With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers. Pharynx is nonerythematous and without exudate. Whatever the need may be, our goal is to help students make it to graduation and achieve their dreams. Flu shot in October 2012 and plans to get the Flu vaccine this year. IHuman - SCOTT BALDWIN (SEIZURE) - $14.49 Add to cart. Capillary refill 2 seconds. Exercise and leisure:Walks occasionally for exercise. Slightly somber affect at first, then brighter later. Thepain should ease within two to three days. Full ROM; no cervical lymphadenopathy; no occipital nodes. SOAP Note and Differential Diagnoses for iHuman Case. Include a discount code if you have one. HEENT: Head is normocephalic, atraumatic and without lesions; hair evenly distributed. When autocomplete results are available use up and down arrows to review and enter to select. Pulses 3+ throughout. They will write your papers from scratch. They are also well versed with citation styles such as APA, MLA, Chicago, Harvard, and Oxford which come handy during the preparation of academic papers. Skin is brown, warm, dry, clean and intact. Pricing and Discounts Capillary refill 2 seconds. We hire writers from all over the world with an aim to give the best essays to our clients. Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples, o 1- Herpes zoster without mention of complication (053.9) o 2- Rash and other nonspecific skin eruption (782.1) o 3- Other malaise and fatigue (780.79), Presumptive Diagnosis o 1- Herpes zoster without mention of complication (053.9), Diagnois: Herpes zoster without mention of complication (053.9), Medication: Valtrex 1000 mg PO q8h X 7 days, Education: Continue using Tylenol 650 mg PO to manage pain. This week, complete the iHuman case titled Jack Baldwin VE Complete the iHuman Case study in SOAP format t. To support your SOAP note, use your course and text readings and also use the South University Online Library. Otherwise no complaints at this time. Maintains eye contact. We need some time to prepare a perfect essay for you. Alert and oriented X3, well groomed, well nourished and hydrated. Tactile fremitus equal bilaterally. ICD-10 Code Lookup. 34 year old white male who appears his stated age. Primary care: A collaborative practice (4rd ed.). May also place a cool compress to area to ease pain. Family Practice Guidelines, Third Edition, 3rd Edition. Rash present to mid-back on the right side at location of 6thrib, bright red, linear form, with vesicular type blisters present. External genitalia reveals coarse pubic hair in normal distribution; skin color is consistent with general pigmentation.No uretheral discharge. The pain started out mild when I first woke up. The left groin region is visibly swollen and indurated to palpation. Davis Company. Jack Baldwin (V) Actor IMDbPro Starmeter See rank Play trailer 2:14 The Rochdale Pioneers (2012) More at IMDbPro Contact info Agent info Jack Baldwin is known for Henry IV: Part 1 (2012), The Ballad of the Lonely Highwayman (2012) and The Show Must Go Online (2020). Urgency, frequency burning, change in color of urine. Add or change photo on IMDbPro Add to list Known for Henry IV: Part 1 8.7 Falstaff Quality- We are experienced and have access to ample research materials. Overwise, PRN. Balance stable; gait normal.Psychiatric: Alert and oriented to person only. Step 3 This disc, Promoting international trade is not a zero-sum game. 2022 Nursingbay.com. No other lesions, bruises, or suspicious moles present. Contraception, sexual activity, STDS Fe: last pap, breast, mammo, menstrual complaints, vaginal discharge, pregnancy hx;Male: prostate, Sinus problems, dysphagia, nose bleeds or discharge, dental disease, hoarseness, throat pain, Back pain, joint swelling, stiffness or pain, fracture hx, osteoporosis, Syncope, seizures, transient paralysis, weakness, paresthesias, black out spells. Provide a reference for your treatment plan (in APA format). Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples. (Male: both testes palpable, no masses or lesions, no hernia, no uretheral discharge. This can cause changes in a person's behavior, movement . If you need any help with this tutorial, seek online assignment help from the Homework Minutes experts. Testicular torsion: sudden onset of pain which is exquisite tenderness; and a high-riding, horizontally displaced testis (Goolsby & Grubbs, 2015). Healthy appearing adult female in no acute distress. Environmental hazards:Patient denies any environmental hazards. Shortly strength antfish ftw patetesli tuzlu kek video! Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples. Alert and oriented X3, well groomed, well nourished and hydrated. Retrieved fromhttps://digitalbookshelf.southuniversity.edu/#/books/9780826168757/. Have you every been told that you have: Diabetes, HTN, peptic ulcer disease, asthma, lung disease, heart disease, cancer, TB, thyroid problems or kidney disease or psychiatric diagnosis.. It is a win-win proposition; both parties gain from trade. Alert and oriented; answers questions appropriately. Resonance noted to all fields with percussion. No vulvar lesions noted. Goolsby, M. J., & Grubbs, L. (2015). (Rectal as appropriate: no evidence of hemorrhoids, fissures, bleeding or massesMales: prostrate is smooth, non-tender and free from nodules, is of normal size, sphincter tone is firm). Chronic Illnesses/Major traumas: Patient has a significant history for hypertension Chronic Health Problems: Immunizations: Up to date on all immunizations. Maintains eye contact. 34 year old white male who appears his stated age. Limit Tylenol to less than 4 g per day. SOAP Note and Differential Diagnoses for iHuman Case. Bilateral TMs pearly grey with positive light reflex; landmarks easily visualized. He makes eye contact and responds to questions appropriately. Dressed in clean slacks, shirt and coat. InCMS.gov. Scrotal ultrasound reveals the following: Normal testicular size bilaterally (Fischbach & Dunning, 2014). i-Human Patients 82 subscribers Web demo of i-Human Patients Case Player in HD. Clear to auscultation with no . Abdomen soft, non-tender. He is not in distress. Thepain should ease within two to three days. Summetrical thoracis expansion. This week, complete the iHuman case titled " Buddy (Theodore, Jr.) VE ." Remember to keep the patients identity private; use the minimal amount of information possible to get the idea across. Advise that a person sho has never had chicken pox may contract chicken pos by exposure to the shingles rash. He was supervised by Derek Barton, a pioneer of conformational analysis the idea that the. Psychiatric: Alert and oriented to person only. No palpable thrills, lifts, or heaves. Provide a subjective, objective, assessment, and plan (SOAP) note on this patient and your treatment plan using the SOAP note template. Nose: Nasal mucosa pink; normal turbinates. The reference may come from a journal, a book, etc. Well estrogenized. Fitness: encouraging increasing exercise (Buttaro, Trybulski & Bailey, 2013). Describe the course of the patients illness, including when it began, character of symptoms, location where the symptoms began, aggravating or alleviating factors; pertinent positives and negatives, other related diseases, past illnesses, surgeries or past diagnostic testing related to present illness. Speech clear. Balance stable; gait normal. Angela Cortez iHuman Case study Example Essay. Balance stable; gait normal. Well estrogenized. ). Popular books for Arts, Humanities and Cultures. The testicles are normal in size and nontender to palpation. Standardized, Automated Assessments. Jack Baldwin (American football) John David Baldwin (July 31, 1921 - September 13, 1989) was an American football player who played at the center and linebacker positions. Eyes: PERRLA. Surgery is an effective treatment, laparoscopy or through an open procedure or mesh repair depending the size of the hernia, and the onset of strangulation. Normal penile shaft, without lesions or discharge. Our writers are also not the kind to decorate articles with unnecessary filler words. Your payment is processed by a secure system. No conjunctival or scleral injection. 4 pages. College pals.com Privacy Policy 2010-2018, ORDER COMPREHENSIVE SOLUTION PAPERS ON Jack Baldwin VE iHuman Episodic SOAP Note, Write a 3-page briefing of potential factors and issues associated with four types of business entities in the context of U.S. contract law. Delayed healing, rashes, bruising, bleeding or skin discolorations, any changes in lesions or moles, Cough, wheezing, hemoptysis, dyspnea, pneumonia hx, TB, Corrective lenses, blurring, visual changes of any kind, Abdominal pain, N/V/D, constipation, hepatitis, hemorrhoids, eating disorders, ulcers, black tarry stools, Ear pain, hearing loss, ringing in ears, discharge. The left groin region is visibly swollen and indurated to palpation. Purchased By: 2 Posted By: joyfull Questions: 3914 Tutorials: 3810 Feedback Score: 98% (851 ratings) Report this Tutorial as Inappropriate Abdomen soft, non-tender. Uterus is antevert and positioned behind a slightly distended bladder; no fullness, masses, or tenderness. Include signs, symptoms, and risk factors. Exercise and leisure: Walks occasionally for exercise. The testicles are normal in size and nontender to palpation. HPI: Mr. Baldwin is a 50-year old male who experienced the sudden onset of severe pain in his left groin radiating to his testicles after moving a refrigerator 6 hours ago. Maintains eye contact. No hepatosplenomegaly. Respirations regular and easy; lungs clear to auscultation bilaterally. Cancer-screening modalities for gender/age: prostate exam (Buttaro, Trybulski & Bailey, 2013). Posture erect. A paper on health care can only be dealt with by a writer qualified on matters health care. Provide a reference for your treatment plan (in APA format). Note: For purposes of this sample SOAP note comments on what is required for each section have been left in place. He makes eye contact and responds to questions appropriately. Breast is free from masses or tenderness, no discharge, no dimpling, wrinkling or discoloration of the skin. External genitalia reveals coarse pubic hair in normal distribution; skin color is consistent with general pigmentation.No uretheral discharge. Blisters intact, no exudate or crusting present. Pulses 3+ throughout. You will get it few hours before your set deadline. Chronic Illnesses/Major traumas:Patient has a significant history for hypertensionChronic Health Problems: Immunizations:Up to date on all immunizations. NSG 6020 Week 9 Discussion.docx South University assessment NSG 6020 - Fall 2019 . Neurological: Speech clear. Posture erect. Slightly somber affect at first, then brighter later. She denies any active suicidal thoughts (i-Human). Teeth are in good repair. Allergies:NKDAMedication Intolerances:None. We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. Retrieved on November 21, 2016, from https://www.cms.gov/medicare-coverage-database/staticpages/icd-10-code-lookup.aspx Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples. Confidential- We never share or sell your personal information to third parties. Use this week's iHuman case titled 'Jack Baldwin VE' and . Ovaries are non-palpable. Even though the patient is monogamous, it was important to better understand the relationship of the patient with close family members (Dains, Baumann, & Scheibel, 2015). In writing, we will be precise and to the point and fill the paper with content as opposed to words aimed at beating the word count. Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples. External genitalia reveals coarse pubic hair in normal distribution; skin color is consistent with general pigmentation. Approximately 7 inches in length. A small speculum was inserted; vaginal walls are pink and well rugated; no lesions noted. Skin: Warm, diaphoresis, (-) Delayed healing, (-) rashes, (-) bruising, (-) bleeding or skin discolorations, (-)any changes in lesions or moles No. Schedule the patient to return to the office if fever, severe pain, or strangulation happens. Scrotal ultrasound reveals the following: Normal testicular size bilaterally (Fischbach & Dunning, 2014). They have also lived in Seneca Falls, NY and Descanso, CA. EOMs intact. No septal deviation. The testicles are normal in size and nontender to palpation. Check your paper. No conjunctival or scleral injection. HIV status, bruising, blood transfusion hx, night sweats, swollen glands, increase thirst, increase hunger, cold or heat intolerance, Depression, anxiety, sleeping difficulties, suicidal ideation/attempts, previous dx. Safety meaures:Patient states I always wear my seatbelt. Philadelphia, PA: F.A. Great! No conjunctival or scleral injection. Jack Baldwin is a 50-year-old male with health conditions that relate to hypertension. Primary care: A collaborative practice (4rd ed.). Height: 60 Pulse: 130bmp (tachycardia) RR: 18bpm, oxygen saturation is 98%, RA. The scrotum is swollen on left side. Baldwin was born in London, and studied chemistry at Imperial College London, where he also did a PhD. No palpable thrills, lifts, or heaves. 34 year old white male who appears his stated age. Home Normal penile shaft, without lesions or discharge. Denies any heat or cold intolerance, thyroid enlargement or tenderness, unexpected weight changes, or abnormal distribution in body hair. ORDER COMPREHENSIVE SOLUTION PAPERS ON Jack Baldwin VE iHuman Episodic SOAP Note, https://digitalbookshelf.southuniversity.edu/#/books/9780826168757/, Mean corpuscular hemoglobin concentration (MCHC). Testicular torsion: sudden onset of pain which is exquisite tenderness; and a high-riding, horizontally displaced testis (Goolsby & Grubbs, 2015). Teeth are in good repair. Please note that your SOAP note has several areas that have required information. Alvin Stafford V5 i-human; Florence Blackman V5 i-human; Susan White V5 i-human; Jerome Cauthen V5 i-human; AssignmentePortfolio Clinical Judgment and plan for life-long learning; Advanced health assessment NSG 6020 Health Science Science Nursing Answer & Explanation Unlock full access to Course Hero Explore over 16 million step-by-step answers from our library Get answer Treatment of kidney stone includes: pain management such as ibuprofen (Motrin, Advil), Zofran 4mg every 6 hours as needed for controlling nausea/vomiting, helping with passing the stone by using Tamsulosin (Flomax) 0.4mg daily to ease urination (Buttaro, Trybulski & Bailey, 2013). Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples SOAP Note and Differential Diagnoses for iHuman Case. Neck: Supple. He states the patin is often as 8 or 10 out of 10 severity. We provide you 24*7 help and complete your work before the deadline. Reason given by the patient for seeking medical care in quotes. Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples. All new clients are eligible for 20% off in their first Order. Psychiatric: Alert and oriented to person only. Ovaries are non-palpable. Complains of rash to middle of right side of back. Scrotal ultrasound reveals the following: Normal testicular size bilaterally (Fischbach & Dunning, 2014). Oral mucosa pink and moist. Allergies: NKDA Medication Intolerances: None. No nail pitting or clubbing. View Jack Baldwin results in Missouri (MO) including current phone number, address, relatives, background check report, and property record with Whitepages. Postoperative evaluation for hernia recurrences as needed (Cash, 2014). Right side normal. (2016). Cancer-screening modalities for gender/age: prostate exam (Buttaro, Trybulski & Bailey, 2013). Safety meaures: Patient states I always wear my seatbelt. Urgency, frequency burning, change in color of urine. Housing: Condominium Occupation: Accountant Tobacco use: Smokes 1 ppd; Alcohol: 1 to 2 drinks/day; History of: narcotic abuse (Percocet) Sexual history: Monogamous Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples, General(-) Fatigue, (-) weight loss, (-) chills, (-) fever, (-) night sweats, (-) change in energy level, Skin(-) delayed healing, (-) rashes, (-) bruising, (-) bleeding or skin discolorations, (-) any changes in lesions or moles, Eyes(-) Corrective lenses, (-) blurring,(-) change in vision Ears(-) ear pain, (-) hearing loss, (-) dischargeNose/Mouth, Throat(-) Sinus problems, (-) dysphagia, (-) nose bleeds or discharge, (-)dental disease, (-) hoarseness, (-) throat pain, Heme/Lymph/Endo (-)HIV, (-) blood transfusion hx(-), cold intolerance, (-) bruising, (-) night sweats, (-) increase hunger/thirst, Cardiovascular(-) chest pain, (-) palpitations, (-) edema, (-) PND, (-) orthopnea Respiratory(-) cough, (-) wheeze, (-) hemoptysis, (-) dyspnea, (-) pneumonia hx, (-) TB, Gastrointestinal(-) Abdominal pain, (+) Nausea, (+) vomiting, diarrhea(-), (-) constipation, (-) hepatitis, (-) hemorrhoids, (-)eating disorders, (-) ulcers, (-) black tarry stools, Genitourinary/Gynecological:(-) urgency, (-) frequency, (-) hesitancy, (-) dysuria, (-) hematuria (+) sexual activity, (-) STDS, Rectal Denies any bleeding or pain Musculoskeletal(-) back pain, (-) swelling of joints, (-) fracture historyNeurologicalDenies weakness or numbness, (-) headache, (-) Syncope, (-) seizures, (-) transient paralysis, (-) weakness, (-) paresthesias, (-) black out spells, Psychiatric(-) depression, (-) anxiety, (-) sleeping difficulties, (-) suicidal ideation/attempts, (-) previous dx, Weight: 180.0 lbs. ). Note: For purposes of this sample SOAP note comments on what is required for each section have been left in place. The reference may come from a journal, a book, etc. Born November 24, 1956, Jack grew up in Elroy and graduated from Royall High School in 1974.</p> <p>His childhood was marked by a . We accept MasterCard, Visa, Amex and Discover. Episodic SOAP Note Sample Oral mucosa pink and moist. Height: 60 Pulse: 130bmp (tachycardia) RR: 18bpm, oxygen saturation is 98%, RA. Speech is soft, though clear and of normal rate and cadence; cant answer questions appropriately. Ears: Canals patent. Reason given by the patient for seeking medical care in quotes. [Show More] Last updated: 8 months ago Bundle contains 11 items Purchase Now Instant download OR PLACE CUSTOM WRITING ORDER Prepare this assignment according to the guidelines found in the A mother brings her 6-month-old daughter to the HCP for Nursingpaperhelp.com @ 2020 All rights reserved, Need Help? Education level, occupational history, current living situation/partner/marital status, substance use/abuse, ETOH, tobacco, marijuana. Fitness: encouraging increasing exercise (Buttaro, Trybulski & Bailey, 2013). No adnexal masses or tenderness. To make an Order you only need to click ORDER NOW and we will direct you to our Order Page. No nail pitting or clubbing. Breast is free from masses or tenderness, no discharge, no dimpling, wrinkling or discoloration of the skin. Provide a subjective, objective, assessment, and plan (SOAP) note on this patient and your treatment plan using the SOAP note template. General Appearance: A healthy appearing adult male with acute distress. Patients states he now feels a constant sharp, burning pain in the area. Provide a reference for your treatment plan (in APA format). Jack Baldwin V3 PC (Basic DDx) 50 years 6' 0&quot; 180 pounds Jack Baldwin Chief complaint: Groin pain Start differential diagnosis and final diagnosis . He is well-groomed, fit, and cheerful, he is alert and orientedx4, can answer any question by himself.. Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples, Chief Complaint (CC): severe left groin pain for 6 hours. Symmetric chest wall. Dressed in clean slacks, shirt and coat. Reports pain and rash on the right side of back. Genitourinary: Bladder is non-distended; no CVA tenderness. Summetrical thoracis expansion. HPI: Mr. Baldwin is a 50-year old male who experienced the sudden onset of severe pain in his left groin radiating to his testicles after moving a refrigerator 6 hours ago. Good tone. Monitor for s/s of infection (increased redness, fever, pain, or purulent, fould smelling drainage). No other lesions, bruises, or suspicious moles present. ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE, Provide a subjective, objective, assessment, and plan (SOAP) note on this patient and your treatment plan using the SOAP note template. Get your customized and 100% plagiarism-free paper done Approximately 7 inches in length. Use this week's iHuman case titled "Jack Baldwin VE" and create a SOAP note with a treatment plan (located at the bottom of the SOAP note. Respirations regular and easy; lungs clear to auscultation bilaterally. He states the patin is often as 8 or 10 out of 10 severity. Abdomen obese; BS active in all 4 quadrants. Davis Company. He complains of generalized malaise and reports a low grade fever no higher than 100.1 F. The pain worsens with touch and movement. Recommend smoking cessation patient not ready (Buttaro, Trybulski & Bailey, 2013). Tetanus booster vaccine in 2010. No relevant social history; denies use of tobacco, alcohol, or illicit drugs. Patient reports having chicken pox when he was age 5. The reference may come from a journal, a book, etc. The post iHuman case titled Jack Baldwin VE appeared first on Homework Gig. EOMs intact. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9780826168757/. Balance stable; gait normal. Jack is related to James L Baldwin and Debbie Stefanko as well as 3 additional people. Remember to keep the patients identity private; use the minimal amount of information possible to get the idea across. Meaning after your purchase you will get an original copy of your assignment and you have all the rights to use the paper. Rectal as appropriate: no evidence of hemorrhoids, fissures, bleeding or masses. Once done with writing your paper we will upload it to your account on our website and also forward a copy to your email. Fitness: encouraging increasing exercise (Buttaro, Trybulski & Bailey, 2013). You would not leave these in an official SOAP note. Denies bruising or other abnormalities to skin, hair, or nails. As in all assignments, cite your sources when applicable throughout your SOAP note and provide references for the citations in APA format at the end of your SOAP note. ). Jack Baldwin VE iHuman Episodic SOAP Note - School Academy . Alert and oriented X3, well groomed, well nourished and hydrated. You would not leave these in an official SOAP note. EOMs intact. Complains fo generalized malaise. Right side normal. A small speculum was inserted; vaginal walls are pink and well rugated; no lesions noted. Have you every been told that you have: Diabetes, HTN, peptic ulcer disease, asthma, lung disease, heart disease, cancer, TB, thyroid problems or kidney disease or psychiatric diagnosis.. Introduction One of the most common ways in wh, In this discussion, we connect the key statements summarizing a firms overall financial health, assets and liabilities, activities, earnings, and disposition or use of earnings. Remember to keep the patient's identity private; use the . i-Human tracks every click, and every decision the student documents and provides them with instant, expert feedback along the way. No extra sounds, clicks, rubs or murmurs. Teeth are in good repair. Stress and a lowered immune system may precipitate a flair up. Jul 1, 2021 - Find solution of question Jack Baldwin V5 i-human from Health Care subject by Homework Minutes experts. That's called the flank, right? Prostrate is smooth, non-tender and free from nodules, is of normal size, sphincter tone is firm. RRR, S1 and S2 present. No thyromegaly or nodules. Step 1 No septal deviation. Right side normal. Allergies:NKDAMedication Intolerances:None. IHuman - SCOTT BALDWIN (SEIZURE) - NUR 4045 (NUR4045) - Stuvia US. HEENT: Head is normocephalic, atraumatic and without lesions; hair evenly distributed. Resonance noted to all fields with percussion. It is possible to have shingles flair up again in the future. Neck: Supple. Clear to auscultation with no adventitous sounds bilaterally. Posture erect. All Rights Reserved. They also have unrivalled skill in writing language be it UK English or USA English considering that they are native English speakers. Use this week's iHuman case titled "Jack Baldwin VE" and create a SOAP note with a treatment plan (located at the bottom of the SOAP note. <br> <br>Prostrate is smooth, non-tender and free from nodules, is of normal size, sphincter tone is firm. Head is normocephalic, atraumatic and without lesions; hair evenly distributed. It should be surgical intervention if patient get strangulated hernias (Cash, 2014). Nutrition: recommending better choices when eats out (Buttaro, Trybulski & Bailey, 2013). Respirations regular and easy; lungs clear to auscultation bilaterally. Today. Is it Safe to use our services? Ovaries are non-palpable. Describe the evaluation tool and explain why this tool is essential in the care of the adolescent patient population. Rash present to mid-back on the right side at location of 6th rib, bright red, linear form, with vesicular type blisters present. Tenderness is appreciated in the left inguinal canal; the scrotum is swollen on the left side; the testicles are normal in size and nontender to palpation. No relevant social history; denies use of tobacco, alcohol, or illicit drugs. A paper on History will only be handled by a writer who is trained in that field. Oral mucosa pink and moist. Does not cross midline. Full ROM; no cervical lymphadenopathy; no occipital nodes. Ears: Canals patent. A manual of laboratory and diagnostic tests. The other symptoms include urethral discharge, dysuria, hematuria (Cash, 2014), Kidney Stone: Add Ct scan to determine the stone size, if the test of urine positive for renal calculi. The HPI must include: History of Present Illness: O-P-Q-R-S-T questions, Onsetandcircumstances ofOccurrenceof symptom(s), Regionof body andRadiationto other areas, Severityof symptom (0 to 10 scale, if applicable) and associatedSymptoms, Time(duration) andTemporalassociations (what is going on when symptom occurs, In addition, normal is not acceptable you must describe what you are seeing. I know that normal is used in chartingbut you are learning and so you are required to do the ideal and the ideal is describing what you see and completing a total ROS on every patient. ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE Provide a subjective, objective, assessment, and plan (SOAP) note on this patient and your treatment plan using the SOAP note template. Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples, o 1- Herpes zoster without mention of complication (053.9) o 2- Rash and other nonspecific skin eruption (782.1) o 3- Other malaise and fatigue (780.79), Presumptive Diagnosis o 1- Herpes zoster without mention of complication (053.9), Diagnois:Herpes zoster without mention of complication (053.9), Medication: Valtrex 1000 mg PO q8h X 7 days, Education: Continue using Tylenol 650 mg PO to manage pain. I-Human_Jack_Baldwin.docx (2773.43 KB) Get the Solution. Patients states he now feels a constant sharp, burning pain in the area. Patient has been controlling pain with Tylenol 650 mg PO and he states it helps moderately. He played college football for Centenary in Louisiana and professional football for the New York Yankees, San Francisco 49ers, Buffalo Bills, and Edmonton Eskimos . Nutrition: recommending better choices when eats out (Buttaro, Trybulski & Bailey, 2013). From our writers, you expect; good quality work, friendly service, timely deliveries, and adherence to clients demands and specifications. Good tone. Best Essay Writing Services- Get Quality Homework Essay Paper at Discounted Prices. Resonance noted to all fields with percussion. Full ROM seen in all 4 extremities as patient moved about the exam room. Hernia inguinal K40 (ICD-10 Code Lookup, 2016). Fischbach, F. T., & Dunning, M. B. Jack William Baldwin, 79 Resides in Franklin, NC Lived In Highlands NC, Salisbury NC, Scaly Mountain NC Related To Joanne Baldwin, Stephen Baldwin, Bert Baldwin, Nancy Baldwin, Vicki Baldwin Also known as W Jack Includes Address (7) Phone (2) See Results Jack Byro Baldwin, 66 Resides in Garden City, ID Lived In Boise ID Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. Posture erect. Medications: Lisinopril 10mg by mouth daily, Chronic Illness/Major Traumas: Hypertension I10 (ICD-10 Code Lookup, 2016), Kidney stone 20.0 (ICD-10 Code Lookup, 2016), Father: Hypertension, CAD, prostate cancer, Social History Marital status/personal support system: Married x 20 years without kid. ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER HERE Limit Tylenol to less than 4 g per day. No thyromegaly or nodules. Pharynx is nonerythematous and without exudate. Abdomen soft, non-tender. Hernia inguinal K40 (ICD-10 Code Lookup, 2016). S1, S2 with regular rate and rhythm. Neck: Supple. Anyone diagnosed with: lung disease, heart disease, htn, cancer, TB, DM, or kidney disease. Discuss the pathophysiology of this disease process/condition. Eyes: PERRLA. Are you looking for custom essay writing service or even dissertation writing services? Balance stable; gait normal. Weight change, fatigue, fever, chills, night sweats, energy level, Chest pain, palpitations, PND, orthopnea, edema. Skin: Warm, diaphoresis, (-) Delayed healing, (-) rashes, (-) bruising, (-) bleeding or skin discolorations, (-)any changes in lesions or moles No. No S3, S4, murmurs, or bruits noted. BMI: 24.4 Temp: 99 (Oral)BP: 170/94. Capillary refill 2 seconds. Include three differential diagnoses and support your diagnoses with supporting literature.