Aspen University NURSING 491 Week 9 SOAP_Note.

CC: “Mother stated that her son has a fever and a rash” HPI: Patient brought in today by his mother for a complaint of fever and rash. The fever began 3 days ago and is of normal levels in the morning then gets as high as 103 to 104 degrees in the afternoons. Mother reported that patient has also had clear rhinorrhea and in the last 24 hours he has developed a red, diffuse rash to the torso and abdomen that does not itch and a dry cough in the last day. Mother reports he is drinking, but not as well as usual. He did have a good wet diaper this morning, but is not really eating much and is not playing like he usually does. Medications: Mother was giving patient OTC Robitussin cough and cold at 1 tsp last night and this morning. Liquid Tylenol ½ a tsp last night and this morning. PMH Allergies: N