I need a SOAP NOTE for a 51 year-old white male with past medical Hx of Hypertension, uncomplicated type 2 diabetes, and smoker with final diagnosis of Venous Insuficiency related to varicose veins to both lower extremities ( See instructions below. Check files loaded, included Rubric). Please include all soap note parameters as is on the soap note template. IF ANY EXTRA PAGE(s) NEED(s) TO BE ADDED PLEASE SEND ME A MESSAGE WITH THE ADDED FEE TO BE PAID. Thank you
Diferential diagnosis and final diagnosis requiere icd 10 code. Also include smoking cesation in the plan, please.
Thank you very much.
Instructions
Choose a SOAP note from an encounter in your clinical setting. It should be from a problem focused encounter. This should not be from a follow up visit. Remove all patient unique identifiers (medical record numbers, social security numbers, addresses, etc.). Convert the note so that it fits in the table format used for the example below (actual SOAP goes in the left column).
For more information, refer to the following:
SOAP Note Assignment Guidelines and SOAP Note template (Files loaded)
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