SU NSG6001 W4A2 LastName FirstInitial.doc..docx - CASE...

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CASE CHART 1 Title: SOAP Note Name: Institution: Date:
CASE CHART 2 SOAP NOTE CASE:DATE:TIME: SUBJECTIVE ANALYSIS Case reports having the following symptoms during the previous two days: Raised rate of urination A scorching feeling Pain during urination The case has also been subject to these indicators recently Rise in lower duodenal ache Vaginal release History of ailments- The case reports the urinary symptoms alike to those caused by a urinary tract infection (UTIs) that commenced less than three years back. She reports the lower back ache as acute and remarks that she came upon the vile smelling release just succeeding being involved in unsafe copulation with a former consort. Medical history- Perennial UTIs; gonorrhea X2, chlamydia X 1; Gravida IV Para III Previous Surgical History - Tubal ligation 2 years back. Family/Social History- Family: Single; history of different male sexual consorts; presently resides with new partner and a few children. Social: Refutes consumption of any drug recreationally.
CASE CHART 3 Medication History- None Allergy: Trimethoprim (TOM)/ Sulfamethoxazole (SMX) -Rash ROS Previous pap 6 months back, Refutes breast release. Affirmative for murky urine.
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