Answer this post in soap note format ………… 3 differential diagnosis using ICD-10 codes for each differential diagnosis follow the file is uploaded to format the paper…….FOLLOW THE FORMAT SOAP TO FORMAT THE PAPER, FOLLOW ALL INFORMATION BASED ON EVIDENCE BASE PRACTICE, IF A PT HAS ASTHMA IN YOUR DIAGNOSIS USE THE ICD 10 CODE FOR THAT ASTHMA AND EXPLAIN THE REASON WHY YOU CHOOSE THIS BACKED WITH EVIDENCE BASED PRACTICE. FOLLOW ALL FILES NO PLAGIARISM…

If this was the actual chart, you would and could not chart that the documentation for the questions asked as would be the same as the other patient in asking questions it is an individual chart. I need to have more than one differential diagnosis for each patient. You need to have 3 to rule two out to result your primary diagnosis. Don’t forget to have your references as evidence based peer reviewed journals.

this SOAP Note needs to be answered with SOAP put in the paper and with ONLY 4 scholar references not later than 5 years!!!! to base your findings this is not on a real person but has to meet the criteria and references have to be within 5 years no later and I want APA format 6th edition PLEASE FOLLOW THE FILE I UPLOAD AS THEY ARE TO HELP YOU IN THIS PAPER. PLEASE READ WHAT IS A SCHOLARLY SOURCE it will help you. “””””Employ to be supported by evidence from the scholarly literature that is utilized by the practitioner (MD, NP, PA, etc.), NOT the general public. Do not support a decision using information from patient-geared sources (i.e. mayoclinic.org, WebMD, etc.).””””””””One more thing I want each of you to learn and remember going forward:

“Review of systems is what they say, physical exam is what you see.”

(This paper will be check to make sure it’s not plagiarizer) USE SOAP NOTE FORMAT and OLD CHART to format paper…………………………………….
Please follow my instructions to a T and the program outcomes as well as the grading rubric………….Thank you

Please view the power point presentation on Prescription Writing and write your medication regimen as you would write a prescription. What is your education regimen, follow up, and referral if necessary for both patients? Please be sure to support these with references as well.

ANSWER ALL QUESTIONS POSTED WITH EVIDENCE BASED REFERENCES,

HERE IS THE CASE STUDY……………………………..

PBL Case Discussion: Cardiovascular Part One (graded)
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PBL Case Discussion: Cardiovascular Part One (graded)

Setting: large urban city

Family practice clinic that employs physicians and nurse practitioners

Part 1: It’s another busy day at the clinic. You open the chart to review for your next patient, and you see it is Sean M. Sean is a 52 year-old white male with a history of hypertension. He was taken off HTN meds at last visit almost 3 months ago. You note he is not due for a follow up at this time, so you look at the chief complaint.

CC: chest pain 3 days ago

You enter the room and introduce yourself. Sean is sitting in the chair texting on his cell phone. You ask what brings him in today. Sean smiles, shaking his head and says “My wife made me come, I feel fine.” Three days ago Sean felt short of breath, had this heavy feeling in his chest, and he got kind of nauseous and sweaty. It lasted only about 3 minutes, and it has not happened again, but he does feel a little more tired. “It could be that I have not worked out since it happened, and I have more energy when I walk on the treadmill.”

PMHx: Reports general health as good. Had been feeling great since starting to work out and lost weight. Had lots of energy and felt great until this episode 3 days ago. Now he is a little concerned because he feels a little more tired when he works out. He has not done as much strenuous running and shortened his workout since the episode.

Childhood/previous illnesses: chicken pox.

Chronic illnesses: Hypertension, Lisinopril stopped 3 months ago. Elevated cholesterol, lifestyle management was initiated.

Surgeries: T and A, cholecystectomy, vasectomy

Hospitalizations: None

Immunizations: Does not receive the flu shot.

Allergies: NKDA

Blood transfusions: None

Enjoys a beer or a glass of Jameson and the occasional cigar when playing poker with his buddies

Current medications: None

Social Hx: Married for 20 years, works as a mortgage broker at a local bank

Family Hx: Parents are deceased. Father had lung CA and mother died from complications of a stroke. Brother died at 44 from malignant melanoma. Other sister and brother are healthy.

Discussion Questions Part One:

What further questions do you have for Sean at this visit?
What is your differential diagnosis list for this visit thus far with rationale?
Based on your differential diagnoses list, identify what body systems you’d examine along with pertinent positive/negatives in each system and any diagnostic tests you would like to perform?