Please fallow instruction. I need you to make up a soap note using the template for a 17 years male patient diagnose with peptic Ulcer Disease. APA style.
Please and fill out the template completely using your own words for the assessment finding.Fallow the format of the Soap Note, which I sent to you as an attachment. I included the empty soap note template you must plug the information in it. I need you to provide the following: APA format with at least with 5 references no older than 5 years old.
Chief patient compliant
The Diagnosis Constipation: Peptic Ulcer Disease ICD 10 code
Present Medical Assessment (PMH)
Pass Medical Assessment (PSH)
Family History (FH)
Social History (SH)
Review Of System (ROS) completed. Provide complete and concise summary of pertinent information.
3 differential diagnoses with ICD 10 code describe and discuss why choosing them
3 Complete vital sign, BMI
Complete Objective Information
Complete physical exam with critical elements related to subjective data.
Minimum of 3 differentials supported by S + O data. Final diagnosis noted and optimal and thorough subjective and objective assessment is presented for final diagnosis.
Create a Plan
Self-Assessment & Clinical Guidelines
Analyze quality and relevance of S + O data and the evidence for diagnosis. Use of clinical evidence based reasoning and literature in designing plan of care, compare to plan of care.
B) Discuss Peptic Ulcer Disease