Abbreviations
BID
Twice daily
Subjective, objective, assessment, and plan
High blood pressure
Hypertension
Edema
Swelling
Crepitus
"Joints crackling"
COPD
Chronic Obstructive Pulmonary Disease
What goes in S?
HPI, ROS
Ear Infection
Acute otitis media
Bradycardia
Slow heart rate
Synchronous diaphragmatic flutter
Hiccup
CVA
Cerebrovascular accident
What goes in O?
Physical exam
Passing Out
Syncope
Emesis
Vomiting
Ecchymosis
Bruise
TIA
Transient Ischemic Attack
What goes in A/P?
Assessment, plan, instructions
Muscle pains
Myalgia
Diaphoresis
Excessive sweating
Aphthous stomatitis
Cancer sores
STEMI
ST elevation MI, real-time ongoing death of heart tissue due to ischemia
True or False? The SOAP note is universal to all healthcare providers
True!
Pale
Pallor
Dyspnea
Shortness of breath
Paresthesia
Tingling sensation/pins and needles