About this document
Acute Office Visit SOAP Note Template by Nicole Juliette CC is a document available to read on EtoBox.
1. A 69-year-old man presented with a 5-year history of persistent coughing and right-sided chest pain when taking deep breaths. Exam found diminished breath sounds and wheezing. 2. He was assessed with likely COPD/acute bronchitis given his chronic cough and symptoms. Differentials included pneumonia and asthma. 3. The plan included spirometry, chest X-ray, peak flow if asthma is suspected, starting albuterol and low-dose ICS, antibiotics, follow up in 1 week, and encouraging smoking cessation.
- Author
- Nicole Juliette CC
- Language
- EN