROM ... WebSOAP Note 2 Bacterial Vaginosis.docx. SOAP Note 2 Bacterial Vaginosis.docx. Sign In ... born august 2005
Health Maintenance in Women AAFP
WebPregnancy History: G0 P0 A0. Family History: Mother has Type 2 Diabetes, Father has Hypertension, No siblings; She lives with husband who has Arthritis. Nurs 6551: Primary Care of Women – Sample SOAP Note. Social History: She is an occasional smoker and is a social drinker. She denies use of illicit drugs. WebChristine Patrissi NUR. Professor Bush SOAP # May 24th, 2024. S: T. is a 45 y/o Caucasian female who presents with perimenopausal symptoms … WebJan 11, 2024 · Rhythm is regular. There is no peripheral edema, cyanosis or pallor. Extremities are warm and well perfused. Capillary refill is less than 2 seconds. No carotid bruits. LUNGS: Clear to auscultation and percussion without rales, rhonchi, wheezing or diminished breath sounds. ABDOMEN: Positive bowel sounds. have my lottery numbers ever been drawn