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University of Nairobi *
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HEALTH CAR
Subject
Chemistry
Date
Nov 24, 2024
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CONPH NSG6340/NSG6440 Subjective, Objective, Assessment, Plan (SOAP) Notes
03302023 Student Name:
Course: Patient Name: (Initials ONLY)
Date:
Time: Ethnicity:
Age:
Sex:
SUBJECTIVE (must complete this section)
CC: HPI: Medications: Previous Medical History:
Allergies:
Medication Intolerances:
Chronic Illnesses/Major traumas:
Hospitalizations/
FAMILY HISTORY (must complete this section) M: MGM:
MGF:
F: PGM:
PGF:
Social History:
REVIEW OF SYSTEMS (must complete this section)
General:
Cardiovascular:
Skin:
Respiratory:
Eyes:
Gastrointestinal:
Ears:
Genitourinary/Gynecological:
Nose/Mouth/Throat:
Musculoskeletal:
Breast:
Neurological:
Heme/Lymph/Endo:
Psychiatric:
OBJECTIVE (Document PERTINENT systems only, Minimum 3)
Weight: Height:
BMI: BP:
Temp
: Pulse:
Resp: General Appearance:
Skin:
HEENT:
Cardiovascular:
Respiratory:
Gastrointestinal:
Breast:
Genitourinary
: Musculoskeletal:
Neurological:
Psychiatric:
Lab Tests: Special Tests: DIAGNOSIS (must complete this section)
Differential Diagnoses •
Diagnosis, (ICD 10 code and
reference):
•
Diagnosis, (ICD 10 code and
Diagnosis •
Presumptive diagnosis (ICD 10 code and
reference):
Plan/Therapeutics: Diagnostics: Education Provided:
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106
[OSS
[
[(4
10%
COD
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· [(14)
-€0.06
Annual mean
15 year mean
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IS
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According to the law of conservation of
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burns in this reaction?
D
Use the correct same precision for the
missing value. (i.e. significant figures).
International Academy of Science. All Rights Reserved.
* G
Enter
A
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