STUDY. CASSIDY HARRINGTON,
27-YR-OLD. REASON FOR
ENCOUNTER: FATIGUE AND
LISTLESSNESS.
EXAM STUDY GUIDE. GRADED A+.
LATEST 2026/2027 UPDATE.
,Table of Contents
Section Title
1 History
2 PHYSICAL EXAMINATION (PE) – Objective Findings
3 Assessment
4 TEST RESULTS (Diagnostic Investigations)
5 Diagnosis: Primary Diagnosis & Differential Diagnosis:
6 MANAGEMENT PLAN (PLAN OF CARE)
7 Summary
8 Soap Note
, 1. HISTORY
Patient Demographics & Identifying Information
• Name: Cassidy Harrington
• Age: 27 years
• Gender: Female
• Reason for Encounter: Fatigue and listlessness
• Source of History: Patient
• Reliability: Patient is able to describe her symptoms and recent changes
in energy and daily functioning.
Presenting Concern
Cassidy Harrington is a 27-year-old woman presenting with persistent fatigue
and a noticeable sense of listlessness. She reports that she has not been
feeling like herself and has experienced a significant reduction in her usual
energy and motivation.
She describes feeling tired even after what she considers adequate rest and
finds that ordinary daily activities require more effort than they normally
would. The fatigue has become noticeable enough to interfere with her routine
and has prompted her to seek medical evaluation.
Current Symptoms
Cassidy reports:
• Persistent tiredness and low energy.
• Generalized lack of motivation.
• Feeling sluggish or “run down.”
• Reduced ability to maintain her usual level of activity.
• Difficulty concentrating when tired.
• A general sense of weakness or low energy.