*NURSING > SOAP NOTE > Walden University - NURS 6512_SOAP Week4. Chief Complaint (CC): Annual physical and multiple hard re (All)
SLIDE 2: Patient Initials: __MP_____ Age: ___68____ Gender: _M SUBJECTIVE DATA: Chief Complaint (CC): Annual physical and multiple hard red bumps on my chest History of Present Ill... ness (HPI): Mike Palmer is a 68-year-old Caucasian male who presents today for annual physical and want to address multiple hard red bumps on his chest appearing. He reports there is a gradual onset of at least 4 new areas on his chest then last year. He is concerned he may have tumors because he did a google search and reported it said he had tumors on his chest. He denies any itching, pain, exudate, bleeding, color changes or climate variations. He reported they are located on his abdomen and chest. He denies any fever, new medications and no exposure to contact irritants. No increase in stress or lifestyle changes. No personal or family history of skin cancer. References Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby. Gupta, J., Kandhari, R., Ramesh, V., & Singh, A. (2013). Glomeruloid hemangioma in normal individuals. Indian Journal Of Dermatology, 58(2), 160. doi:10.4103/0019-5154.108088 Jayavardhana, A., Balasubramanian, P., & Vijayalakshmi, A. M. (2015). Angiokeratoma corporis diffusum. Indian Pediatrics, 52(2), 175. Retrieved from Walden Library database Kim, J., Park, H., & Ahn, S. K. (2009). Cherry Angiomas on the Scalp. Case Reports In Dermatology, 1(1), 82-86. Retrieved from Walden Library database Comprehensive SOAP SLIDE #5 Patient Initials: __MP_____ Age: ___68____ Gender: _M SUBJECTIVE DATA: Chief Complaint (CC): Annual physical and my psoriasis History of Present Illness (HPI): Mike Palmer is a 68-year-old Caucasian male who presents today for psoriasis. Onset was 51 years; diagnosed with psoriasis when he was in high school by his PCP. New areas of plaques identified continuous spread to other parts of his skin. He denies any pain. He denies any fever, new medications and no exposure to contact irritants. No increase in stress or lifestyle changes. No personal or family history of skin cancer. References Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby. Clark, G. W., Pope, S. M., & Jaboori, K. A. (2015). Diagnosis and treatment of seborrheic dermatitis. American Family Physician, 91(3), 185-190. Retrieved from Walden Library databases Watkins, J. (2016). Management of eczema and psoriasis in the community. British Journal Of Community Nursing, 21(6), 274-279. Retrieved from Walden Library databases [Show More]
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