High Workload Note (faster SOAP)
CHIEF COMPLAINT: [text] HISTORY OF PRESENT ILLNESS: [textarea][/textarea] PAST MEDICAL HISTORY: [textarea][/textarea] REVIEW OF SYSTEMS: [textarea]As above in HPI. Other pertinent constitutional symptoms, HEENT symptoms, cardiac symptoms, respiratory symptoms, gastrointestinal symptoms reviewed and negative[/textarea] ALLERGIES: [text] MEDICATIONS: [textarea][/textarea] PHYSICAL EXAM: [textarea]VITALS: GENERAL: alert, no distress HEENT: oropharynx clear RESPIRATORY: Clear to auscultation bilaterally. CV: Regular rate and rhythm. ABDOMEN: Bowel sounds normal. soft. SKIN: No rashes NEURO: Strength 5/5 at upper and lower extremities. Gait normal. [/textarea] ASSESSMENT/PLAN: [textarea] orders reviewed appropriate follow up discussed - before last refill, sooner if s/s worsen or new s/s appear. [/textarea]
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