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  • Case Sheet With Soap

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    abinchandrakumar
    28 views4 pages
    This medical document summarizes a patient case including their age, sex, reason for admission, examination findings, past medical history, allergies, diagnosis, abnormal lab reports, current medications, identified health problems, therapeutic options, and counseling points. The patient's case number, date, and department are listed at the top along with their medications and dosages.

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    Case Sheet With Soap

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    This medical document summarizes a patient case including their age, sex, reason for admission, examination findings, past medical history, allergies, diagnosis, abnormal lab reports, current medications, identified health problems, therapeutic options, and counseling points. The patient's case number, date, and department are listed at the top along with their medications and dosages.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    28 views4 pages

    Case Sheet With Soap

    Uploaded by

    abinchandrakumar
    This medical document summarizes a patient case including their age, sex, reason for admission, examination findings, past medical history, allergies, diagnosis, abnormal lab reports, current medications, identified health problems, therapeutic options, and counseling points. The patient's case number, date, and department are listed at the top along with their medications and dosages.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 4

    Date:

    CASE NO:

    Case On:
    AGE:

    SEX:

    DEPT:

    REASON FOR ADMISSION

    ON EXAMINATION

    PAST MEDICAL HISTORY

    PAST MEDICATION HISTORY

    RELEVANT HISTORY

    DRUG ALLERGY

    DIAGNOSIS/PROCEDURE

    ABNORMAL LAB REPORTS

    Page No:

    MEDICATIONS:
    BRAND NAME

    GENERIC NAME
    (CLASS)

    Preferred Dose
    (N-normal; M-max)

    CI conditions

    COMMENTS

    PROBLEMS IDENTIFIED:

    THERAPEUTIC OPTIONS:

    GENERAL PATIENT COUNSELLING POINTS:

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