New Release
SOAP for Family Medicine
Edition:
3
ISBN/ISSN:
9781975216504
Publication Date:
October 11, 2023
2023-10-11
9781975216504
Offering step by step guidance on how to properly document patient care, the Third Edition of SOAP for Family Medicine ...
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Offering step by step guidance on how to properly document patient care, the Third Edition of SOAP for Family Medicine presents 90 of the most common clinical problems encountered on the wards and clinics in an easy-to-read, two-page layout, using the familiar "SOAP" note format. Emphasizing the patient’s clinical problem, not the diagnosis, this pocket-sized quick reference teaches both clinical reasoning and documentation skills and is ideal for use by medical students, PAs, and NPs during the Family Medicine rotation.
- Introduction offers templates, tips, and guidelines for writing SOAP notes.
- Clear, well-written example SOAP notes for a wide range of diagnoses focus on the most important information for patient documentation.
- Now with an improved format that consolidates each SOAP note on two facing pages, the portable, pocket-sized format makes practical information quickly accessible.
- The widely used SOAP format provides an ideal starting point for students learning to document patient notes.
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Edition3ISBN/ISSN9781975216504Product FormatVitalsource Interactive eBookPages224Edition3Publication DateOctober 11, 2023
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- Daniel Maldonado
- Cynthia Zuniga M.D.
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o the Reader ix
Acknowledgments x
Abbreviations xi
Normal Lab Values xiv
How to Write a SOAP Note xviii
I. MEDICINE 1
1. Adult History and Physical, Preventive Maintenance 2
2. Allergic Rhinitis 6
3. Anemia, Iron Deficiency 8
4. Appendicitis 10
5. Asthma 12
6. Bronchitis/Pneumonia 14
7. Chest Pain 16
8. Cholelithiasis/Cholecystitis 18
9. Conjunctivitis 20
10. Constipation 22
11. Delirium/Dementia 24
12. Diabetes Mellitus 26
13. Dizziness 28
14. Epididymitis/Prostatitis 30
15. Fibromyalgia 32
16. Gastritis/Gastroesophageal Reflux/Peptic Ulcer Disease 34
17. Gastrointestinal Bleed 36
18. Headache 38
19. Hyperlipidemia 40
20. Hypertension 42
21. Hyperthyroidism 44
22. Hypothyroidism 46
23. Nephrolithiasis 48
24. Obesity 50
25. Osteoarthritis 52
26. Pharyngitis/Tonsillitis 54
27. Sinusitis 56
28. Urinary Incontinence 58
29. Urinary Tract Infection 60
II. OBSTETRICS & GYNECOLOGY 63
30. Well Woman Exam, Preventive Maintenance 64
31. First Trimester Visit 66
32. Second Trimester Visit 68
33. Third Trimester Visit 7035. Amenorrhea 74
36. Bleeding During Pregnancy 76
37. Dysmenorrhea/Pelvic Pain 78
38. Family Planning 80
39. Infertility 82
40. Mastalgia 84
41. Menopause 86
42. Pelvic Inflammatory Disease 88
43. Postpartum Visit 90
44. Premenstrual Syndrome/Dysphoric Disorder 92
45. Sexually Transmitted Infections 94
III. PEDIATRICS 97
46. Newborn Exam 98
47. Well Child Exam (2–12 Months) 100
48. Well Child Exam (13–24 Months) 102
49. Well Child Exam (25 Months-Preadolescence) 104
50. Well Child Exam (Adolescence) 106
51. Abdominal Pain 108
52. Acute Gastroenteritis 110
53. Acute Otitis Media/Otitis Externa 112
54. Attention-Deficit/Hyperactivity Disorder 114
55. Fever 116
56. Heart Murmurs 118
57. Nocturnal Enuresis 120
58. Rash/Viral Exanthems 122
59. Respiratory Infection 124
60. Urinary Tract Infection 126
. DERMATOLOGY 129
61. Acne 130
62. Atopic Dermatitis 132
63. Basal Cell Carcinoma 134
64. Bites (Animal/Human) 136
65. Burns 138
66. Cellulitis 140
67. Lyme Disease 142
68. Melanoma 144
69. Molluscum Contagiosum/Verruca 146
70. Psoriasis 148
71. Scabies 150
72. Squamous Cell Carcinoma/Actinic Keratosis 152
73. Tinea 154
74. Urticaria 156THOPEDIC CONDITIONS 159
75. Sports Medicine Screening Exam 160
76. Ankle/Foot Pain 162
77. Back Pain 164
78. Elbow Pain 166
79. Knee Pain 168
80. Neck Pain 170
81. Shoulder Pain 172
82. Wrist/Hand Pain 174
VI. PSYCHIATRY/PSYCHOSOCIAL ISSUES 177
83. Alcoholism 178
84. Anxiety/Panic Attacks 182
85. Bipolar Disorder 184
86. Child Abuse 186
87. Depression 188
88. Domestic Violence 190
89. Drug Abuse 192
90. Older Adult Abuse 196
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