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Posted: May 1st, 2022

HYPOTHYROIDISM SOAP NOTE

  
Hypothyroidism SOAP NOTE
Affected person Initials: Age:  Gender: 
SUBJECTIVE DATA: 
Chief Grievance (CC): “ ”. 
Historical past of Current Sickness (HPI): 
Drugs: 
Allergic reactions: 
Previous Medical Historical past (PMH): 
Present remedy: 
Previous Surgical Historical past (PSH): 
Household Historical past: 
Private/Social Historical past: 
Immunization: updated. 
Life-style: 
Assessment of Methods: 
Common: 
HEENT: 
Neck: 
Breasts: 
Respiratory: 
Cardiovascular/Peripheral Vascular: 
Gastrointestinal: 
Genitourinary: 
Musculoskeletal: 
Psychiatric: 
Neurological 
Pores and skin: 
Hematologic: 
Endocrine: 
OBJECTIVE DATA: 
Bodily Examination:
Important indicators: Temperature: ; BP:  mmHg; HR: bpm; RR:  /min; Oxygen Saturation: %; Ache: (Zero-10 scale), Weight lb; Top; BMI 
Common:. 
HEENT: 
Neck: 
Chest
Lungs: 
Coronary heart: 
Peripheral Vascular: 
Genital/Rectal: 
Musculoskeletal: 
Neurological: 
Pores and skin: 
ASSESSMENT: 
Differential Analysis
1. Hyperthyroidism. 
2. 
three. 
From each the subjective and goal information, it’s clear that the primary prognosis is 
PLAN: 
Therapy Plan: (please prescription with dose)
Non-pharmacological approaches
For the follow-up, the affected person ought to get again to the hospital after 
References: 2 or three with APA format
  
Cleaning soap Notice 2 Power Circumstances (15 Factors)
Decide any Power Illness from Weeks 6-10
Comply with the MRU Cleaning soap Notice Rubric as a information:
Use APA format and should embody minimal of two Scholarly Citations.
Cleaning soap notes can be uploaded to Moodle and put by way of TURN-It-In (anti-Plagiarism program)
Flip it in Rating should be lower than 50% or is not going to be accepted for credit score, should be your individual work and in your individual phrases. You may resubmit, Last submission can be accepted if lower than 50%. Copy paste from web sites or textbooks is not going to be accepted or tolerated. Please see Faculty Handbook as regards to Tutorial Misconduct Assertion.
Please use the pattern templates for you cleaning soap be aware, preserve these templates for whenever you begin clinicals. 
Using templates is pleased with regards of Flip it in, however the Affected person Historical past, CC, HPI, The Evaluation and Plan must be of your individual work and individualized to your made up affected person.

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