Short SOAP Note

 

Short SOAP Note

This is the teacher sample, so pls do not repharse, just create new once, i want you to create

  10 short SOAP note similar to this one in OB patient only.  With different  stages/gestations age.

  • OB patient ( different stages of pregnancy)
  • Prenatal visit
  • Please LMP (last mentrual cycle)
  • Please add EDD date ( expected due date)

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Short SOAP Note

SAMPLE:  

S: JD, a 23-year-old female who is here today to evaluate new fetal viability at 6 weeks/days gestation, G6T0P1A4L0. LMP: 12/28/2024; EDD: 10/4/2025. She stated that she experienced bleeding this morning and is currently. The pregnancy is desired, and she reports pelvic pain when moving or lifting her legs.

Short SOAP Note

O: UPT: positive urine culture: leukocytes (culture collected). LPAP: 11/2024 – different facility, WNL. Sonogram: 1/24/25; lower abdominal pain/pressure or cramping: lower pelvic pressure. Vaginal bleeding or abnormal discharge: bleeding.

A: Fundal height measures 23 cm, FHR:  148 bpm,  No night sweats, no breast lumps, no nipple discharge, no axillary lump; inconclusive fetal viability affecting mother’s care.

P: Cephalexin 500 mg oral capsule; take twice daily for 5 days, no refill.

Prenatal Vitamins 27-0.8 mg oral tablet once daily f, RTC in 3 days

Short SOAP Note

This is the teacher sample, so pls do not repharse, just create new once, i want you to create

  10 short SOAP note similar to this one in OB patient only.  With different  stages/gestations age.

  • OB patient ( different stages of pregnancy)
  • Prenatal visit
  • Please LMP (last mentrual cycle)
  • Please add EDD date ( expected due date)

SAMPLE:  

S: JD a 23-year-old female who is here today to evaluate new fetal viability at 6 weeks/days gestation G6T0P1A4L0. LMP: 12/28/2024 EDD: 10/4/2025, She stated that she experienced bleeding this morning and is currently. ,The pregnancy is desired and she reports pelvic pain when moving or lifting her legs.

O: UPT: positive urine culture: leukocytes (culture collected). LPAP: 11/2024 – different facility WNL. Sonogram: 1/24/25 lower abdominal pain/pressure or cramping: lower pelvic pressure. Vaginal bleeding or abnormal discharge: bleeding.,

A: Fundal height measures 23 cm FHR:  148 bpm  No night sweats no breast lumps no nipple discharge no axillary lump inconclusive fetal viability affecting mother’s care.,

P: Cephalexin 500 mg oral capsule take twice daily for 5 days no refill.,

Prenatal Vitamins 27-0.8 mg oral tablet once daily f RTC in 3 days