StudyXY
RegisterLog in

2024-2025 SOAP NOTE Shadow Health Clinic Comprehensive Assessment (1 Solved Case)

2024-2025 SOAP NOTE Shadow Health Clinic Comprehensive Assessment is a valuable resource to understand question trends and difficulty levels.

Amelia Davis
Contributor
4.8
99
9 months ago
Preview (2 of 6 Pages)
100%
Purchase to unlock

Page 1

2024-2025 SOAP NOTE Shadow Health Clinic Comprehensive Assessment (1 Solved Case) - Page 1 preview image

Loading page image...

SOAPNOTE–ComprehensiveAssessment–TinaJones–ShadowHealthClinic–RyanKent2024/2025VERIFIED ANSWERSSUBJECTIVE:Chiefcomplaint(CC):“IcameinbecauseI'mrequiredtohavearecentphysicalexamforthehealthinsurance atmy newjob.”History of present illness (HPI): Ms. Jones reports that she recently obtained employment atSmith, Stevens, Stewart, Silver & Company. She needs to obtain a pre-employment physicalprior to initiating employment. Today she denies any acute concerns. Her last healthcare visitwas 4 months ago, when she received her annual gynecological exam at Shadow HealthGeneral Clinic. Ms. Jones states that the gynecologist diagnosed her with polycystic ovariansyndrome andprescribed oral contraceptives at that visit, which she is tolerating well. She hastype 2 diabetes, which she is controlling with diet, exercise, and metformin, which she juststarted5monthsago.Shehasnomedicationsideeffectsatthistime.Shestatesthatshefeelshealthy, is taking better care of herself than in the past, and is looking forward to beginning thenewjob.Allergies:•Penicillin:rash•Deniesfoodandlatexallergies•Allergic to cats and dust. When she is exposed to allergens shestates that she has runnynose, itchyand swolleneyes,andincreased asthmasymptoms.Past medical history (PMH): Asthma diagnosed at age 2 1/2. She uses her albuterol inhalerwhen she is around cats. Her last asthma exacerbation was three months ago, which sheresolvedwithherinhaler.Shewaslasthospitalizedforasthmainhighschool.Neverintubated.Type 2 diabetes, diagnosed at age 24. She began metformin 5 months ago and initially hadsome gastrointestinal side effects which have since dissipated.She monitors her blood sugaronce daily in the morning with average readings being around 90. She has a history ofhypertension which normalized when she initiated diet and exercise. No surgeries. OB/GYN:Menarche, age 11. First sexual encounter at age 18, sex with men, identifies as heterosexual.Never pregnant. Last menstrual period 2 weeks ago. Diagnosed with PCOS four months ago.For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderatebleeding lasting 5 days. Has new male relationship, sexual contact not initiated. She plans to

Page 2

2024-2025 SOAP NOTE Shadow Health Clinic Comprehensive Assessment (1 Solved Case) - Page 2 preview image

Loading page image...

Preview Mode

This document has 6 pages. Sign in to access the full document!

Study Now!

XY-Copilot AI
Unlimited Access
Secure Payment
Instant Access
24/7 Support
Document Chat

Document Details

Subject
Medicine

Related Documents

View all
Past Exams

PETH 410 Midterm

Flashcard-style Q&A on muscle structure, training, physiology, strength, endurance, cardiovascular health, and physical activity from chapters in a health or exercise science course.

Class Notes

EPI Notes

An overview of epidemiology, its definition, key concepts like disease distribution and determinants, practical applications, and historical roots tracing back to Hippocrates.

Class Notes

Understanding Hemodialysis Patient Guide and Meal

Dialysis scenario: RN initiates first hemodialysis via temporary right IJ catheter, prepares upcoming AV fistula, and educates patient using Med/Surg text p.1383 and National Kidney Foundation guidelines.

Class Notes

Newborn Assessment Critical Thinking Map

A collaborative resource hub for Newborn Assessment Clinical Reasoning Maps, offering templates to document perinatal data, vitals, APGAR scores, feeding plans, and priority findings to guide neonatal nursing care.

Class Presentation

Maternal Health Theory and Applications

This document covers key concepts in maternal health, including theoretical foundations and practical applications. Ideal for students and professionals in public health, nursing, or maternal care seeking a concise, informative review.

Solved Assignments

Gynecological Exam

They're covering patient history, cervical cancer screening, HPV risk factors, and current recommendations on breast self-awareness. Includes references to recent studies and guidelines

Solved Assignments

Navigating the Difficulties of Addressing Intricat

Explore the challenges of treating intricate trauma through surgery, highlighting the need for advanced skills, empathy, and a multidisciplinary team to address both physical and psychological recovery for optimal patient outcomes.

Class Notes

Cardiovascular 2 Handout

Overview of mitral and aortic valve function, valve disorders (stenosis/regurgitation), symptoms, and treatments including meds, valvuloplasty, and prosthetic valve options with nursing considerations like anticoagulation and infection prevention.

Class Notes

NCLEX Key Concepts

Clinical care notes covering bladder irrigation, assistive ambulation devices (crutches, canes, walkers), dumping syndrome, Crohn’s disease, and ulcerative colitis—key interventions, symptoms, and patient education in concise bullet points.

Class Notes

Understanding EKG Rhythms and Pacemaker Care NCLEX

NCLEX High Yield EKG Lecture: Master normal sinus rhythm, bradycardia, tachycardia, A-fib, V-fib, SVT, digoxin, anticoagulants, pacemakers & more! Perfect for nursing board prep. Simplified, high-yield, and test-focused.