Well child visit soap note example

I’m studying and need help with a Health & Medical question to help me learn.

Masterjoe I need a SOAP note fixed. I will up load and example with comment to make it easier to complete. My perceptor also uses bright future so use as much as you can from the example paper and check vaccinations and dosage for weight.Running Head: TWO YEAR SOAP NOTE Two-year SOAP NOTE 2 YEAR SOAP NOTE Name: K. H Date: 5th SEP 2017 1 TWO YEAR SOAP NOTE Sex: MALE 2 Age: 2 YEARS DOB: 21 JULY 2015 Place of Birth: White Plains- New York SUBJECTIVE Historian: Mother Purpose Well child check up Present Concerns/CC: “the toddler produces clear mucous.” “he is chewing his fingers” “he has a runny nose that has been around for 8 days.” Child Profile The child had had a runny nose for around 3 days clear drainage no fever. He has no weight loss. He has no any sexual history. He has had otitis media of right ear 6 months ago. There are various safety practices on the child. Some of the practices include keeping all the The reasonproducts is given by the from patient seeking medical careof “in quotes.” household away thefor child’s reach. Locking doors in areas where the child might experience serious warms. Removal of furniture with sharp edges within the room of the child or in areas where the child might get in contact with them. Other safety practices include keeping all medicine out of sight and reach of the child. Keeping all medicine caps tight. The development of the child has been normal. TWO YEAR SOAP NOTE HPI: The child has never been critically ill. He had never hospitalized before though he was born prematurely. The victim experiences are swelling within the eyes. There are no major surgeries done at the infant as well as the prevalence of any major traumas. Some of the pertinent positives of normal development include verbal direction following, can recite half his ABC’s and spell his name abit, some clear drainage noted mucus. Upon oral inspection, the child is noted to be cutting a right molar. Pertinent negatives include running nose. Some of the aggregating positives include no coughing, as well as, no colored drainage, no temperature.