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Summary NR 511 Week 5 SNAPPS Oral Presentation on Template |complete solution.

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NR511(RS) Snapps Oral Presentation about:blank 1/4 SNAPPS ORAL PRESENTATION TEMPLATE This template should only be used to organize your oral presentation, IT SHOULD NOT BE SUBMITTED. SUMMARIZE Using a patient seen in the practicum setting, summarize the H&P into an organized and concise format. CC 14 female presents to the office with mother complaining of a headache, runny nose, cough and congestion. HPI statement using OLDCARTS data Past medical hx: seasonal allergies Onset: of symptoms 3 days ago and is now getting worse. The headache is constant. She describes the headache as throbbing mostly, but at times stabbing and rates it at a 5/10 using the pain scale. Nose runs mostly at during the day, and has clear drainage. She states that during the night she is very stopped up, and that she has trouble breathing. She also states she has been coughing a lot and started 3 days ago. Associated symptoms include mild sore throat, and low grade fever of 100.1 F Aggravating factor: is laying down Relieving factor is medication. Mom has given her Tylenol, and Motrin for pain which did help some and over the counter Mucinex. Pertinent ROS General: Alert & oriented, fevers; Denies chills, body aches, or night sweats Respiratory & Cardiovascular: Coughing; Denies SOB, wheezing, palpitations, Chest pain Head: Headaches; Denies vertigo or syncope Eyes: Denies eye pain or discharge Ears: Denies pain, tenderness or discharge Nose: runny nose; nasal congestion. Throat: posterior pharynx has mild erythema, uvula is midline, tonsils 2 +


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