Soap Note Chronic Disease

Soap Note # Main Diagnosis Diabetes Mellitus type 2 56-year-old

Date of Encounter: Preceptor/Clinical Site: Clinical Instructor: Soap Note # Main Diagnosis Diabetes Mellitus type 2 PATIENT INFORMATION Name: Mr. ET Age: 56-year-old Gender at Birth: Female Gender Identity: Female Source: Patient Allergies: Penicillins Current Medications: • Multi-Vitamin Centrum Silver • Lisinopril 10 mg daily • PMH: HTN Diabetes mellitus type 2 Immunizations: Preventive Care: […]

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Date: November 1st, 2023

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