Soap note 1 | Nursing homework help

Student must complete a sopa note using the template

Each diagnosis and differential diagnosis  MUST BE SUPPORTTED BY OBJECTIVE AND SUBJECTIVE S/S  with REFERENCE ( minimum 3 reference x soap note) 

Patient :68 years old, hispanic male

CC:   

“Patient reports that he had rash in his arm, bloody diarrhea and abdominal pain for the last 2 days without relief.”

Diagnosis:   

Hemolytic Uremic Syndrome (ICD 10: D59.3).

Differencial Diagnosis:   

1. Gastroenteritis 
2. Irritable bowel syndrome (IBS) 
3. Necrotizing enterocolitis