using the template uploaded a a guidance, based on the information bellow create a soap note with APA7 format and scholary references no older than 5 years
Chief complaint: "I need medicine for this cold that is killing me"
Patient is a 85 y/o female, who came for consultation with symptoms of bronchitis, she was complaining od cough, productive with yellowish secretion, nasal congestion, mild headache, and chills a few days ago. On the physical examination there was presence of mild ronchi on lung basesbilaterally. COVID-19 and flu test were performed at office and was negative. We started on Z-pack, cough syrup, tylenol prn pain or fever, continue wit OTC medications. We will reevaluate if needed in 1 week.
Follow guidelines, use APA 7 format ad scholarlyreferences no older than 5 years
Diagnosis: acute bronchitis.
2 years ago
30
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