Write Soap Note Question & Answer Guide (With Explanation)
This question tests key academic concepts commonly covered in coursework.
What This Question Is About
This question relates to write soap note and requires a structured academic response.
How to Approach This Question
Start by identifying the main issue, then apply relevant academic frameworks.
Key Explanation
This topic involves write soap note. A strong answer should include explanation, application, and examples.
Original Question
write a SOAP note for the following patient guidelines except for the APA references. SUBJECTIVE (15 pts): CC: “anal itching” HPI: JK 6 y/o African American male presents complaining, “My bottom itches”. Mother reports child frequently scratching his “bottom”[Location] particularly at night and upon waking. The itching started about 1 month ago [Onset & Duration] after starting a new after school program at the local daycare [Onset]. Pruritus is interrupting nighttime sleep [Timing]. The scratching urgency and frequency has increased [Severity]. Mother states the child’s perianal area looks reddened [Characteristic]. He still wears pull-ups at night for fecal accidents [Associating/risk factors].Has normal BM during the day, LBM yesterday. Due to the itching, mother has been using new bubble bath and started new laundry detergent[Treatment]. Attends kindergarten and does not wash hands/poor hygiene per mother [Risk Factors]. All: NONE PMH: NONE FMH: NONE MEDS: none OBJECTIVE (15 pts): Only include the pertinent systems. Note that CV/Pulm should always be included in all PE. VS: Temp 98.4, HR, 90, Resp: 18, BP 100/70 Gen: 6 year old AA boy NAD sitting on mother’s lap, smiling. CV: RRR PULM: CTA (B) ABD: BS x 4, non distended. Rectal Area: Mild perianal erythema with minimal excoriation without bleeding. No lesions or anal tears noted. No satellite lesions. Patient’s underwear assessed. Dried stool streaks noticed.
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