SOAP (Subjective, Objective, Assessment, Plan) Note for Patient 117342 BAKER, Sarah

By Sarah Baker

Chief Complaint: Writer’s Block 

Subjective: (PMHx: Past Medical History): Childhood hx severe persistent asthma requiring repeated hospital admissions, gradual resolution over adolescence, adult history of mild intermittent asthma. Also, “bunions,” early onset severe bilateral functional hallux valgus, where her hallux (big toes) nestle snugly into their neighbors. Pt denies pain, or impairment of ambulation. Reports rare anxiety-well managed. Pt’s two front teeth are ...