Urology SOAP Note

Urology SOAP Note 

Subjective: 

 

Objective: 

Medications: 

|ACTIVE MEDICATIONS| 

 

Physical Exam: 

Last Vitals: 

Temp: |TEMPERATURE| 

Pulse: |PULSE| 

Resp: |RESPIRATION| 

BP: |BLOOD PRESSURE| 

Weight: |PATIENT WEIGHT| 

Height: |PATIENT HEIGHT| 

BMI: |BMI| 

Pain: |PAIN| 

 

General: Alert and oriented x3, no distress, well appearing, well nourished 

Lungs: no respiratory distress or increased WOB 

CV:  warm, well perfused 

Abdominal: soft, nontender 

 

Data Review: 

|CBC| 

|CHEM 7| 

|COAG| 

|PSA| 

 

Assessment and Plan: 

|AGE| |RACE| |SEX|