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Soap Note

 

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Select a patient  with endocrine disorder that you examined during the last 3 weeks. With this patient in mind, address the following in a SOAP Note: Evaluation and Management of Endocrine Disorders

 

•Subjective: What details did the patient provide regarding his or her personal and medical history?

 

•Objective: What observations did make during the physical assessment?

 

•Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

 

•Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management including alternative therapies?

 

•Reflection notes: What would you do differently in a similar patient evaluation

 

REFERENCES

 

Please use textbooks, national guidelines and journals articles < 5 years as references, avoid uptodate, amyo and Cleveland Clinic emed, webMD, Medscape as they are resources, no nd or no date, find the date or do not use

 

 

 

Readings

 

•Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2013). Primary care: A collaborative practice (4th ed.). St. Louis, MO: Mosby.

 

◦Part 17, “Evaluation and Management of Endocrine and Metabolic Disorders” (pp. 1055