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NUR 240 STUDENT-HERT FAILURE-ARF Unfolding Reasoning Case Study
SOAP # 4: MSK-Acute Low Back Pain 
 
 
 
 
 
 
 
APN, PNP-AC 
 
 
UMASS 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
History & Physical Examination 
 
 
 
 
Patient Demographics: 
Name: T.H. 
Age/race/sex: 26 Hispanic Female 
Clinical site: Primary Care clinic; Presents for sick visit. 
 
 
SUBJECTIVE DATA 
 
Chief Complaints:	“My lower back has been hurting for about 2 weeks now”. 
 
History of Present Illness: 
Mrs. H is a 26 y/o Hispanic female with a six year history of depression-controlled on...
SOAP # 3: Cardiovascular 
 
 
 
 
 
 
APN, PNP-AC 
 
 
UMASS 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
History & Physical Examination 
 
 
 
Patient Demographics: 
Name: A.B. 
Age/race/sex: 47 Hispanic Female 
Clinical site: Primary Care clinic 
 
 
SUBJECTIVE DATA 
 
Chief Complaints: “My feet have been really swollen and painful since about Sunday. It hurts to just put on my shoes and walk for long periods of time”. 
 
History of Present Illness: 
Ms. B a 69 y/o female with a long-standing his...