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|