Nurs 634 soap note 5 - Study guides, Class notes & Summaries
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NURS 634 SOAP NOTE 5 Comprehensive History and Physical Examination
- Case • 14 pages • 2021
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History & Physical Examination 
 
 
 
 
Patient Demographics: 
Name: T.T 
Age/race/sex: 33/Caucasian/male Clinical site: Primary Care clinic-HCM 
 
 
SUBJECTIVE DATA 
 
Chief Complaints “I’m here for my annual wellness exam and establishment of PCP” 
 
History of Present Illness: 
T.T	is a 33 year old Caucasian male who presents to the primary care clinic today for a wellness exam and with a 10 year history of headache pain. He reports the headaches occur about every 3 years and last da...
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