Respirations regular and easy; lungs clear to auscultation bilaterally. The third result is Jack Lee Baldwin age 60s in El Cajon, CA in the El Cajon neighborhood. Jack L. Baldwin <p>Jack L. Baldwin, 65, of El Cajon, California passed away on April 22, 2022 at Windsor Garden Care Center after an extended illness.</p> <p>Jack was the son of Don and Ethel Mae Baldwin of Elroy. We respect your money and most importantly your trust in us. We have writers spread into all fields including but not limited to Philosophy, Economics, Business, Medicine, Nursing, Education, Technology, Tourism and Travels, Leadership, History, Poverty, Marketing, Climate Change, Social Justice, Chemistry, Mathematics, Literature, Accounting and Political Science. Maintains eye contact. <br> <br>Prostrate is smooth, non-tender and free from nodules, is of normal size, sphincter tone is firm. Nose: Nasal mucosa pink; normal turbinates. Cardiovascular: Tachycardia, S1, S2 with regular rate and rhythm. Register . 34K views 4 years ago i-Human Patients 2.1K views 7 years ago Poets & Quants 431K views 3 years ago Pulmonary. BMI: 24.4 Temp: 99 (Oral)BP: 170/94. Our writers will help you write all your homework. You would not leave these in an official SOAP note. Environmental hazards:Patient denies any environmental hazards. I know that normal is used in chartingbut you are learning and so you are required to do the ideal and the ideal is describing what you see and completing a total ROS on every patient. No extra sounds, clicks, rubs or murmurs. Capillary refill 2 seconds. Speech clear. Then fill Our Order Form with all your assignment instructions. Approximately 7 inches in length. Eyes: PERRLA. No palpable thrills, lifts, or heaves. Delayed healing, rashes, bruising, bleeding or skin discolorations, any changes in lesions or moles, Cough, wheezing, hemoptysis, dyspnea, pneumonia hx, TB, Corrective lenses, blurring, visual changes of any kind, Abdominal pain, N/V/D, constipation, hepatitis, hemorrhoids, eating disorders, ulcers, black tarry stools, Ear pain, hearing loss, ringing in ears, discharge. Provide a reference for your treatment plan (in APA format). Posture erect. Alert and oriented; answers questions appropriately. Tetanus booster vaccine in 2010. Dressed in clean slacks, shirt and coat. Use this week's iHuman case titled "Jack Baldwin VE" and create a SOAP note with a treatment plan (located at the bottom of the SOAP note. Educate patient to avoid heavy lifting, and gently reduce a groin hernia when the individual lies supine with hips flexed to relax the abdominal muscles (Cash, 2014). SOAP Note and Differential Diagnoses for iHuman Case. Pharynx is nonerythematous and without exudate. All new clients are eligible for 20% off in their first Order. Posture erect. General Appearance: A healthy appearing adult male with acute distress. Speech clear. Check your paper. Nose: Nasal mucosa pink; normal turbinates. Our shift-system also ensures that you get fresh writers each time you send a job. Evidenced by Inguinal or scrotal nonreducible mass with severe pain, vomiting, and constipation and scrotal ultrasound result (Fischbach & Dunning, 2014). Housing: Condominium Occupation: Accountant Tobacco use: Smokes 1 ppd; Alcohol: 1 to 2 drinks/day; History of: narcotic abuse (Percocet) Sexual history: Monogamous Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples, General(-) Fatigue, (-) weight loss, (-) chills, (-) fever, (-) night sweats, (-) change in energy level, Skin(-) delayed healing, (-) rashes, (-) bruising, (-) bleeding or skin discolorations, (-) any changes in lesions or moles, Eyes(-) Corrective lenses, (-) blurring,(-) change in vision Ears(-) ear pain, (-) hearing loss, (-) dischargeNose/Mouth, Throat(-) Sinus problems, (-) dysphagia, (-) nose bleeds or discharge, (-)dental disease, (-) hoarseness, (-) throat pain, Heme/Lymph/Endo (-)HIV, (-) blood transfusion hx(-), cold intolerance, (-) bruising, (-) night sweats, (-) increase hunger/thirst, Cardiovascular(-) chest pain, (-) palpitations, (-) edema, (-) PND, (-) orthopnea Respiratory(-) cough, (-) wheeze, (-) hemoptysis, (-) dyspnea, (-) pneumonia hx, (-) TB, Gastrointestinal(-) Abdominal pain, (+) Nausea, (+) vomiting, diarrhea(-), (-) constipation, (-) hepatitis, (-) hemorrhoids, (-)eating disorders, (-) ulcers, (-) black tarry stools, Genitourinary/Gynecological:(-) urgency, (-) frequency, (-) hesitancy, (-) dysuria, (-) hematuria (+) sexual activity, (-) STDS, Rectal Denies any bleeding or pain Musculoskeletal(-) back pain, (-) swelling of joints, (-) fracture historyNeurologicalDenies weakness or numbness, (-) headache, (-) Syncope, (-) seizures, (-) transient paralysis, (-) weakness, (-) paresthesias, (-) black out spells, Psychiatric(-) depression, (-) anxiety, (-) sleeping difficulties, (-) suicidal ideation/attempts, (-) previous dx, Weight: 180.0 lbs. Monitor for s/s of infection (increased redness, fever, pain, or purulent, fould smelling drainage). Hernia inguinal K40 (ICD-10 Code Lookup, 2016). Denies bruising or other abnormalities to skin, hair, or nails. Education level, occupational history, current living situation/partner/marital status, substance use/abuse, ETOH, tobacco, marijuana. Confidential- We never share or sell your personal information to third parties. No hepatosplenomegaly. Denies bruising or other abnormalities to skin, hair, or nails. Maintains eye contact. No edema. Otherwise no complaints at this time. Postoperative evaluation for hernia recurrences as needed (Cash, 2014). i-Human Patients 82 subscribers Web demo of i-Human Patients Case Player in HD. Testicular torsion: sudden onset of pain which is exquisite tenderness; and a high-riding, horizontally displaced testis (Goolsby & Grubbs, 2015). Oral mucosa pink and moist. The scrotum is swollen on left side. [Show More] Last updated: 8 months ago Bundle contains 11 items Purchase Now Instant download OR PLACE CUSTOM WRITING ORDER You would not leave these in an official SOAP note. Respirations regular and easy; lungs clear to auscultation bilaterally. Pricing and Discounts Pulses 3+ throughout. Rash present to mid-back on the right side at location of 6thrib, bright red, linear form, with vesicular type blisters present. No extra sounds, clicks, rubs or murmurs. My brother brought me here to get me help because I was going through a tough time. Please note that your SOAP note has several areas that have required information. Approximately 7 inches in length. We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. Dressed in clean slacks, shirt and coat. Allergies:NKDAMedication Intolerances:None. No thyromegaly or nodules. Alert and oriented. No edema. Dressed in clean slacks, shirt and coat. We offer unlimited revisions at no extra cost. Jack Baldwin in California. EOMs intact. " I came to iHuman because I was homeless and I was new to the city. Flu shot in October 2012 and plans to get the Flu vaccine this year. Denies any heat or cold intolerance, thyroid enlargement or tenderness, unexpected weight changes, or abnormal distribution in body hair. The left groin region is visibly swollen and indurated to palpation. Complains fo generalized malaise. Oral mucosa pink and moist. Retrieved fromhttps://digitalbookshelf.southuniversity.edu/#/books/9780826168757/. Jack Baldwin V3 PC (Basic DDx) 50 years 6' 0" 180 pounds Jack Baldwin Chief complaint: Groin pain Start differential diagnosis and final diagnosis . HIV status, bruising, blood transfusion hx, night sweats, swollen glands, increase thirst, increase hunger, cold or heat intolerance, Depression, anxiety, sleeping difficulties, suicidal ideation/attempts, previous dx. Reason given by the patient for seeking medical care in quotes. Our writers are also well trained to follow client instructions as well adhere to various writing conventional writing structures as per the demand of specific articles. Flu shot in October 2012 and plans to get the Flu vaccine this year. Evidenced by Inguinal or scrotal nonreducible mass with severe pain, vomiting, and constipation and scrotal ultrasound result (Fischbach & Dunning, 2014). NSG 6020 Week 9 Discussion.docx South University assessment NSG 6020 - Fall 2019 . Tactile fremitus equal bilaterally. Touch device users, explore by touch or with swipe gestures. Allergies:NKDAMedication Intolerances:None. Hence, quality will consistently be at the top. No adnexal masses or tenderness. Eyes: PERRLA. Right side normal. If you are short of Budget, contact our Live Support for a Discount Code. 4 pages. That's called the flank, right? Patient is appropriately dressed and cooperative in regards to all aspects of the examination. External genitalia reveals coarse pubic hair in normal distribution; skin color is consistent with general pigmentation. Posture erect. Avoid contact with infants, children, pregnant women, and adults who have never had chicken pox, until blisters are completely dry. If you need any help with this tutorial, seek online assignment help from the Homework Minutes experts. Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples. Capillary refill 2 seconds. Words: Updated on: December 6, 2021. Maintains eye contact. Abdomen soft, non-tender. Fitness: encouraging increasing exercise (Buttaro, Trybulski & Bailey, 2013). Fischbach, F. T., & Dunning, M. B. Abdomen obese; BS active in all 4 quadrants. It is a win-win proposition; both parties gain from trade. A paper on History will only be handled by a writer who is trained in that field. Cash, J. C. (2014). Teeth are in good repair. Height: 60 Pulse: 130bmp (tachycardia) RR: 18bpm, oxygen saturation is 98%, RA. Maintains eye contact. Pinterest. InCMS.gov. Schedule the patient to return to the office if fever, severe pain, or strangulation happens. SOAP Note and Differential Diagnoses for iHuman Case. The HPI is one of them. At the risk of sounding immodest, we must point out that we have an elite team of writers. Advise that a person sho has never had chicken pox may contract chicken pos by exposure to the shingles rash. This is one of the areas where nursing writing services like ours can help. Abdomen soft, non-tender. Jack Baldwin VE iHuman Episodic SOAP Note and Differential Diagnoses Examples. Rash present to mid-back on the right side at location of 6thrib, bright red, linear form, with vesicular type blisters present. The physical exam is significant for tachycardia, hypertension, diaphoresis, and severe pain in a swollen left groin. Table of Content. Neurological: Speech clear. Balance stable; gait normal.Psychiatric: Alert and oriented to person only. If changes are needed, request a revision. They will always help with everything they can. He states the patin is often as 8 or 10 out of 10 severity. He makes eye contact and responds to questions appropriately. Family Practice Guidelines, Third Edition, 3rd Edition. Please note that your SOAP note has several areas that have required information. Alvin Stafford V5 i-human; Florence Blackman V5 i-human; Susan White V5 i-human; Jerome Cauthen V5 i-human; AssignmentePortfolio Clinical Judgment and plan for life-long learning; Include a discount code if you have one. Primary care: A collaborative practice (4rd ed.). Respirations regular and easy; lungs clear to auscultation bilaterally. Skin is brown, warm, dry, clean and intact. Clear to auscultation with no adventitous sounds bilaterally. Education level, occupational history, current living situation/partner/marital status, substance use/abuse, ETOH, tobacco, marijuana. 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