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Nr 602 ihuman nancy campbell note taking template

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NR 602 - iHuman _ Nancy Campbell _ Note Taking Template.
MAKE SURE TO FOLLOW THE RUBRIC
Feel free to make your own adjustments for the remainder of the document
o This was easier for me to keep organized and that stopped me
from clicking everywhere on iHuman
Also, reference the iHuman Tips document
Problem statement sample: NM is an 18 year old college student with history of
childhood asthma who presents with acute onset of low-grade fever, fatigue, myalgia,
right ear pain and headache. Physical exam reveals an erythematous pharynx and
right tympanic membrane, anterior cervical adenopathy, and scattered bilateral
crackles. Risk factor include lack of an annual flu vaccine.
10 more in Associated
Symptoms 1 more in SH
My problem statement:
NC is a 25-year- old woman with a 3-day history of dysuria, increased urinary
frequency and yellow, creamy, and mucous-like discharge. Denies fever, chills, myalgia
etc. Physical exam reveals mucopurulent discharge from cervical os, cervix appears
friable with a vaginal pH of 4.0. Risk factor includes multiple sexual partners, not using
any protection against STIs and on birth control.
Mother: diabetes mellitus
Father: HTN, CAD, hyperlipidemia
Older sister: Alive and well
Works as a consultant; travels frequently
Alcohol: 1 to 2 times per week; 4 to 5 drinks per occasion
No other substance use
Previous-smoker status: approximate 2 pack-year hx
Patient Information: Nancy Campbell
Name and Age: 25 years old
Height and Weight: 135 lbs
Vital Signs: #/# BP, # HR, # RR, # O2%, # Temp. 98.7, 78, 110/72, rr 14, 94ra
CC: 25 yo with pain with urination
HPI:
Problem Statement: Short summary of patents presentation. Should contain:

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NR 602 - iHuman _ Nancy Campbell _ Note Taking Template. MAKE SURE TO FOLLOW THE RUBRIC Feel free to make your own adjustments for the remainder of the document o This was easier for me to keep organized and that stopped me from clicking everywhere on iHuman Also, reference the iHuman Tips document Problem statement sample: NM is an 18 year old college student with history of childhood asthma who presents with acute onset of low-grade fever, fatigue, myalgia, right ear pain and headache. Physical exam reveals an erythematous pharynx and right tympanic membrane, anterior cervical adenopathy, and scattered bilateral crackles. Risk factor include lack of an annual flu vaccine. 10 more in Associated Symptoms 1 more in SH My problem statement: NC is a 25-year- old woman with a 3-day history of dysuria, increased urinary frequency and yellow, creamy, and mucous-like discharge. Denies fever, chills, myalgia etc. Physical exam reveals mucopurulent discharge from cervical os, cervix appears friable with a vaginal pH of 4.0. Risk factor includes multiple sexual partners, not using any protection against STIs and on birth control. Mother: diabetes mellitus Father: HTN, CAD, hyperlipidemia Older sister: Alive and well Works as a consultant; travels frequently Alcohol: 1 to 2 times per week; 4 to 5 drinks per occasion No other substance use Previous-smoker status: approximate 2 pack-year hx Patient Information: Nancy Campbell Name and Age: 25 years old Height and Weight: 135 lbs Vital S ...
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Anonymous
Very useful material for studying!

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