Soap Note Chlamydia

A) Please fallow instruction. I need you to make up a soap note for a female patient with diagnoses of Chlamydia. Please fill out the template. I include the soap note template you must plug the information, the rubric to follow in separate attachments. I need you to provide the following: APA format with references at least no older than 5 years.

  • 1)The Diagnosis ICD 10 code
  • 2) 3 differential diagnoses with ICD 10 code.
  • 3)Vital sign, BMI
  • 4)Complete Chief patient compliant
  • 5)Subjective Information
  • 6)PMH, PSH, FH, ROS completed. Provide complete and concise summary of pertinent information.
  • 7)Complete Objective Information
  • 8)Lab Tests
  • 9)Allergies
  • 10)Complete physical exam with critical elements related to subjective data.
  • 11)Perform Assessment
  • 12)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.
  • 13)Create a Plan
  • 14)Plan includes pharmacologic and nonpharmacologic treatments as well as education provided. The plan is supported by evidence/guidelines, and the follow-up plans are noted.
  • 15)Self-Assessment & Clinical Guidelines
  • 16)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 of Chlamydia

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