Question 1
Use this week’s iHuman case titled “Jack Baldwin VE” and create a SOAP note with a treatment plan (located at the bottom of the SOAP note.
This week, complete the iHuman case titled “Jack Baldwin VE” Complete the iHuman Case study in SOAP format
To support your SOAP note, use your course and text readings and also use the University Online Library. As in all assignments, cite your sources when applicable throughout your SOAP note and provide references for the citations in APA format at the end of your SOAP note.
- Provide a subjective, objective, assessment, and plan (SOAP) note on this patient and your treatment plan using the SOAP note template. Remember to keep the patient’s identity private; use the minimal amount of information possible to get the idea across.
- Provide a reference for your treatment plan (in APA format). The reference may come from a journal, a book, etc.
- Cite all sources using APA format.
- Include three differential diagnoses and support your diagnoses with supporting literature.
Question 2
Case and Discussion
A 60-year-old man comes to your office because of a persistent cough that has been bothering him for the past 3 months. His cough is dry and is more frequent during the evenings. He also notes frequent nasal congestion, especially when he is exposed to dust and cold weather. He reports no hemoptysis, weight loss, wheezing, fever, or changes in his appetite. He reports he is taking medication for his cholesterol as well as his blood pressure but he cannot remember the name of the medications.
- What additional questions would you ask to learn more about his cough?
- How would you classify his cough based on the duration to help with the diagnosis?
- What diagnostic tests do you want to include to help you with your diagnosis?
Create a differential diagnosis flow sheet for this patient for this patient and include the diagnostics as well as the pharmacological management and rationale related to the differentials.
3 references needed