Essays on Murmurs

Patient initials: MK Age: 60 Sex: M

Care Plan Subjective MK, the patient presents with a chief complaint of decreased urinary flow but has also had troublesome nocturia for the last two weeks as well as significant terminal dysuria. History of present illness: Patients states that in the past day he has had significant difficulties especially in starting his urine flow and this has affected his ability to enrage in normal daily activities. Patient denies radiating pain. Patient history: Patient has had a history of hypertension, hypercholesterolemia, costochondritis, as well as suspected angina characterized by chest wall syndrome which was however treated.

Significant family history: There is also a probable positive family history for cardiovascular or heart diseases

Objective: Patient is a ...

SOAP NOTE

Women’s Health / Primary Care SOAP Age Range: 20-30 Gender: Female Occupation: Home maker. Subjective: ID: M.M.

Reliability: Pt is reliable, dependable and a knowledgeable source of information.

Reason for seeking Care (CC): Patient states “I have missed last two menstrual cycles of mine. I just need to confirm if I am pregnant.” History of Present Illness: Patient is a 29-year-old Asian female with no significant medical illness in the past history. Patient is a new patient to the clinic, and has come to confirm if she is pregnant. Travel History past 30 days: Patient has returned from a trip to her home land last week..

Current Medications: She uses some Homoeopathic medicines for constipation and heartburn sometimes.

Allergies (Medication, ...

Lauren (2011) in “Pediatric Heart Murmurs: Evaluation and management in primary care,” gave an overview of the cardiac assessment, diagnosis of heart murmurs, and referral recommendations among children. Lauren noted that most of the heart murmurs were innocent resulting from a turbulent flow of blood in the pulmonary arteries or due to delayed cardiac development that leads to slight ductus arteriosus in neonates. Pathological heart murmurs result from ventricular septal defect, severe cases of patent ductus arteriosus or congenital heart diseases. The prevalence rate of heart murmurs among newborns is between 0.6% and 4.2%. About 90% of infants and ...