NR511 KATIE 65 YO FEMALE (CC Coughing
Harvard University
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Exam (elaborations) (SOAP NOTE) NR511 KATIE 65 YO FEMALE (CC Coughing
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Exam (elaborations) (SOAP NOTE) NR511 KATIE 65 YO FEMALE (CC Coughing
Patient states “I began coughing 1 week ago and its worse at night. My chest is starting to
hurt from all of the coughing”. She also is c/o fatigue and getting “winded” while walking daily
and no energy to attend her exercise classes.
HPI:
O: 1 week
L: Chest
D: 1 week (Have you had these symptoms in the past? If so, what months or seasons?)
C: Fatigue, winded, pain in chest (Is your cough dry or productive...
Exam (elaborations)
Exam (elaborations) (SOAP NOTE) NR511 KATIE 65 YO FEMALE (CC Coughing
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Exam (elaborations) (SOAP NOTE) NR511 KATIE 65 YO FEMALE (CC Coughing Patient states “I began coughing 1 week ago and its worse at night. My chest is starting to hurt from all of the coughing”. She also is c/o fatigue and getting “winded” while walking daily and no energy to attend her exercise classes. HPI: O: 1 week L: Chest D: 1 week (Have you had these symptoms in the past? If so, what months or seasons?) C: Fatigue, winded, pain in chest (Is your cough dry or productive...
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