HCA 220

posted a soap, teacher asked that i change the s & o. this is what i did:
s - patient is here for a non routine checkup, she is 4 months pregnant and is complaining of weakness, fatigue, lack of appetite and lightheadedness.
o - HEENT: normal. patient has lost 5 lbs. fromlast weeks appointment, looks tired, is more pale than usual, and apperars to have labored breathing. patient admits to having a family history of anemia and gestational diabetes mellitus. after performing a ferritin test, including CBC (complete blood count), a blood smear and glucose test, results show erythrocytes are abnormally large and immature. vitamin b12 and sugar levels are normal.

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asked by Jackie
  1. What is "a soap"?

    If a tutor reads this who understands the specialized vocabulary, how will he/she know if these are OK if he/she hasn't read your original?

  2. SOAP are the notes witten in patients charts

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    posted by Jackie
  3. yes

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    posted by Jackie

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