SOAP Note-Update for writing

[date name="variable_1" default="05/25/2020"]

Subjective:














Objective:

Gen:

[checklist name="variable_1" value="Well nourished|Well Developed|NAD|Mild Distress|Ill appearing|Anxious"]

HEENT:

[checklist name="variable_1" value="PERRLA|Pharynx clear|TM Clear Bilaterally|Right TM clear|Left TM Clear| Right TM Erythematous|With pus|without pus|With Fluid|withoutFluid| Left TM Erythematous |With Pus|Without Pus|With Fluid|Without Fluid|Pharyngeal exudate|Pharyngeal Vesicles"]













CV:

[checklist name="variable_1" value="RRR|No m/r/g| Systolic Murmur|Diastolic Murmur|tachycardia|bradycardia"]











Pulm:

[checklist name="variable_1" value="CTAB|No w/r/r|Wheezing|Bilateral|left|right|rhonci|bilateral|Right|Left|prolonged expiratory phase"]











Abdomen:

[checklist name="variable_1" value="Soft|NT/ND | tight|masses present|Liver WNL"]









Neurological:

[checklist name="variable_1" value="=Grossly intact |Tendons 2+ Bilaterally|No peripheral neuropathy"]










GYN:









Psych
[checklist name="variable_1" value="Appropriate Affect |Not anxious|Not Depressed| Anxious| Depressed"]













Assessment and Plan:





1.)
[checklist name="variable_1" value="Wellness|Diabetes |HTN|HLD|Otitis Media|Strep throat|Viral URI|Psoriasis| Ingrown Toenail|Dermatology lesion"]











2.)
[checklist name="variable_1" value="Wellness|Diabetes |HTN|HLD|Otitis Media|Strep throat|Viral URI|Psoriasis| Ingrown Toenail|Dermatology lesion"]






3.)
[checklist name="variable_1" value="Wellness|Diabetes |HTN|HLD|Otitis Media|Strep throat|Viral URI|Psoriasis| Ingrown Toenail|Dermatology lesion"]





Follow Up:

[textarea name="variable_1" default=""]