Signs and Symptoms of Gallbladder Stones SOAP Note
Soap note about gallbladder, included a real case, an example how to do the Soap note, please use always APA style, more than 3 references minimum 5 years ago.
this patient uses 3 types of medications: (be creative and search in google dosage, administration PO, frequency, example: Metformin 500 mg once a day with meals for Diabetes mellitus type 2.
Cardiology Other Antihypertensives
Endocrinology Oral glucose lowering agents
Miscellaneous Not covered elsewhere
This patient has a schedule for surgery of gallbladder, but had a history of gallbladder problems, in the history you can search signs and symptoms of gallbladder stones such as:
Pain areas: in the back or upper-right abdomen
Pain types: can be severe
Gastrointestinal: indigestion, nausea, or vomiting
Abdominal: cramping from gallstones or discomfort
I’m always open to any question. thank you.
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Attachments
20190528020951real_case_about_gallbladder (16 kB)
20190528020958soap_note_example (27 kB)
