Problem based SOAP notes for three patients Essay

trouble based SOAP nones for three patients - Essay ExampleB. Renal Panel in three monthsC. get word on diabetic diet.D. Instruction in side effects of sildenafil citrate.E. Diabetes studyF. Seatbelt at all generation in Motor VehicleG. Influenza Vaccine (Seasonal/H1N1)--hand washingH. Foot care checks and forethought educationI. Skin checks of all moles and other changes.Narrative Report to Preceptor (After initial assessment).This is a 72 grade old black male, retired school teacher who is presenting with symptoms of erectile dysfunction. He describes that he is able to have an erection but it does not stay long enough to participate in intercourse. He was diagnosed three geezerhood ago with Type 2 diabetes and is somewhat hypertensive. His medications consist of Metformin for the diabetes and Lopressor for the hypertension. Physical exam results in everyday vital signs as salubrious as normal heart and lung sounds. There is no pith in the abdomen. Range of motion show s some tenderness in his shoulders. His labs are normal but he does have slight sugar in his urine.I suggest that we do a trail of Viagra as this drug does not affect his other drugs. There is also a need to ontogenesis his Metformin to maximum dit and leave his Lopressor at the same dose for present. We will initiation conservative treatment on the shoulder tenderness with NSAIDS and pool therapy. He has not been having regular checkups with hemoglobin A1C results and I suggest that take place every three months along with a renal panel. steering in diabetic diet and blood sugar testing at folk as well as instruction in understanding how to check his feet and what the does and dont there are. GoutSubjective Data (S)CC/chief complaintI have bother in my right big toe. It...His labs are normal but he does have slight sugar in his urine.I suggest that we do a trail of Viagra as this drug does not affect his other drugs. There is also a need to increase his Metformin to maximum d ose and leave his Lopressor at the same dose for present. We will start conservative treatment on the shoulder tenderness with NSAIDS and pool therapy. He has not been having regular checkups with hemoglobin A1C results and I suggest that take place every three months along with a renal panel. instruction in diabetic diet and blood sugar testing at home as well as instruction in understanding how to check his feet and what the does and dont there are.This is a 38 YO WM, obese complaining of severe pain in right great toe. Toe is swollen and afflictive to touch. States it woke him up in the middle of the night and is getting worse. Uric acid level is high. Blood wring is borderline. Physical exam is unremarkable with the exception of the right toe and the obesity.I suggest we order isobutylphenyl propionic acid at top dose for inflammation reduction and pan control. Cochicine will need to be enjoin at a loading dose of 1.2 mg PO and 0.5 mg every hour until pain and swelling decre ases or up to 8 mg for this attack. We should then put him on a maintenance dose of 0.5 mg PO daily three times a week on Mon. Wed. and Fri.