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NSG 6435 Week 1 Soap Note Latest Comprehensive 2023

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PEDIATRIC FILLABLE SOAP NOTE TEMPLATE STUDENT NAME: Amy Brown DATE OF ASSIGNMENT: 02/27/2019 Patient Initials: K.L. Date of Encounter: 02/21/2019 Sex: Female Age: 22 months DOB: 4/17/2017 Place of Birth: Cape Coral Florida SUBJECTIVE Historian: Mother Present Concerns/CC: “K.L. has had a cough, congestion, fever and wheezing x5 days”  Child Profile: Child has met all milestones for 22 months:  No family stressors at home, child lives with both mother and father  ADLs: feeds self, help with undressed/dressed, helps with brushing teeth, wash/dry hands, toilet trained during the day, wakes up most m

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