Soap note of an acute condition
(Student Name) Miami Regional University Date of Encounter: Preceptor/Clinical Site: Clinical Instructor: Soap Note # Main Diagnosis ( Exp: Soap Note #3 DX: Hypertension) PATIENT INFORMATION Name: Mr. DT (iniciales del paciente) Age: 68-year-old Gender at Birth: Male Gender Identity: Male Source: Patient Allergies: PCN, Iodine Current Medications: · Atorvastatin tab 20 mg, 1-tab PO […]
