4457

Student must complete a sopa note using the template

Each diagnosis and differential diagnosis  MUST BE SUPPORTTED BY OBJECTIVE AND SUBJECTIVE S/S  with REFERENCE ( minimum 3 reference x soap note) 

Patient :68 years old, hispanic male

CC:   

“Patient reports that he had rash in his arm, bloody diarrhea and abdominal pain for the last 2 days without relief.”

Diagnosis:   

Hemolytic Uremic Syndrome (ICD 10: D59.3).

Differencial Diagnosis:   

  1. Gastroenteritis 
  2. Irritable bowel syndrome (IBS) 
  3. Necrotizing enterocolitis 

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