Sample Type / Medical Specialty: SOAP / Chart / Progress Notes
Subjective, Objective, Assessment, Plan. Progress notes, followup notes, etc.
Acne - SOAP
Acne with folliculitis.
Acquired Hypothyroidism Followup
Return visit to the endocrine clinic for acquired hypothyroidism, papillary carcinoma of the thyroid gland status post total thyroidectomy in 1992, and diabetes mellitus.
A 23-year-old white female presents with complaint of allergies.
Anemia & Leukemia Followup
Chronic lymphocytic leukemia (CLL), autoimmune hemolytic anemia, and oral ulcer. The patient was diagnosed with chronic lymphocytic leukemia and was noted to have autoimmune hemolytic anemia at the time of his CLL diagnosis.
Aplastic Anemia Followup
Aplastic anemia. After several bone marrow biopsies, she was diagnosed with aplastic anemia. She started cyclosporine and prednisone.
School reports continuing difficulties with repetitive questioning, obsession with cleanness on a daily basis, concerned about his inability to relate this well in the classroom. Asperger disorder. Obsessive compulsive disorder.
Atrial Fibrillation - SOAP
Atrial fibrillation with rapid ventricular response, Wolff-Parkinson White Syndrome, recent aortic valve replacement with bioprosthetic Medtronic valve, and hyperlipidemia.
Atrial Flutter - Progress Note
A critically ill 67-year-old with multiple medical problems probably still showing signs of volume depletion with hypotension and atrial flutter with difficult to control rate.
A 75-year-old female comes in with concerns of having a stroke.
Breast Cancer Followup
A nurse with a history of breast cancer enrolled is clinical trial C40502. Her previous treatments included Zometa, Faslodex, and Aromasin. She was found to have disease progression first noted by rising tumor markers.