Complete a FOCUSED SOAP NOTE with your primary diagnosis. Include the additional questions (additional questions ONLY related to the HPI/CC) you would ask the patient and explain your reasons for asking the additional questions. Then, explain the types of symptoms you would ask. Be specific and provide examples. (Note: When asking questions, consider sociocultural factors that might influence your question decisions.)
Based on the preemptive diagnosis, explain which treatment options and diagnostic tests you might recommend.
creating a focused SOAP note, including additional questions related to the patient’s history and chief complaint, and explaining the rationale for asking those questions. It also involves discussing potential treatment options and diagnostic tests based on the preemptive diagnosis.
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