SOAP NOTE CROHNS DISEASE | Complete Soap note
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SOAP NOTE: CROHN’ DISEASE 2 PATIENT INFORMATION Name: Mrs. Foster Age: 60 years Sex: Female Source: Patient Allergies: None Current medication: Citalopram and Aventyl HCI for depression Immu... nization: Tdap Vaccine and Influenza vaccine in 2019 and Pneumococcal vaccine 2 years ago. Surgical History: Family History: Husband- Dead, 55 years old, Throat Cancer. Father -Dead, 90 -year- old, Heart attack. Mother- alive, 86 years Old, also suffers from Crohn’s disease and Blood pressure. Two twin sons- Alive, 30 years old, Healthy Social History: Heavy smoker, takes 4-5 cigarettes a day. Social Celebrations: Retired and lives with his younger son. SUBJECTIVE: Chief Complain: Bowel obstructions, abdominal pain, and Anal Fixtures. [Show More]
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