Using a friend, family member, or
colleague, perform a detailed men’s health history. Document the history and
the expected normal physical examination findings in the SOAP note format.
Even though your patient may have
abnormal findings, you must document the expected normal exam findings for the
system. If you would like to include the abnormal findings they should be noted
in parenthesis next to the normal expected findings. The complete subjective
and objective sections must be included.
You may include the assessment and plan portion of the SOAP note, but
these sections will not be graded.
You should devise a chief
complaint so that you may document the OLDCART (HPI) data. You must use the
chief complaint of penile discharge, rectal bleeding, or frequent urination.
You should also focus the ROS based on the patient’s chief complaint and the
body systems being examined. Refer to the SOAP Note Format document in Course
Resources as necessary. This will be the same format that faculty will follow
during the immersion weekend.
Please note the first post is due
by Tuesday, 11:59 p.m. MT.
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