NU 6541 WK 3 SOAP -Primary Care
\nNU 6541 WK 3 SOAP -Primary Care of Adolescents and Children
\nWeek 3 SOAP note- Follow up Assessment
\nPatient Initials: ___AH____ Age: ___12____
\nGender: ___F____
\nSUBJECTIVE DATA:
\nChief Complaint (CC): Episodes of altered mental status, follow
\nup from recent hospitalization
\nHistory of Present Illness (HPI): 12-year-old African American
\nfemale brought to clinic with mother for follow up Assessment after
\nhospitalization. Two days prior, patient was at school with she
\nbecame altered and had episodes of jerking movements. \u2026
\nMedications:
\n\u2026
\nImipramine 25mg PO PRN- Mother reports that she occasionally
\ntakes this is she drinks a lot prior to bed. Last dose was 1 week
\nprior to event occurring.
\nTrazodone PRN
\nAllergies: NKDA
\nPast Medical History (PMH):<\/p>\n","protected":false},"excerpt":{"rendered":"
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